Evidence-Based Identification of Key Beliefs Explaining Infant Male Circumcision Motivation Among Expectant Parents in Zimbabwe: Targets for Behavior Change Messaging.
Evidence-Based Identification of Key Beliefs Explaining Infant Male Circumcision Motivation Among Expectant Parents in Zimbabwe: Targets for Behavior Change Messaging.
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DOI：
10.1007/s10461-017-1796-4
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发表时间：
2018-03
影响因子：
4.4
通讯作者：
Kasprzyk D
中科院分区：
文献类型：
--
作者：
Montaño DE;Tshimanga M;Hamilton DT;Gorn G;Kasprzyk D
成年男性包皮环切术（VMMC）的缓慢吸收是导致一些人建议在撒哈拉以南非洲国家优先考虑婴儿男性包皮环切术（IMC）的一个因素。这项研究是在综合行为模型（IBM）的指导下进行的，目的是确定最能解释津巴布韦父母让他们的婴儿接受割礼的动机的关键信念。定量调查，设计从定性启发研究结果，管理独立的代表性样本的800名准妈妈和795名准爸爸在两个城市和两个农村地区在津巴布韦。多元回归分析发现，父亲的IMC动机主要由工具性态度、描述性规范和自我效能感来解释，母亲的IMC动机主要由工具性态度、命令性规范、描述性规范、自我效能感和控制感来解释。IBM结构的信念的回归分析发现一些重叠，但许多差异的关键信念解释IMC的动机之间的母亲和父亲。我们发现城市和农村父母的关键信念存在差异。行为信念对城市父亲整合营销行为动机的解释力最强，而行为信念和效能信念对农村父亲整合营销行为动机的解释力最强。城市母亲的整合营销动机主要由行为信念和规范信念解释，而农村母亲的整合营销动机主要由行为信念解释。我们确定的关键信念应该作为开发信息的目标，以改善需求，并最大限度地提高家长的吸收，因为IMC计划正在推出。城市和农村的孕妇和父亲需要有不同的目标。
Slow adult male circumcision (VMMC) uptake is one factor leading some to recommend increased priority for infant male circumcision (IMC) in sub-Saharan African countries. This research, guided by the Integrated Behavioral Model (IBM), was carried out to identify key beliefs that best explain Zimbabwean parents’ motivation to have their infant sons circumcised. A quantitative survey, designed from qualitative elicitation study results, was administered to independent representative samples of 800 expectant mothers and 795 expectant fathers in two urban and two rural areas in Zimbabwe. Multiple regression analyses found IMC motivation among fathers was explained by instrumental attitude, descriptive norm and self-efficacy; while motivation among mothers was explained by instrumental attitude, injunctive norm, descriptive norm, self-efficacy, and perceived control. Regression analyses of beliefs underlying IBM constructs found some overlap but many differences in key beliefs explaining IMC motivation among mothers and fathers. We found differences in key beliefs among urban and rural parents. Urban fathers’ IMC motivation was explained best by behavioral beliefs, while rural fathers’ motivation was explained by both behavioral and efficacy beliefs. Urban mothers’ IMC motivation was explained primarily by behavioral and normative beliefs, while rural mothers’ motivation was explained mostly by behavioral beliefs. The key beliefs we identified should serve as targets for developing messages to improve demand and maximize parent uptake as IMC programs are rolled out. These targets need to be different among urban and rural expectant mothers and fathers.
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影响因子：
15.8
作者：
Kalichman SC
通讯作者：
Kalichman SC
DOI：
10.1177/0002716211424265
发表时间：
2012-03-01
影响因子：
2.8
作者：
Bleakley, Amy;Hennessy, Michael
通讯作者：
Hennessy, Michael
DOI：
10.1177/0002716211423363
发表时间：
2012-03-01
影响因子：
2.8
作者：
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通讯作者：
Ajzen, Icek
影响因子：
2.4
作者：
Morris, Brian J.;Waskett, Jake H.;Mindel, Adrian
通讯作者：
Mindel, Adrian
DOI：
10.1080/09540121.2011.579939
发表时间：
2011-01-01
影响因子：
1.7
作者：
Albert, Lisa M.;Akol, Angela;Baine, Sebastian O.
通讯作者：
Baine, Sebastian O.