Communicating with the people about HIV infection risk as a basis for planning interventions: Lessons from the Kagera region of Tanzania

Social Science and Medicine

Volumn 45, Issue 2, 1997, Pages 319-329

  Killewo, J ^a   Sandstrom A ^b   Dahlgren, L ^b   Wall, S ^b  

^a MUHIMBILI UNIVERSITY OF HEALTH AND ALLIED SCIENCES   (Tanzania)

^b UMEÅ UNIVERSITY   (Sweden)

Author keywords

Community participation; Feedback study; HIV infection; Perceived risk; Risk factors; Tanzania

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; AWARENESS; COMMUNITY; FEMALE; HEALTH PROMOTION; HUMAN; HUMAN EXPERIMENT; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; HUMAN IMMUNODEFICIENCY VIRUS PREVALENCE; INFECTION RISK; MALE; NORMAL HUMAN; RISK FACTOR; RURAL POPULATION; SEXUALITY; SYPHILIS; TANZANIA; VIRUS TRANSMISSION;

ACQUIRED IMMUNODEFICIENCY SYNDROME; ADOLESCENT; ADULT; FEMALE; HEALTH EDUCATION; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HIV INFECTIONS; HIV SEROPREVALENCE; HIV-1; HUMANS; MALE; MIDDLE AGED; RISK; RURAL POPULATION; TANZANIA; URBAN POPULATION;

EID: 0030912111     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0277-9536(96)00347-4     Document Type: Article

References (60)

