Is there evidence for behaviour change in response to aids in rural Zimbabwe?

Social Science and Medicine

Volumn 46, Issue 3, 1998, Pages 321-330

  Gregson, Simon ^a,b   Zhuwau, Tom ^b   Anderson, Roy M ^a   Chandiwana, Stephen K ^b  

^a UNIVERSITY OF OXFORD   (United Kingdom)

^b Blair Research Institute   (Zimbabwe)

Author keywords

Behaviour change; Fertility; HIV AIDS; KABP; Zimbabwe

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADOLESCENT; ADULT; ALCOHOL CONSUMPTION; ARTICLE; BEHAVIOR; BEHAVIOR MODIFICATION; BIRTH; CONDOM; CONTROLLED STUDY; DISEASE TRANSMISSION; EDUCATION; EXPERIENCE; FEMALE; FERTILITY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INCOME; MARRIAGE; MIGRATION; NORMAL HUMAN; PSYCHOLOGICAL ASPECT; RELIGION; RISK ASSESSMENT; RURAL AREA; SELF REPORT; SEXUALITY; SEXUALLY TRANSMITTED DISEASE; TRAVEL; ZIMBABWE;

ADOLESCENT; ADULT; FAMILY PLANNING SERVICES; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HIV INFECTIONS; HIV-1; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; ODDS RATIO; POPULATION SURVEILLANCE; REPRODUCIBILITY OF RESULTS; RURAL HEALTH; SEXUAL BEHAVIOR; SOCIOECONOMIC FACTORS; ZIMBABWE;

EID: 0032007510     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0277-9536(97)00165-2     Document Type: Article

References (38)

