Abstract:
:The practice of concurrent sexual partnerships (CP) is posited to be a contributor to the elevated risk of HIV transmission among youth in Malawi. The lens through which Malawian youth conceptualize the practices of CP and condom use has yet to be fully explored. The current study--a secondary data analysis of semi-structured in-depth interviews (n = 19) with Malawian youth aged 18 to 22 years--addresses this gap. Participants were interviewed about their sexual relationships and behavior, as well as their perceptions and knowledge regarding condom use and CP. In order to ensure that youth engaged in CP were oversampled, the recruitment process asked potential respondents to self-identify whether they currently participated in CP. Of the total sample (n = 19), 13 self-identified as currently engaging in CP. Data were analyzed using a grounded theory approach. This qualitative study highlights a disconnect between the high level of knowledge youth exhibit about HIV prevention methods and their actual reported condom use and CP behaviors. While some youth claimed to use condoms, their discourse demonstrated fluidity in that use changed over time, or interest in changing behavior was expressed, or was inconsistent between partnerships. The disconnect between knowledge of the consequences of risky sexual behavior and actual behavior was most evident among inconsistent condom users engaged in CP. This finding indicates knowledge alone has a limited role in the adoption of lower risk behaviors such as condom use and reduction of CP among youth. Moreover, findings from this study can inform HIV prevention programs operating in Malawi and the sub-Saharan Africa region by enabling them to provide tailored, more persuasive health promotion and prevention messaging.
journal_name
Glob Health Promotjournal_title
Global health promotionauthors
Romero SL,Ellis AA,Gurman TAdoi
10.1177/1757975912464249subject
Has Abstractpub_date
2012-12-01 00:00:00pages
20-8issue
4eissn
1757-9759issn
1757-9767pii
19/4/20journal_volume
19pub_type
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journal_title:Global health promotion
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abstract::Tanzania is third in Africa in tobacco production after Malawi and Zimbabwe. In spite of increased production, Tanzania remains a poor country, with tobacco farmers getting poorer and the country losing more than 16,500 hectares of forests annually from tobacco curing alone. Tanzania grows fire-cured and air-cured tob...
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abstract:BACKGROUND:In recent decades, China has experienced an exponential growth in the number of internet users, especially among the youngest population, as well as a rapid proliferation of Western-type fast food restaurants. The health consequences of internet availability and fast food consumption among youth have been la...
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abstract:BACKGROUND:Health promotion is an ethically challenging field involving constant reflection of values across multiple cultures of what is regarded as good and bad health promotion practice. While many disciplines are guided by a Code of Ethics (CoE) no such guide is available to health promoters. The International Unio...
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abstract::The New Zealand Prostitutes Collective (NZPC) formed in 1987 with the intention of reforming the policy that governed prostitution. The Prostitution Reform Act 2003 was created to protect sex workers from exploitation and to give them the same rights as other workers by protecting their occupation health and safety. I...
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abstract::The closing plenary of the colloquium was an occasion for exchange between the four panelists and the participants. The panelists included Luc Berghmans, a doctor and director of the regional health observatory of Hainaut, Belgium; Louise Bouchard, a sociologist and professor in the Sociology and Anthropology Departme...
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abstract::Prior to western arrival in 1778, Native Hawaiians possessed a sophisticated culture and resource management system conducive to an island ecosystem. However, disenfranchisement from ancestral lands and traditional food sources as a result of colonization led to Native Hawaiians being forced to abandon many of their t...
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abstract:INTRODUCTION:This commentary describes a student-led project that distributed long-lasting insecticide-treated nets in Masaka, Uganda. The role of student-led initiatives in global health promotion projects is also discussed. METHODS:A survey of 213 net recipients was conducted after a 12-month period to evaluate mala...
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abstract::The 2019 IUHPE Global Health Promotion Conference held in Rotorua New Zealand, provided an unparalleled opportunity to demonstrate the contribution of health promotion to the achievement of planetary health and sustainable development. This brief conference report outlines the intent of the two conference statements a...
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