Collective efficacy and HIV prevention in South African townships
Identifieur interne : 001F20 ( Ncbi/Merge ); précédent : 001F19; suivant : 001F21Collective efficacy and HIV prevention in South African townships
Auteurs : Demetria Cain [États-Unis] ; Eileen V. Pitpitan [États-Unis] ; Lisa Eaton [États-Unis] ; Kate B. Carey [États-Unis] ; Michael P. Carey [États-Unis] ; Vuyelwa Mehlomakulu [Afrique du Sud] ; Ofer Harel [États-Unis] ; Leickness C. Simbayi [Afrique du Sud] ; Kelvin Mwaba [Afrique du Sud] ; Seth C. Kalichman [États-Unis]Source :
- Journal of community health [ 0094-5145 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Communication, Comportement sexuel (psychologie), Connaissances, attitudes et pratiques en santé, Consommation d'alcool (épidémiologie), Environnement social, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH (), Infections à VIH (psychologie), Jeune adulte, Mâle, Participation communautaire (psychologie), Prise de risque, République d'Afrique du Sud (épidémiologie), Études transversales.
- MESH :
- psychologie : Comportement sexuel, Infections à VIH, Participation communautaire.
- épidémiologie : Consommation d'alcool, République d'Afrique du Sud.
- Adolescent, Adulte, Communication, Connaissances, attitudes et pratiques en santé, Environnement social, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH, Jeune adulte, Mâle, Prise de risque, Études transversales.
English descriptors
- KwdEn :
- Adolescent, Adult, Alcohol Drinking (epidemiology), Communication, Community Participation (psychology), Cross-Sectional Studies, Female, HIV Infections (prevention & control), HIV Infections (psychology), Health Knowledge, Attitudes, Practice, Humans, Male, Risk-Taking, Sexual Behavior (psychology), Social Environment, Socioeconomic Factors, South Africa (epidemiology), Young Adult.
- MESH :
- epidemiology : Alcohol Drinking, South Africa.
- prevention & control : HIV Infections.
- psychology : Community Participation, HIV Infections, Sexual Behavior.
- Adolescent, Adult, Communication, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Risk-Taking, Social Environment, Socioeconomic Factors, Young Adult.
Abstract
South African townships have high HIV prevalence and a strong need for collective action to change normative sexual risk behaviors. This study investigated the relationship between perceptions of individuals about collective efficacy in the community’s ability to prevent HIV and their personal HIV risk behaviors. Men (n=1581) and women (n=718) completed anonymous surveys within four Black African Townships in Cape Town, South Africa from June 2008 to December 2010. Measures included demographics, alcohol use, attitudinal and behavioral norms, sexual health communications, and sexual risk behaviors. In multivariate logistic regressions, men were more likely to endorse collective efficacy if they were married, drank less often in alcohol serving establishments, believed that fewer men approve of HIV risk behaviors, talk more with others about HIV/AIDS, and had more sex partners in the past month. Women were more likely to endorse collective efficacy if they drank alcohol less often, talked more with others about HIV/AIDS, had more sex partners in the past month, but reported fewer unprotected sex acts in the past month. Community level interventions that strengthen collective efficacy beliefs will have to consider both protective and risk behaviors associated with believing that the community is ready and capable of preventing HIV.
