Amsterdam 2015
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| Abstract #2134 - Teen spirit: Adolescents and HIV | ||||
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Session: 46.2: Teen spirit: Adolescents and HIV (Parallel) on Friday @ 09.00-10.30 in C104 Chaired by Tonya Thurman, John Miller Authors: Presenting Author: Dr Danuta Kasprzyk - University of Washington, United States |
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| Additional Authors: | ||||
| Aim: MC significantly reduces HIV acquisition among men, but uptake in priority scale-up countries has been slow. Key beliefs were identified to target in evidence-based communications to increase uptake among men in Zimbabwe (Montaño, et.al. 2014). Adolescent boys are the second priority MC target group in Zimbabwe, and while there was initial uptake, it has slowed. We conducted implementation research to identify key beliefs as targets for communication campaigns to maximize MC uptake among boys. | ||||
| Method / Issue: The Integrated Behavioral Model (IBM) was used as a framework for the study, with a survey administered to a representative school-based sample of 802 boys aged 13-17, stratified by age, from 2 urban and 2 rural districts. Analyses were conducted with the 774 respondents who were not circumcised. A 3-stage regression process was used to identify key beliefs to target in future messaging to motivate adolescent boys to get circumcised. | ||||
| Results / Comments: All five IBM constructs significantly explained MC intention in the overall sample (R=.70). Analyses of beliefs underlying constructs found 9 behavioral, 6 normative, 2 descriptive norm, 5 efficacy and 7 control beliefs were significant predictors of intention. Analysis of all significant IBM construct beliefs identified 12 key beliefs best explaining MC intention. Beliefs include ‘changing the way God created you’, ‘makes it easier to circumcise sons’, perceived support from family and local chiefs, perception that brothers would get MC, and self-efficacy if MC is described as painful. Similar analyses segmented boys by age (< vs > 16) and urban/rural. Important differences found in key determinants of intention indicate messages need tailoring. Younger urban and rural boys’ intentions were mainly determined by behavioral, normative and efficacy beliefs. Behavioral beliefs, descriptive norm (brothers), and efficacy beliefs determined older urban boys’ intentions. Descriptive norm about brothers, control beliefs about culture, and ability to discuss MC with family almost entirely determined intention among older rural boys. | ||||
| Discussion: There is a critical need for evidence-driven strategies to maximize MC uptake among adolescents. This research identified key beliefs to target in order to design effective communication messaging, with important key target differences by age and urban/rural group. It is important to segment messages by different teen characteristics, as issues differ across different age groups, and location they reside. Messages targeting issues predicting motivation in one audience segment may not be persuasive across different segments. | ||||
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