Is social-ecological risk associated with individual HIV risk beliefs and behaviours?: An analysis of Kenyan adolescents' local communities and activity spaces.

Is social-ecological risk associated with individual HIV risk beliefs and behaviours?: An analysis of Kenyan adolescents' local communities and activity spaces.
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DOI:
10.1080/17441692.2021.1951801
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发表时间:
2022-12
影响因子:
3.3
通讯作者:
Green EP
Green EP
中科院分区:
医学3区
文献类型:
--
作者:
Schmidt CN;Puffer ES;Broverman S;Warren V;Green EP

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青少年生活、学习和玩耍的地方被认为会影响行为和健康,但我们在超地方测量环境风险的工具有限(例如,邻区)水平。我们与肯尼亚西部农村的218名青少年及其父母/监护人合作,将参与性测绘活动与卫星图像相结合,以确定青少年活动空间,并创建一种新的社会生态风险衡量标准。然后,我们研究了社会生态风险与个人艾滋病毒风险信念和行为之间的关联。我们发现支持的推测,社会生态风险可能与个人的信仰和行为。随着肯尼亚青少年样本的社会生态风险增加,他们报告的危险性信念和行为以及夜间无人监督的外出也增加了。这项研究加强了对疾病预防方法的呼吁,这些方法不仅仅强调个人行为的改变。
The places where adolescents live, learn, and play are thought to influence behaviours and health, but we have limited tools for measuring environmental risk on a hyperlocal (e.g., neighbourhood) level. Working with 218 adolescents and their parents/guardians in rural western Kenya, we combined participatory mapping activities with satellite imagery to identify adolescent activity spaces and create a novel measure of social-ecological risks. We then examined the associations between social-ecological risk and individual HIV risk beliefs and behaviours. We found support for the conjecture that social-ecological risks may be associated with individual beliefs and behaviours. As social-ecological risk increased for a sample of Kenyan adolescents, so did their reports of riskier sex beliefs and behaviours, as well as unsupervised outings at night. This study reinforces calls for disease prevention approaches that go beyond emphasizing individual behaviour change.
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