1. Abdool Karim, S. S. (1993) Traditional healers and AIDS prevention. S Afr Med J 83, 423-425.
2. Adrien, A., Boivin, J. F., Hankins, C., Leaune, V., Tousignant, Y. and Tremblay, J. (1993) Utilization of qualitative and quantitative methods to study the attitudes and beliefs related to AIDS in a Montreal population of Haitian origin. Can J Public Health 84, 186-191.
3. Agoki, E., Tyndall, M., Malisa, W., Ndinya-Achola, J. O., Ronald, A. R. and Plummer, F. A. (1991) High risk sexual practices and denial of AIDS among Nairobi men. Oral presentation. VII International Conference on AIDS, Florence, 1991.
4. Ahmed, H. J., Omar, K., Adan, S. Y., Guled, Am., Grillner, L. and Bygdeman, S. (1991) Syphilis and human immunodeficiency virus seroconversion during a 6-month follow-up of female prostitutes in Mogadishu, Somalia. Int J STD AIDS 2, 119-123.
5. Allen, S., Lindan, C., Serufilira, A., Van De Perre, P., Rundle, A. C. and Nsengumuremyi, F. (1991) Human immunodeficiency virus infection in urban Rwanda. Demographic and behavioral correlates in a representative sample of childbearing women. JAMA 266, 1657-1663.
6. Bassett, M. T., Latif, A. S., Katzenstein, D. A. and Emmanuel, J. C. (1992) Sexual behavior and risk factors for HIV infection in a group of male factory workers who donated blood in Harare, Zimbabwe. J Acquir Immune Defic Syndr 5, 556-559.
7. Berkley, S. F., Widy Wirski, R., Okware, S. I., Downing, R., Linnan, M. J. and White, K. E. (1989) Risk factors associated with HIV infection in Uganda. J Infect Dis 160, 22-30.
8. Bertrand, J. T., Makani, B., Hassig, S. E., Niwembo, K. L., Djunghu, B. and Muanda, M. (1991) AIDS-related knowledge, sexual behavior, and condom use among men and women in Kinshasa, Zaire. Am J Public Health 81, 53-58.
9. Bosompra, K. (1989) Dissemination of health information among rural dwellers in Africa: a Ghanaian experience. Soc Sci Med 29, 133-140.
10. Bryman, A. (1984) The debate about quantitative and qualitative research: a question of method or epistemology? Br J Social 35(1), 75-92.
11. Bwayo, J. J., Mutere, A. N., Omari, M. A., Kreiss, J. K., Jaoko, W. and Sekkade Kigondu, C. (1991) Long distance truck drivers. 2: Knowledge and attitudes concerning sexually transmitted diseases and sexual behaviour. East Afr Med J 68, 714-719.
12. Cameron, D. W., Simonsen, J. N., D'Costa, L. J., Ronald, A. R., Maitha, G. M. and Gakinya, M. N. (1989) Female to male transmission of human immunodeficiency virus type 1: risk factors for seroconversion in men [see comments]. Lancet 2, 403-407.
13. Chetwynd, J., Chambers, A. and Hughes, A. (1993) Sexual practices, sexually transmitted diseases and other risk factors for HIV among injecting drug users. Aust J Public Health 17, 32-35.
14. Corner, J. (1991) In search of more complete answers to research questions. Quantitative versus qualitative research methods: is there a way forward? J Adv Nurs 16, 718-727.
15. Dallabetta, G. A., Miotti, P. G., Chiphangwi, J. D., Saah, A. J., Liomba, G. and Odaka, N. (1993) High socioeconomic status is a risk factor for human immunodeficiency virus type 1 (HIV-1) infection but not for sexually transmitted diseases in women in Malawi: implications for HIV-1 control. J Infect Dis 167, 36-42.
16. Friedland, R. H., Jankelowitz, S. K., De Beer, M., De Klerk, C., Khoury, V. and Csizmadia, T. (1991) Perceptions and knowledge about the acquired immunodeficiency syndrome among students in university residences. S Afr Med J 79, 149-154.
17. Govender, V., Bhana, R., Pillay, A., Panchia, R., Padayachee, G. N. and De Beer, M. (1992) Perceptions and knowledge about AIDS among family planning clinic attenders in Johannesburg. S Afr Med J 81, 71-74.
18. Gwede, C. and McDermott, R. J. (1992) AIDS in subSaharan Africa: implications for health education. AIDS Educ Prev 4, 350-361.
19. Houweling, H. and Coutinho, R. A. (1991) Risk of HIV infection among Dutch expatriates in sub-Saharan Africa. Int J STD AIDS 2, 252-257.
20. Hrdy, D. B. (1987) Cultural practices contributing to the transmission of human immunodeficiency virus in Africa. Rev Infect Dis 9, 1109-1119.
21. Jick, T. D. (1979) Mixing qualitative and quantitative methods: triangulation in action. Administration Science Quartely 35, 602-611.
22. Kapiga, S. H., Nachtigal, G. and Hunter, D. J. (1991) Knowledge of AIDS among secondary school pupils in Bagamoyo and Dar-Es-Salaam Tanzania. AIDS 5, 325-328.
23. Kapiga, S. H., Shao, J. F., Lwihula, G. K. and Hunter, D. J. (1994) Risk factors for HIV infection among women in Dar-es-Salaam Tanzania. J Acquir Immune Defic Syndr 7, 301-309.
24. Kelly, J. A. and St Lawrence, J. S. (1990) The impact of community-based groups to help persons reduce HIV infection risk behaviours. AIDS Care 2, 25-36.
25. Killewo, J. Z. J., Sandstrom, A., Bredberg Raden, U., Mhalu, F. S., Biberfeld, G. and Wall. S. (1994) Prevalence and incidence of syphilis infection and its association with HIV-1 infection among adults in the Kagera region of Tanzania: a population-based study. Int J STD AIDS 5, 424-431.
26. Killewo, J., Nyamuryekunge, K., Sandstrom, A., Bredberg Raden, U., Wall, S. and Mhalu, F. (1990) Prevalence of HIV-1 infection in the Kagera region of Tanzania: a population-based study. AIDS 4, 1081-1085.
27. Konde Lule, J. K., Musagara, M. and Musgrave, S. (1993) Focus group interviews about AIDS in Rakai District of Uganda. Soc Sci Med 37, 679-684.
28. Laga, M., Manoka, A., Kivuvu, M., Malele, B., Tuliza, M. and Nzila, N. (1993) Non-ulcerative sexually transmitted diseases as risk factors for HIV-1 transmission in women: results from a cohort study. AIDS 7, 95-102.
29. Laver, S. (1993) Relocating practice in AIDS education. From didactics to dialogue. Hygie 12, 26-31.