Url:
DOI: 10.1007/s10900-013-9694-9
PubMed: 23660646
PubMed Central: 3769453
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This study investigated the relationship between perceptions of individuals about collective efficacy in the community’s ability to prevent HIV and their personal HIV risk behaviors. Men (n=1581) and women (n=718) completed anonymous surveys within four Black African Townships in Cape Town, South Africa from June 2008 to December 2010. Measures included demographics, alcohol use, attitudinal and behavioral norms, sexual health communications, and sexual risk behaviors. In multivariate logistic regressions, men were more likely to endorse collective efficacy if they were married, drank less often in alcohol serving establishments, believed that fewer men approve of HIV risk behaviors, talk more with others about HIV/AIDS, and had more sex partners in the past month. Women were more likely to endorse collective efficacy if they drank alcohol less often, talked more with others about HIV/AIDS, had more sex partners in the past month, but reported fewer unprotected sex acts in the past month. Community level interventions that strengthen collective efficacy beliefs will have to consider both protective and risk behaviors associated with believing that the community is ready and capable of preventing HIV.</p></div></front></TEI><double pmid="23660646"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Collective efficacy and HIV prevention in South African townships</title><author><name sortKey="Cain, Demetria" sort="Cain, Demetria" uniqKey="Cain D" first="Demetria" last="Cain">Demetria Cain</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Health Intervention and Prevention, University of Connecticut, Storrs, CT</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Center for Health Intervention and Prevention, University of Connecticut, Storrs</wicri:cityArea></affiliation></author><author><name sortKey="Pitpitan, Eileen V" sort="Pitpitan, Eileen V" uniqKey="Pitpitan E" first="Eileen V." last="Pitpitan">Eileen V. Pitpitan</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Health Intervention and Prevention, University of Connecticut, Storrs, CT</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Center for Health Intervention and Prevention, University of Connecticut, Storrs</wicri:cityArea></affiliation></author><author><name sortKey="Eaton, Lisa" sort="Eaton, Lisa" uniqKey="Eaton L" first="Lisa" last="Eaton">Lisa Eaton</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Health Intervention and Prevention, University of Connecticut, Storrs, CT</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Center for Health Intervention and Prevention, University of Connecticut, Storrs</wicri:cityArea></affiliation></author><author><name sortKey="Carey, Kate B" sort="Carey, Kate B" uniqKey="Carey K" first="Kate B." last="Carey">Kate B. Carey</name><affiliation wicri:level="2"><nlm:aff id="A2">Brown University, Providence, RI</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Rhode Island</region></placeName><wicri:cityArea>Brown University, Providence</wicri:cityArea></affiliation></author><author><name sortKey="Carey, Michael P" sort="Carey, Michael P" uniqKey="Carey M" first="Michael P." last="Carey">Michael P. Carey</name><affiliation wicri:level="2"><nlm:aff id="A2">Brown University, Providence, RI</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Rhode Island</region></placeName><wicri:cityArea>Brown University, Providence</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">The Miriam Hospital, Providence, RI</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Rhode Island</region></placeName><wicri:cityArea>The Miriam Hospital, Providence</wicri:cityArea></affiliation></author><author><name sortKey="Mehlomakulu, Vuyelwa" sort="Mehlomakulu, Vuyelwa" uniqKey="Mehlomakulu V" first="Vuyelwa" last="Mehlomakulu">Vuyelwa Mehlomakulu</name><affiliation wicri:level="1"><nlm:aff id="A4">Human Sciences Research Council, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Human Sciences Research Council, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Harel, Ofer" sort="Harel, Ofer" uniqKey="Harel O" first="Ofer" last="Harel">Ofer Harel</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Health Intervention and Prevention, University of Connecticut, Storrs, CT</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Center for Health Intervention and Prevention, University of Connecticut, Storrs</wicri:cityArea></affiliation></author><author><name sortKey="Simbayi, Leickness C" sort="Simbayi, Leickness C" uniqKey="Simbayi L" first="Leickness C." last="Simbayi">Leickness C. Simbayi</name><affiliation wicri:level="1"><nlm:aff id="A4">Human Sciences Research Council, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Human Sciences Research Council, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A5">University of Cape