1. Aggleton, P. (1996) Global priorities for HIV/AIDS intervention research. International Journal of STD and AIDS 7, 13-16.
2. Asiimwe-Okiror, G., Opio, A.A., Musinguzi, J., Tembo, G. and Carael, M. (1997) Change in sexual behaviour and decline in HIV infection among young pregnant women in urban Uganda. AIDS (In press).
3. Bandura, A. (1977) Self-efficacy: toward a unifying theory of behaviour change. Psychological Review 84, 191-215.
4. Bledsoe, C. (1995) Numerators and denominators in the study of high fertility populations: past and potential contributions from cultural anthropology. Australian National University.
5. Bongaarts, J. (1996) Global trends in AIDS mortality. Population and Development Review 22, 21-45.
6. Caldwell, J. C., Caldwell, P. and Quiggin, P. (1989) The social context of AIDS in sub-Saharan Africa. Population and Development Review 15, 185-234.
7. Cleland, J. (1995) Risk perception and behavioural change. In Sexual Behaviour and AIDS in the Developing World, ed. J. Cleland and B. Ferry. Taylor and Francis.
8. Cleland, J. and Hobcraft, J. (eds.), (1985) Reproductive change in developing countries. Oxford University Press, Oxford.
9. Gomo, E., Chandiwana, S. K., Chibatamoto, P., Mudenge, G., Chimbari, M. and Mudzongo, P. (1995) Preliminary results of a HIV seroconversion study in the Lowveld. Lowveld AIDS Bulletin, pp. 12-16.
10. Gray, R. H., Wawer, M. J., Sewankambo, N., Paxton, L., Serwadda, D., Wabwire-Mangen, F., Kiwanuka, N., Li, C., Quinn, T. C., Gaydos, C. A., McNairn, D., Kigozi, G. and Konde-Lule, J. (1997) Reduced fertility in women with HIV-1 infection: a population-based study in Uganda. Journal of the American Medical Association (In press).
11. Gregson, S. (1994) Will HIV become a major determinant of fertility in sub-Saharan Africa? Journal of Development Studies 30, 650-679.
12. Gregson, S. (1996) The Early Socio-Demographic Impact of the HIV-1 Epidemic in Rural Zimbabwe. DPhil thesis, Oxford University.
13. Gregson, S., Anderson, R. M., Ndlovu, J., Zhuwau, T. and Chandiwana, S. K. (1997) Recent upturn in mortality in rural Zimbabwe: evidence for an early demographic impact of HIV-1 infections? AIDS 11, 1269-1280.
14. Gregson, S., Zhuwau, T., Anderson, R. M., Chimbadzwa, T. and Chandiwana, S. K. (1995) Age and religion selection biases in HIV-1 prevalence data from antenatal clinics in Manicaland, Zimbabwe. Central African Journal of Medicine 41, 339-345.
15. Grosskurth, H., Mosha, F., Todd, J., Klokke, A., Senkoro, K., Mayaud, P., Changalucha, J., Nicoll, A., ka-Gina, G., Newell, J., Mugeye, K., Mabey, D. and Hayes, R. (1995) Impact of improved treatment of sexually transmitted diseases on HIV infection in rural Tanzania: randomised controlled trial. The Lancet 346, 530-536.
16. Jackson, H. (1992) AIDS: Action Now, 2nd edn. AIDS Counselling Trust, Harare.
17. Lagarde, E., Pison, G. and Enel, C. (1996a) Knowledge, attitudes and perception of AIDS in rural Senegal: relationships to sexual behaviour and behaviour change. AIDS 10, 327-334.
18. Lagarde, E., Pison, G. and Enel, C. (1996b) A study of sexual behaviour change in rural Senegal. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology 11, 282-287.
19. Lindan, C., Allen, S., Caroël, M., Nsengumuremyi, F., Van de Perre, P., Serufilira, A., Tice, J., Black, D., Coates, T. and Hulley, S. (1991) Knowledge, attitudes and perceived risk of AIDS among urban Rwandan women: relationship to HIV infection and behaviour change. AIDS 5, 993-1002.
20. Mandishona, G. M. (1989) Zimbabwe Demographic and Health Survey, 1988. Zimbabwe Central Statistical Office.
21. Mukiza-Gapere, J. and Ntozi, J. P. M. (1996) Impact of AIDS on marriage patterns, customs and practices in Uganda. Health Transition Review 5, 201-208.
22. Mutambirwa, J. (1992) Aspects of sexual behaviour in Zimbabwe. In Aspects of sexual behaviour in local cultures and the transmission of sexually transmitted diseases including HIV, ed. T. Dyson. Ordina, Liege.
23. Ng'weshemi, J. Z. L., Boerma, T., Pool, R., Barongo, L., Senkoro, K., Maswe, M., Isingo, R., Schapink, D., Nnko, S. and Borgdorff, M. W. (1996) Changes in male sexual behaviour in response to the AIDS epidemic: evidence from a cohort study in urban Tanzania. AIDS 10, 1415-1420.
24. Parirenyatwa, C. N. (1995a) Zimbabwe Demographic and Health Survey 1994: Preliminary Report. Zimbabwe Central Statistical Office.
25. Parirenyatwa, C. N. (1995b) Zimbabwe Demographic and Health Survey, 1994. Zimbabwe Central Statistical Office.
26. Parker, R. G. (1996) Empowerment, community mobilization and social change in the face of HIV/AIDS. AIDS 10, S27-S32.
27. Pool, R., Maswe, M., Boerma, T. and Nnko, S. (1996) The price of promiscuity: why urban males in Tanzania are changing their sexual behaviour. Health Transition Review 6, 203-222.
28. Prieur, A. (1990) Norwegian gay men: reasons for the continued practice of unsafe sex. AIDS Education and Prevention 2, 109-115.
29. Ray, S., Bassett, M., Maposhere, C., Managazira, P., Nicolette, J. D., Machekano, R. and Moyo, J. (1995) Acceptability of the female condom in Zimbabwe: positive but male-centred responses. Reproductive Health Matters, pp. 68-79.
30. Ryder, R. W., Batter, V. L., Nsuami, M., Badi, N., Mundele, L., Matela, B., Utshudi, M. and Heyward, W. L. (1991) Fertility rates in 238 HIV-1 seropositive women in Zaire followed for 3 years post-partum. AIDS 5, 1521-1527.
31. Sewankambo, N. K., Wawer, M. J., Gray, R. H., Serwadda, D., Li, C., Stallings, R. Y., Musgrave, S. D. Konde-Lule, J. (1994) Demographic impact of HIV infection in rural Rakai District, Uganda: results of a population-based cohort study. AIDS 8, 1707-1713.
32. Srinivasan, L. (1990) Tools for Community Participation - A Manual for Training Trainers in Participatory Techniques. PROWWESS/UNDP, Washington D.C.
33. Vaessen, M. (1990) Methodological reports: an assessment of DHS-1 data quality. Institute for Resource Development/Macro Systems, Inc., Columbia.
34. Wawer, M. J., Sewankambo, N. K., Berkley, S., Serwadda, D., Musgrave, S. D., Gray, R. H., Musagara, M., Stallings, R. Y. and Konde-Lule, J. K. (1994) Incidence of HIV-1 infection in a rural region of Uganda. British Medical Journal 308, 171-173.
35. Widy-Wirski, R., Berkley, S., Downing, R., Okware, S., Recine, U., Mugerwa, R., Lwegaba, A. and Sempala, S. (1988) Evaluation of the WHO clinical case definition for AIDS in Uganda. Journal of the American Medical Association 260, 3286-3289.
36. Wilson, D. et al. (1994) Community Interventions in Zimbabwe: Analysis of a Multi-Site Replication. University of Zimbabwe, Harare.
37. World Health Organization. (1992) Consensus statement from the WHO/UNICEF consultation on HIV transmission and breast-feeding. Weekly Epidemiological Record 67, 177-184.
38. World Health Organization. (1996) HIV and infant feeding: an interim statement. Weekly Epidemiological Record 71, 289-291.