Understanding perceptions of HIV risk among adolescents in KwaZulu-Natal
Understanding perceptions of HIV risk among adolescents in KwaZulu-Natal
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DOI：
10.1023/b:aibe.0000044072.71361.b3
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发表时间：
2004-09-01
影响因子：
4.4
通讯作者：
Karim, A
中科院分区：
文献类型：
--
作者：
Macintyre, K;Rutenberg, N;Karim, A
理论上，风险认知是采取保护行为的重要前提。它是应用健康信念模型和其他行为改变模型的研究的关键构建。就艾滋病毒而言，风险感知是感知感染易感性的一个指标，是衡量一个人对艾滋病传播的理解以及考虑行为改变的意愿的指标。然而，我们对于风险认知的驱动因素仍有很多未知，尤其是在年轻人中。本研究确定了影响南非青少年群体艾滋病毒风险认知计算的因素。 1999 年从 2,716 名 14-22 岁青少年收集的数据被用来探索预测风险认知的因素。逻辑回归模型表明，男性和女性与父母和社区的联系、男性使用安全套的自我效能以及女性生活在有慢性病成员的家庭中与艾滋病毒风险认知相关。我们的结论是，需要更好地了解青少年与其社区和成年人在生活中的联系，并且项目可以改变青少年形成意见、做出选择和行动的环境的方式应该纳入项目设计中。
Risk perception has been theorized to be an important antecedent for adopting protective behavior. It is a key construct of research applying the Health Belief Model and other behavior change models. In relation to HIV, risk perception is an indicator of perceived susceptibility to infection, a measure for one's understanding of AIDS transmission as well as willingness to consider behavioral changes. However, there remains much we do not know about what drives risk perception, especially among youth. This study identifies factors that influence the calculation of HIV-risk perception among a group of adolescents in South Africa. Data, collected in 1999 from 2,716 adolescents aged 14-22, are used to explore factors predicting risk perception. Logistic regression models suggest connectedness to parents and community for males and females, self-efficacy to use a condom among males, and living in a household with a chronically ill member for females are associated with HIV risk perception. We conclude that a greater understanding of the connection of adolescents to their communities and adults in their lives is needed, and ways in which programs can alter the environments in which adolescents form opinions, make choices, and act should be incorporated into program design.