Town, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Mwaba, Kelvin" sort="Mwaba, Kelvin" uniqKey="Mwaba K" first="Kelvin" last="Mwaba">Kelvin Mwaba</name><affiliation wicri:level="1"><nlm:aff id="A6">University of the Western Cape, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of the Western Cape, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C." last="Kalichman">Seth C. Kalichman</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Health Intervention and Prevention, University of Connecticut, Storrs, CT</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Center for Health Intervention and Prevention, University of Connecticut, Storrs</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23660646</idno><idno type="pmc">3769453</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3769453</idno><idno type="RBID">PMC:3769453</idno><idno type="doi">10.1007/s10900-013-9694-9</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001B70</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001B70</idno><idno type="wicri:Area/Pmc/Curation">001B69</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001B69</idno><idno type="wicri:Area/Pmc/Checkpoint">001A58</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001A58</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Collective efficacy and HIV prevention in South African townships</title><author><name sortKey="Cain, Demetria" sort="Cain, Demetria" uniqKey="Cain D" first="Demetria" last="Cain">Demetria Cain</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Health Intervention and Prevention, University of Connecticut, Storrs, CT</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Center for Health Intervention and Prevention, University of Connecticut, Storrs</wicri:cityArea></affiliation></author><author><name sortKey="Pitpitan, Eileen V" sort="Pitpitan, Eileen V" uniqKey="Pitpitan E" first="Eileen V." last="Pitpitan">Eileen V. Pitpitan</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Health Intervention and Prevention, University of Connecticut, Storrs, CT</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Center for Health Intervention and Prevention, University of Connecticut, Storrs</wicri:cityArea></affiliation></author><author><name sortKey="Eaton, Lisa" sort="Eaton, Lisa" uniqKey="Eaton L" first="Lisa" last="Eaton">Lisa Eaton</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Health Intervention and Prevention, University of Connecticut, Storrs, CT</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Center for Health Intervention and Prevention, University of Connecticut, Storrs</wicri:cityArea></affiliation></author><author><name sortKey="Carey, Kate B" sort="Carey, Kate B" uniqKey="Carey K" first="Kate B." last="Carey">Kate B. Carey</name><affiliation wicri:level="2"><nlm:aff id="A2">Brown University, Providence, RI</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Rhode Island</region></placeName><wicri:cityArea>Brown University, Providence</wicri:cityArea></affiliation></author><author><name sortKey="Carey, Michael P" sort="Carey, Michael P" uniqKey="Carey M" first="Michael P." last="Carey">Michael P. Carey</name><affiliation wicri:level="2"><nlm:aff id="A2">Brown University, Providence, RI</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Rhode Island</region></placeName><wicri:cityArea>Brown University, Providence</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">The Miriam Hospital, Providence, RI</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Rhode Island</region></placeName><wicri:cityArea>The Miriam Hospital, Providence</wicri:cityArea></affiliation></author><author><name sortKey="Mehlomakulu, Vuyelwa" sort="Mehlomakulu, Vuyelwa" uniqKey="Mehlomakulu V" first="Vuyelwa" last="Mehlomakulu">Vuyelwa Mehlomakulu</name><affiliation wicri:level="1"><nlm:aff id="A4">Human Sciences Research Council, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Human Sciences Research Council, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Harel, Ofer" sort="Harel, Ofer" uniqKey="Harel O" first="Ofer" last="Harel">Ofer Harel</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Health Intervention and Prevention, University of Connecticut, Storrs, CT</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Center for Health Intervention and Prevention, University of Connecticut, Storrs</wicri:cityArea></affiliation></author><author><name sortKey="Simbayi, Leickness C" sort="Simbayi, Leickness C" uniqKey="Simbayi L" first="Leickness C." last="Simbayi">Leickness C. Simbayi</name><affiliation wicri:level="1"><nlm:aff id="A4">Human Sciences Research Council, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Human Sciences Research Council, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A5">University of Cape Town, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Mwaba, Kelvin" sort="Mwaba, Kelvin" uniqKey="Mwaba K" first="Kelvin" last="Mwaba">Kelvin Mwaba</name><affiliation