The effect of a joint communication campaign on multiple sex partners in Mozambique: the role of psychosocial/ideational factors
The effect of a joint communication campaign on multiple sex partners in Mozambique: the role of psychosocial/ideational factors
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DOI：
10.1080/09540121.2014.907386
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发表时间：
2014-10-01
影响因子：
1.7
通讯作者：
Hurley, Emily A.
中科院分区：
文献类型：
--
作者：
Figueroa, Maria Elena;Kincaid, D. Lawrence;Hurley, Emily A.
莫桑比克是撒哈拉以南非洲受艾滋病毒流行病影响最严重的国家之一。多重和同时存在的性伙伴关系被认为是艾滋病毒在该区域迅速蔓延的主要驱动因素之一。虽然艾滋病毒预防方案在增加安全套使用和艾滋病毒检测方面取得了成功，但减少MSP/CP的做法却更为困难。莫桑比克的四个组织以社会和行为改变理论为基础，共同努力开展为期一年的多媒体全国艾滋病毒预防运动，重点是减少MSP/CP。评估其影响并确定阻碍或有助于其成功的因素对于未来制定有效的计划至关重要。根据2011年对1 427名性活跃妇女和男子进行的基于人口的调查数据，采用多变量因果归因分析来估计该运动在莫桑比克艾滋病毒流行率最高的四个地区的影响。该分析测试了预计该运动将影响MSP的心理社会途径。结果表明，曝光（回忆）是高的，81.2%的受访者可以回忆起一个或多个通信活动的组成部分。该运动有显着的间接影响MSP通过其负面影响的态度，有利于MSP，其积极影响的知识和讨论MSP的风险与性伴侣。这项研究表明，确定适当的心理社会因素，并利用它们来设计运动的沟通策略，并评估其影响的因果途径的价值。这项运动通过两个社会心理变量成功地改变了MSP的行为。
Mozambique is one of the countries in sub-Saharan Africa most affected by the HIV epidemic. Multiple and concurrent sexual partnerships (MSP/CP) have been recognized as one of the key drivers in the rapid spread of HIV in the region. Though HIV prevention programs have been successful in increasing condom use and HIV testing, reducing the practice of MSP/CP has been more difficult. Grounding their interventions in social and behavior change theory, four organizations in Mozambique joined efforts to implement a year-long, multimedia national campaign for HIV prevention with emphasis on the reduction of MSP/CP. Evaluating its impact and identifying the factors that hinder or contribute to its success are critical to building effective programs in the future. With data from a 2011 population-based survey of 1427 sexually active women and men, multivariate causal attribution (MCA) analysis was used to estimate the impact of the campaign in the four regions of Mozambique with the highest levels of HIV prevalence. The analysis tested the psychosocial pathways through which the campaign was expected to affect MSP. The results indicate that exposure (recall) was high; 81.2% of the respondents could recall one or more of the communication campaign components. The campaign had a significant indirect impact on MSP through its negative effect on attitudes that favor MSP, and its positive effect on knowledge and discussion of MSP risk with sex partner. This study demonstrates the value of identifying appropriate psychosocial factors and using them to design the campaign communication strategy, and evaluate the causal pathways by which it has an impact. The campaign was successful in changing MSP behavior by working through two psychosocial variables.