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  2. Vol 20, No 1 (2016)
  3. Darteh

Perception of Risk of HIV among Adolescents’ Living in an Urban Slum in Ghana

Eugene K. M. Darteh(1), Akwasi Kumi-Kyereme(2), Kofi Awusabo-Asare(3),


(1) Department of Population and Health, University of Cape Coast, Cape Coast, Ghana
(2) Department of Population and Health, University of Cape Coast, Cape Coast, Ghana
(3) Department of Population and Health, University of Cape Coast, Cape Coast, Ghana
Corresponding Author

Abstract


Due to a number of biological, social, developmental, and behavioural factors young people are disproportionately affected by STIs including HIV and AIDS. Using the Health Belief Model, the study investigated factors influencing perception of risk of HIV among adolescents living in an urban slum in Ghana. Data were obtained from 902 adolescents, aged 10-19 years living in Kwesimintsim Zongo, an urban slum in the Western region of Ghana. A multi-staged sampling technique was used to select the respondents and both bivariate and multivariate analyses were carried out to examine the factors influencing perception of risk of HIV among adolescents. Adolescents’ perception of risk of HIV was generally low and was predicted by age, ethnicity, membership of social groups and exposure to the print media. The low risk perception might cause adolescents to engage in behaviours, which are likely to endanger their health in general, and reproductive health in particular. Considering the effects of HIV and AIDS on young people, it is imperative to put in place campaigns that would help to increase their perceived risks of HIV. Factors that affect adolescents’ perception of risks should be taken into consideration in designing HIV and AIDS campaigns to ensure positive behavioural change. (Afr J Reprod Health 2016; 20[1]: 62-70).

References


World Health Organization. "Global health sector

strategy on HIV/AIDS 2011-2015."(2011).

National AIDS and HIV Control Programme (NACP) &

Ghana Health Services (GHS). “National HIV Prevalence & AIDS Estimates Report”. 2013. Accra, Ghana.

Bearinger, Linda H., Renee E. Sieving, Jane Ferguson,

& Vinit Sharma. "Global perspectives on the

Darteh et al. Perception of Risk of HIV

African Journal of Reproductive Health March 2016; 20 (1): 69

sexual and reproductive health of adolescents: patterns, prevention, and potential". The Lancet, 2007, 369, 9568: 1220-1231.

Adedimeji, A.A, Omololu, F.O., & Odutolu, O. “HIV risk

perception and constraints to protective behaviour among young slums dwellers in Ibadan, Nigeria”. J Health Popul Nutr. 2007, 25(2): 146-157.

Adedimeji, A. A. "Beyond knowledge and behavior

change: the social-structural context of HIV/AIDS risk perceptions and protective behavior among young urban slum inhabitants in Nigeria." Boston, MA: Department of Population and International Health Harvard School of Public Health, 2005.

Magnani, Robert J., Ali Mehryar Karim, Lisa A. Weiss,

Katherine C. Bond, Musonda Lemba, & Gwendolyn T. Morgan. "Reproductive health risk and protective factors among youth in Lusaka, Zambia." Journal of Adolescent Health, 2002, 30 (1): 76-86. 7. Riley, G. A., & Baah-Odoom, D. “Belief in a just world, generalised self-efficacy and stigma may contribute to unsafe sexual intentions via a reduced perception of vulnerability to HIV/AIDS amongst young people in Ghana”. (2012). AIDS care, 24(5), 642-648. 8. Larsman, P., Eklöf, M., & Törner, M. Adolescents’ risk perceptions in relation to risk behavior with long-term health consequences; antecedents and outcomes: a literature review. (2012). Safety science, 50(9), 1740-1748.

Akwara, P. A., Madise, N. J., & Hinde, A. Perception of

risk of HIV/AIDS and sexual behaviour in Kenya. J. biosoc. Sci, 2003, 35, 385–411.

Prata, N., Morris, L., Mazive, E., Vahidnia, F., Stehr, M.

“Relationship between HIV risk perception and condom use: Evidence from a population-based survey in Mozambique”. Int Fam Plan Perspect. 2006, 32 (4): 192–200. [PubMed: 17237016].

Simbayi LC, Chauveau J, & Shisana O. “Behavioural

responses of South African youth to the HIV & AIDS epidemic: A nationwide survey”. AIDS Care, 2004, 16: 605–618. [PubMed: 15223530].

Smith, R.A., & Morrison, D. “The impact of stigma,

experience, and group referent on HIV risk assessments and HIV testing intentions in Namibia. Social Science and Medicine, 2006, 63:2649–2660. [PubMed: 16930796].