wicri:level="1"><nlm:aff id="A6">University of the Western Cape, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of the Western Cape, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C." last="Kalichman">Seth C. Kalichman</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Health Intervention and Prevention, University of Connecticut, Storrs, CT</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Center for Health Intervention and Prevention, University of Connecticut, Storrs</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of community health</title><idno type="ISSN">0094-5145</idno><idno type="eISSN">1573-3610</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">South African townships have high HIV prevalence and a strong need for collective action to change normative sexual risk behaviors. This study investigated the relationship between perceptions of individuals about collective efficacy in the community’s ability to prevent HIV and their personal HIV risk behaviors. Men (n=1581) and women (n=718) completed anonymous surveys within four Black African Townships in Cape Town, South Africa from June 2008 to December 2010. Measures included demographics, alcohol use, attitudinal and behavioral norms, sexual health communications, and sexual risk behaviors. In multivariate logistic regressions, men were more likely to endorse collective efficacy if they were married, drank less often in alcohol serving establishments, believed that fewer men approve of HIV risk behaviors, talk more with others about HIV/AIDS, and had more sex partners in the past month. Women were more likely to endorse collective efficacy if they drank alcohol less often, talked more with others about HIV/AIDS, had more sex partners in the past month, but reported fewer unprotected sex acts in the past month. Community level interventions that strengthen collective efficacy beliefs will have to consider both protective and risk behaviors associated with believing that the community is ready and capable of preventing HIV.</p></div></front></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Collective efficacy and HIV prevention in South African townships.</title><author><name sortKey="Cain, Demetria" sort="Cain, Demetria" uniqKey="Cain D" first="Demetria" last="Cain">Demetria Cain</name><affiliation wicri:level="2"><nlm:affiliation>Center for Health Intervention and Prevention, University of Connecticut, 2006 Hillside Road Unit 1248, Storrs, CT 06269, USA. Demetria.cain@gmail.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health Intervention and Prevention, University of Connecticut, 2006 Hillside Road Unit 1248, Storrs, CT 06269</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Pitpitan, Eileen V" sort="Pitpitan, Eileen V" uniqKey="Pitpitan E" first="Eileen V" last="Pitpitan">Eileen V. Pitpitan</name></author><author><name sortKey="Eaton, Lisa" sort="Eaton, Lisa" uniqKey="Eaton L" first="Lisa" last="Eaton">Lisa Eaton</name></author><author><name sortKey="Carey, Kate B" sort="Carey, Kate B" uniqKey="Carey K" first="Kate B" last="Carey">Kate B. Carey</name></author><author><name sortKey="Carey, Michael P" sort="Carey, Michael P" uniqKey="Carey M" first="Michael P" last="Carey">Michael P. Carey</name></author><author><name sortKey="Mehlomakulu, Vuyelwa" sort="Mehlomakulu, Vuyelwa" uniqKey="Mehlomakulu V" first="Vuyelwa" last="Mehlomakulu">Vuyelwa Mehlomakulu</name></author><author><name sortKey="Harel, Ofer" sort="Harel, Ofer" uniqKey="Harel O" first="Ofer" last="Harel">Ofer Harel</name></author><author><name sortKey="Simbayi, Leickness C" sort="Simbayi, Leickness C" uniqKey="Simbayi L" first="Leickness C" last="Simbayi">Leickness C. Simbayi</name></author><author><name sortKey="Mwaba, Kelvin" sort="Mwaba, Kelvin" uniqKey="Mwaba K" first="Kelvin" last="Mwaba">Kelvin Mwaba</name></author><author><name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C" last="Kalichman">Seth C. Kalichman</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23660646</idno><idno type="pmid">23660646</idno><idno type="doi">10.1007/s10900-013-9694-9</idno><idno type="wicri:Area/PubMed/Corpus">001397</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001397</idno><idno type="wicri:Area/PubMed/Curation">001397</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001397</idno><idno type="wicri:Area/PubMed/Checkpoint">001397</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001397</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Collective efficacy and HIV prevention in South African townships.</title><author><name sortKey="Cain, Demetria" sort="Cain, Demetria" uniqKey="Cain D" first="Demetria" last="Cain">Demetria Cain</name><affiliation wicri:level="2"><nlm:affiliation>Center for Health Intervention and Prevention, University of Connecticut, 2006 Hillside Road Unit 1248, Storrs, CT 06269, USA. Demetria.cain@gmail.