Abstract #262  -  Examining the Applicability of the Information-Motivation-Behavior Skills Model of HIV Preventive Behavior in Uganda
Authors:   Presenting Author:   Dr. Sheana Bull - Colorado School of Public Health
Additional Authors:  Dr.  Julius Kiwanuka, Dr. Michele Ybarra,
Aim: To articulate the constructs of the Information-Motivation-Behavior Skills Model of HIV preventive behavior and explain how the IMB Model does and does not apply to self-reported adolescent sexual behavior in Uganda
Method / Issue: Thirty-eight percent of sexually active young men and 56% of sexually active young women in Uganda do not consistently use condoms, and HIV knowledge appears to be on the decline. The information-motivation-behavioral skills (IMB) Model of HIV Preventive behavior has been shown to predict HIV preventive behavior among adolescents and young adults in the United States, but its applicability to the behavior of adolescents living in resource-constrained countries is less well understood. 1200 adolescents 12 to 18 years of age attending secondary schools in Mbarara were randomly recruited to complete a sexual health survey. Questions queried the information, motivation, and behavioral skills they had to engage in HIV preventive behavior.
Results / Comments: Using structural equation modeling, the relationship between one’s HIV information, motivation, and behavior skills and one’s self-reported sexual behavior (i.e., intercourse vs. abstinence, consistent condom use vs. not among those sexually active) is examined. Localized factors that additionally predict the report of sexual behavior (e.g., intergenerational sex) are identified and contextualized within the greater model.
Discussion: Findings have implications for the design of culturally appropriate evidence-based HIV prevention programs in resource-limited settings such as Uganda. ________________________________________
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