30. Lindan, C., Allen, S., Carael, M., Nsengumuremyi, F., Van De Perre, P. and Serufilira, A. (1991) Knowledge, attitudes, and perceived risk of AIDS among urban Rwandan women: relationship to HIV infection and behavior change [published erratum appears in AIDS 1992 Jan 6(1), 128]. AIDS 5, 993-1002.
31. Longoria, J. M., Turner, N. H. and Philips Jr, B. U. (1991) Community leaders help increase response rates in AIDS survey [news]. Am J Public Health 81, 654-655.
32. Macdonald, G. and Smith, C. (1990) Complacency, risk perception and the problem of HIV education. AIDS Care 2, 63-68.
33. Martin, P. M., Gresenguet, G., Massanga, M., Georges, A. and Testa, J. (1992) Association between HIV1 infection and sexually transmitted disease among men in Central Africa. Res Virol 143, 205-209.
34. Mathews, C., Kuhn, L., Metcalf, C. A., Joubert, G. and Cameron, N. A. (1990) Knowledge, attitudes and beliefs about AIDS in township school students in Cape Town. S Afr Med J 78, 511-516.
35. McGrath, J. W., Rwabukwali, C. B., Schumann, D. A., Pearson Marks, J., Nakayiwa, S. and Namande, B. (1993) Anthropology and AIDS: the cultural context of sexual risk behavior among urban Baganda women in Kampala, Uganda. Soc Sci Med 36, 429-439.
36. McKinnon, M. D., Insall, C., Gooch, C. D. and Cockcroft, A. (1990) Knowledge and attitudes of health care workers about AIDS and HIV infection before and after distribution of an educational booklet. J Soc Occup Med 40, 15-18.
37. Mhalu, F. S. (1990) Inter-relationships between HIV infection and other sexually transmitted diseases. East Afr Med J 67, 512-517.
38. Migliori, G. B., Borghesi, A., Adriko, C., Manfrin, V., Okware, S. and Naamara, W. (1992) Tuberculosis and HIV infection association in a rural district of northern Uganda: epidemiological and clinical considerations. Tuber Lung Dis 73, 285-290.
39. Ministry of Health, United Republic of Tanzania (1992b) Annual report of the National AIDS Control Programme and HIV/AIDS/STD Surveillance. Report No. 7, pp. 1-32.
40. Miotti, P. G., Chiphangwi, J. D. and Dallabetta, G. A. (1992) The situation in Africa. Baillieres Clin Obstet Gynaecol 6, 165-186.
41. Muller, O., Barugahare, L., Schwartlander, B., Byaruhanga, E., Kataaha, P. and Kyeyune, D. (1992) HIV prevalence, attitudes and behaviour in clients of a confidential HIV testing and counselling centre in Uganda. AIDS 6, 869-874.
42. Neequaye, A. R., Neequaye, J. E. and Biggar, R. J. (1991) Factors that could influence the spread of AIDS in Ghana, West Africa: knowledge of AIDS, sexual behavior, prostitution, and traditional medical practices. J Acquir Immune Defic Syndr 4, 914-919.
43. Nsubuga, P., Mugerwa, R., Nsibambi, J., Sewankambo, N., Katabira, E. and Berkley, S. (1990) The association of genital ulcer disease and HIV infection at a dermatology-STD clinic in Uganda. J Acquir Immune Defic Syndr 3, 1002-1005.
44. Piot, P., Plummer, F. A., Mhalu, F. S., Lamboray, J. L., Chin, J. and Mann, J. M. (1988) AIDS: an international perspective. Science 239, 573-579.
45. Prohaska, T. R., Albrecht, G., Levy, J. A., Sugrue, N. Kim, J. H. (1990) Determinants of self-perceived risk for AIDS. J Health Soc Behav 31, 384-394.
46. Quinn, T. C., Mann, J. M., Curran, J. W. and Piot, P. (1986) AIDS in Africa: an epidemiologic paradigm. Science 234, 955-963.
47. Robertson, A. and Minkler, M. (1994) New health promotion movement: a critical examination. Health Educ Q 21, 295-312.
48. Rogers, E. M. and Kincaid, D. L. (1981) Communication networks. Towards a new paradigm for research. Free Press, New York.
49. Rogstad, K. E., Tesfaledet, G., Abdullah, M. S. and Ahmed Jushuf, I. H. (1993) Knowledge of HIV transmission and risk behaviour in Kenyan health care workers. Int J STD AIDS 4, 200-203.
50. Seeley, J. A., Kengeya Kayondo, J. F. and Mulder, D. W. (1992) Community-based HIV/AIDS research -whither community participation? Unsolved problems in a research programme in rural Uganda. Soc Sci Med 34, 1089-1095.
51. Seidel, G. (1993) The competing discourses of HIV/AIDS in sub-Saharan Africa: discourses of rights and empowerment vs discourses of control and exclusion. Soc Sci Med 36, 175-194.
52. Serwadda, D., Wawer, M. J., Musgrave, S. D., Sewankambo, N. K., Kaplan, J. E. and Gray, R. H. (1992) HIV risk factors in three geographic strata of rural Rakai District Uganda [see comments]. AIDS 6, 983-989.
53. Shtarkshall, R., Soskolne, V., Chemtov, D. and Rosen, H. (1993) A culturally specific educational program to reduce the risk of HIV and HBV transmission among Ethiopian immigrants to Israel II: evaluating the effect of the training program on veteran immigrant trainees. Isr J Med Sci 29, 48-54.
54. Snyder, L. B. and Rouse, R. A. (1992) Targeting the audience for AIDS messages by actual and perceived risk. AIDS Educ Prev 4, 143-159.
55. Stange, K. C. and Zyzanski, S. J. (1989) Integrating qualitative and quantitative research methods. Fam Med 21(6), 448-451.
56. Steckler, A., Eng, E. and Goodman, R. M. (1991/2) Integrating qualitative and quantitative evaluation methods. Hygie X, 16-20.
57. Strunin, L. (1991) Adolescents' perceptions of risk for HIV infection: implications for future research. Soc Sci Med 32, 221-228.
58. Wasser, S. C., Aral, S. O., Reed, D. S. and Bowen, G. S. (1989) Assessing behavioral risk for HIV infection in family-planning and STD clinics: similarities and differences. Sex Transm Dis 16, 178-183.
59. Ter Meulen, J., Mgaya, H. N., Chang Claude, J., Luande, J., Mtiro, H. and Mhina, M. (1992) Risk factors for HIV infection in gynaecological inpatients in Dar es Salaam, Tanzania, 1988-1990. East Afr Med J 69, 688-692.
60. van der Velde, F. W., van der Pligt, J. and Hooykaas, C. (1994) Perceiving AIDS-related risk: accuracy as a function of differences in actual risk. Health Psychol 13, 25-33.