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health Intervention and Prevention, University of Connecticut, 2006 Hillside Road Unit 1248, Storrs, CT 06269</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Pitpitan, Eileen V" sort="Pitpitan, Eileen V" uniqKey="Pitpitan E" first="Eileen V" last="Pitpitan">Eileen V. Pitpitan</name></author><author><name sortKey="Eaton, Lisa" sort="Eaton, Lisa" uniqKey="Eaton L" first="Lisa" last="Eaton">Lisa Eaton</name></author><author><name sortKey="Carey, Kate B" sort="Carey, Kate B" uniqKey="Carey K" first="Kate B" last="Carey">Kate B. Carey</name></author><author><name sortKey="Carey, Michael P" sort="Carey, Michael P" uniqKey="Carey M" first="Michael P" last="Carey">Michael P. Carey</name></author><author><name sortKey="Mehlomakulu, Vuyelwa" sort="Mehlomakulu, Vuyelwa" uniqKey="Mehlomakulu V" first="Vuyelwa" last="Mehlomakulu">Vuyelwa Mehlomakulu</name></author><author><name sortKey="Harel, Ofer" sort="Harel, Ofer" uniqKey="Harel O" first="Ofer" last="Harel">Ofer Harel</name></author><author><name sortKey="Simbayi, Leickness C" sort="Simbayi, Leickness C" uniqKey="Simbayi L" first="Leickness C" last="Simbayi">Leickness C. Simbayi</name></author><author><name sortKey="Mwaba, Kelvin" sort="Mwaba, Kelvin" uniqKey="Mwaba K" first="Kelvin" last="Mwaba">Kelvin Mwaba</name></author><author><name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C" last="Kalichman">Seth C. Kalichman</name></author></analytic><series><title level="j">Journal of community health</title><idno type="eISSN">1573-3610</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Alcohol Drinking (epidemiology)</term><term>Communication</term><term>Community Participation (psychology)</term><term>Cross-Sectional Studies</term><term>Female</term><term>HIV Infections (prevention & control)</term><term>HIV Infections (psychology)</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Risk-Taking</term><term>Sexual Behavior (psychology)</term><term>Social Environment</term><term>Socioeconomic Factors</term><term>South Africa (epidemiology)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Communication</term><term>Comportement sexuel (psychologie)</term><term>Connaissances, attitudes et pratiques en santé</term><term>Consommation d'alcool (épidémiologie)</term><term>Environnement social</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Infections à VIH ()</term><term>Infections à VIH (psychologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Participation communautaire (psychologie)</term><term>Prise de risque</term><term>République d'Afrique du Sud (épidémiologie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alcohol Drinking</term><term>South Africa</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Comportement sexuel</term><term>Infections à VIH</term><term>Participation communautaire</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Community Participation</term><term>HIV Infections</term><term>Sexual Behavior</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Consommation d'alcool</term><term>République d'Afrique du Sud</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Communication</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Risk-Taking</term><term>Social Environment</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Communication</term><term>Connaissances, attitudes et pratiques en santé</term><term>Environnement social</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Mâle</term><term>Prise de risque</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">South African townships have high HIV prevalence and a strong need for collective action to change normative sexual risk behaviors. This study investigated the relationship between perceptions of individuals about collective efficacy in the community's ability to prevent HIV and their personal HIV risk behaviors. Men (n = 1,581) and women (n = 718) completed anonymous surveys within four Black African Townships in Cape Town, South Africa from June 2008 to December 2010. Measures included demographics, alcohol use, attitudinal and behavioral norms, sexual health communications, and sexual risk behaviors. In multivariate logistic regressions, men were more likely to endorse collective efficacy if they were married, drank less often in alcohol serving establishments, believed that fewer men approve of HIV risk behaviors, talk more with others about HIV/AIDS, and had more sex partners in the past month. Women were more likely to endorse collective efficacy if they drank alcohol less often, talked more with others about HIV/AIDS, had more sex partners in the past month, but reported fewer unprotected sex acts in the past month. Community level interventions that strengthen collective efficacy beliefs will have to consider both protective and risk behaviors associated with believing that the community is ready and capable of preventing HIV.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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