Pettifor, A.E., Rees, H.V., Steffenson, A., Hlongwa-

Madikizela, L., MacPhail, C., Vermaak, K., & Kleinschmidt, I. HIV and sexual behaviour among young South Africans: A national survey of 15– 24 year olds. Johannesburg: Reproductive Health Research Unit, University of Witwatersrand, 2004.

Mugisha, F., & Zulu, E.M. The influence of alcohol,

drugs and substance abuse on sexual relationships and perception of risk to HIV infection among adolescents in the Informal settlements of Nairobi. Journal of Youth Studies, 2004, 7 (3), 279-29.

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. “The

Health Belief model and HIV risk behaviour change. In Preventing AIDS”, 1994, 5-24, Springer US.

Becker, M. H. The health belief model and personal

health behaviour. Society for Public Health Education (San Francisco), 1974)

Rosenstock, I. M. Historical origins of the health belief

model. Health Education & Behaviour, 1974, 2 (4), 328-335. 18. Lin, P., Simoni, J. M., & Zemon, V. The health belief model, sexual behaviors, and HIV risk among Taiwanese immigrants. AIDS Education & Prevention, 17(5), (2005). 469-483.

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. The

health belief model and HIV risk behaviour change. In Preventing AIDS, 1994, 5-24. Springer US.

Glanz, K., Rimer, B.K. & Lewis, F.M. “Health Behaviour

and Health Education. Theory, Research and Practice”. San Fransisco: Wiley & Sons. 2002.

Bandura, A. “Social learning theory”. Englewood Cliffs,

NJ: Prentice-Hall. 1977a.

Bandura, “A. Self-efficacy: Toward a unifying theory of

behaviour change. Psychological Review”, 1977b, 84, 191–215.

Fishbein, M., & Ajzen, I. “Belief, Attitude, Intention, and

Behaviour: An Introduction to theory and research. Addison-Wesley Pub. Co. (Reading, Mass)”, 1975.

Ajzen, I., & Madden, T. J. Prediction of goal-directed

behaviour: Attitudes, intentions, and perceived behavioural control. Journal of experimental social psychology,1986, 22 (5), 453-474.

Ingham, R., & Van Zessen, G. From individual properties

to interactional processes. Sexual interactions and HIV risk: new conceptual perspectives in European research. London: Taylor & Francis, 83-99, 1997.

Van Campenhoudt, L. (Ed.). Sexual interactions and HIV

risk: New conceptual perspectives in European research. Taylor & Francis, 1997.

Lawson, W.G., & Lawson, W.A. Adolescent substance

abuse: Etiology, treatment and prevention. Gaithersburg, MD: Aspen Publishers Inc. 1992.

Sarker, M., Milkowski, A., Slanger, T., Gondos, A.,

Sanou, A., Kouyate, B., & Snow, R. The role of HIV-related knowledge and ethnicity in determining HIV risk perception and willingness to undergo HIV testing among rural women in Burkina Faso. AIDS and Behaviour, 2005 9 (2), 243-249.

Ghana Statistical Service (GSS). 2010 Population &

Housing Census: summary report of final results. Ghana Statistical Service, Accra, 2012.

Awusabo-Asare, K., Biddlecom, A., Kumi-Kyereme, A.,

& Patterson, K. Adolescent sexual and reproductive health in Ghana: Results from the 2004 national survey of adolescents. Occassional Report, New York: Guttmacher Institute, 2006.

Kumi-Kyereme, A., Awusabo-Asare, K., Biddlecom, A.

& Tanle, A. Influence of social connectedness, communication and monitoring on adolescent sexual activity in Ghana. African Journal of Reproductive Health, 2007, 11(3): 133-147.

Barden-O'Fallon, J. L., Bisika, T., Sulzbach, S., Benson,

A., & Tsui, A. O. Factors associated with HIV/AIDS

knowledge and risk perception in rural Malawi.

AIDS and Behaviour, 2004, 8 (2), 131-140.

Darteh et al. Perception of Risk of HIV

African Journal of Reproductive Health March 2016; 20 (1): 70

Macintyre, K., Rutenberg, N., Brown, L., & Karim, A.

Understanding perceptions of HIV risk among

adolescents in KwaZulu-Natal. AIDS and Behaviour,

, 8(3), 237-250.

Smith DJ. Imaging HIV/AIDS: morality and perceptions

of personal risk in Nigeria. Med Anthropol, 2003, 22:343-72.


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