Collective efficacy and HIV Prevention in South African Townships

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dc.contributor.authorCain, Demetria
dc.contributor.authorPitpitan, Eileen V.
dc.contributor.authorMwaba, Kelvin
dc.contributor.authorEaton, Lisa
dc.contributor.authorCarey, Kate B.
dc.contributor.authorCarey, Michael P.
dc.contributor.authorMehlomakulu, Vuyelwa
dc.contributor.authorHarel, Ofer
dc.contributor.authorSimbayi, Leickness
dc.contributor.authorKalichman, Seth C.
dc.date.accessioned2017-07-04T08:48:37Z
dc.date.available2017-07-04T08:48:37Z
dc.date.issued2013
dc.description.abstractSouth 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.en_US
dc.description.accreditationDepartment of HE and Training approved list
dc.identifier.citationCain, D. et al. (2013). Collective efficacy and HIV Prevention in South African Townships. Journal of Community Health, 38 (3): 885–893en_US
dc.identifier.issn0094-5145
dc.identifier.urihttp://hdl.handle.net/10566/3038
dc.language.isoenen_US
dc.publisherNational Institute of Healthen_US
dc.rightsThis is the author-version of the article published online at: http://dx.doi.org/10.1007/s10900-013-9694-9
dc.source.urihttp://dx.doi.org/10.1007/s10900-013-9694-9
dc.subjectHIV/AIDSen_US
dc.subjectCollective efficacyen_US
dc.subjectSocial normsen_US
dc.subjectSouth Africaen_US
dc.titleCollective efficacy and HIV Prevention in South African Townshipsen_US
dc.typeArticleen_US

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Research Articles (Research in HIV and AIDS)