The Need to Reemphasize Behavior Change for HIV Prevention in Uganda: A Qualitative Study

Green, Edward C.; Kajubi, Phoebe; Ruark, Allison; Kamya, Sarah; D'Errico, Nicole C.; Hearst, Norman

doi:10.1111/j.1728-4465.2013.00342.x

Cited by 14 publications

(8 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to the concerns that have been raised about the content of Uganda's HIV prevention strategies directed at young people, critics have recently pointed out that Uganda's funding and policy strategies disproportionately focus on AIDS treatment rather than on behavioural strategies for reducing HIV transmission (Green et al 2013;UAC 2015).…”

Section: Sexuality Education Programmes In Ugandamentioning

confidence: 99%

Young people’s perceptions of relationships and sexual practices in the abstinence-only context of Uganda

2017

View full text Add to dashboard Cite

The Ugandan government has been criticised on several grounds for its abstinence-only policies on sexuality education directed towards young people. These grounds include the failure to recognise the multiple realities faced by young people, some of whom may already be sexually active. In the study reported on this paper, students' perceptions of relationships and sexual practices were analysed to obtain an understanding of how young people construct and negotiate their sexual agency in the context of abstinence-only messages provided in Ugandan secondary schools and at the wider community level. Ten in-depth interviews and six focus group discussions were conducted with students aged 15-19 years (N = 55) at an urban co-educational secondary school. Data were transcribed verbatim and analysed using grounded theory. Findings show that students engage in sexual activity despite their belief that contraception is ineffective and their fears for the consequences. Students' age, gender, financial capital and perceived sexual desire further increase risk and vulnerability. To improve their effectiveness, school-based sexuality education programmes should support students to challenge and negotiate structural factors such as gender roles and sociocultural norms that influence sexual practices and increase vulnerability and risk.

show abstract

Section: Sexuality Education Programmes In Ugandamentioning

confidence: 99%

Young people’s perceptions of relationships and sexual practices in the abstinence-only context of Uganda

2017

View full text Add to dashboard Cite

show abstract

“…Abstinence and messages related to being faithful to their partners should also be emphasized for men. Other research suggests that recent HIV prevention efforts in Uganda have de-emphasize partner reduction strategies [15,16]. We found that the partner reduction message was common, but was being used asymmetrically.…”

Section: Resultsmentioning

confidence: 67%

“…These recent increases in HIV prevalence have reinvigorated an interest in the HIV prevention messages and programs that are currently being implemented, and how they are being understood by community members. In particular, there is concern about behavioral disinhibition because HIV messages in country may now emphasize HIV testing and treatment, rather than sexual behavior change strategies [15,16]. This study aimed to elucidate and examine gendered and generational perspectives on HIV prevention messages in Uganda.…”

Section: Introductionmentioning

confidence: 99%

Re-focusing HIV Prevention Messages: A Qualitative Study in Rural Uganda

Mathur

Romo

Rasmussen

et al. 2016

Journal of Adolescent Health

View full text Add to dashboard Cite

“…Members of the study community reported that they mainly heard HIV prevention messages centered on condoms and testing, a marked shift from the partner reduction messages common during the years in which HIV incidence was declining in Uganda (16). In focus groups, members of the study community reported that people no longer feared HIV as they had during the epidemic’s peak and that this had led to riskier sexual behavior (17).…”

Section: Introductionmentioning

confidence: 99%

Couple Relationship Functioning as a Source or Mitigator of HIV Risk: Associations Between Relationship Quality and Sexual Risk Behavior in Peri-urban Uganda

et al. 2017

Self Cite

View full text Add to dashboard Cite

Despite evidence that a greater focus on couples could strengthen HIV prevention efforts, little health-related research has explored relationship functioning and relationship quality among couples in Africa. Using data from 162 couples (324 individuals) resident in a peri-urban Ugandan community, we assessed actor and partner effects of sexual risk behaviors on relationship quality, using psychometric measures of dyadic adjustment, sexual satisfaction, commitment, intimacy, and communication. For women and men, poor relationship quality was associated with having concurrent sexual partners and suspecting that one’s partner had concurrent sexual partners (actor effects). Women’s poor relationship quality was also associated with men’s sexual risk behaviors (partner effects), although the inverse partner effect was not observed. These findings suggest that relationship quality is linked to HIV risk, particularly through the pathway of concurrent sexual partnerships, and that positive relationship attributes such as sexual satisfaction, intimacy, and constructive communication can help couples to avoid risk.

show abstract

The Need to Reemphasize Behavior Change for HIV Prevention in Uganda: A Qualitative Study

Abstract: The need to reemphasize behavior change for hiv prevention in Uganda: A qualitative study

Cited by 14 publications

References 40 publications

Young people’s perceptions of relationships and sexual practices in the abstinence-only context of Uganda

Young people’s perceptions of relationships and sexual practices in the abstinence-only context of Uganda

Re-focusing HIV Prevention Messages: A Qualitative Study in Rural Uganda

Couple Relationship Functioning as a Source or Mitigator of HIV Risk: Associations Between Relationship Quality and Sexual Risk Behavior in Peri-urban Uganda

Contact Info

Product

Resources

About