Sexual Behavior Change Intentions and Actions in the Context of a Randomized Trial of a Conditional Cash Transfer for HIV Prevention in Tanzania

Information, education, communication and interventions based on behavioral-change communication have had success in increasing the awareness of HIV. But these strategies alone have been less successful in changing risky sexual behavior. This paper addresses this issue by exploring the link between action and the intention to change behaviors. In Africa, uncertainty in the lives of those at risk for HIV may affect how intentions are formed. Characterize this uncertainty by understanding the reasons for discrepancies between intentions and actions may help improve the design of HIV-prevention interventions. Based on an incentives-based HIV prevention trial in Tanzania, the longitudinal dataset in this paper allows the exploration of intended strategies for changing sexual behaviors and their results. The authors find that gender, intervention groups and new positive diagnoses of sexually transmitted infections can significantly predict the link between intent and action. The paper examines potential mediators of these relationships.

Bibliographic Details

Main Authors:	Packel, Laura, Dow, William H., de Walque, Damien, Isdahl, Zachary, Majura, Albert
Language:	English
Published:	2012-03-01
Subjects:	ADOLESCENT, ADOLESCENT GIRLS, ADOLESCENT SEXUAL BEHAVIOUR, ADOLESCENT SEXUALITY, ADOLESCENTS, AGED, AIDS CARE, AIDS EDUCATION, AIDS EPIDEMIC, ALCOHOL, ALCOHOL USE, BEHAVIOR CHANGE, BEHAVIORAL CHANGE, BEHAVIOUR CHANGE, BIOLOGICAL MARKERS, BULLETIN, CHLAMYDIA, CLINICAL INFECTIOUS DISEASES, COERCION, COGNITIVE MODELS, CONDOM, CONDOM USE, CONDOMS, DEPENDENCE ON MEN, DEVELOPING COUNTRIES, DEVELOPMENT POLICY, DISSEMINATION, EPIDEMIC, FAMILY PLANNING, FEMALE, FEMALES, FERTILITY, FERTILITY DECLINE, GENDER, GENDER DIFFERENCES, GENDER INEQUITIES, GENDER RELATIONS, GLOBAL HEALTH, GONORRHEA, HEALTH BEHAVIOR, HEALTH EDUCATION, HEALTH FACILITIES, HEALTH INTERVENTIONS, HIV, HIV INFECTION, HIV INFECTIONS, HIV POSITIVE, HIV PREVENTION, HIV TESTING, HIV TRANSMISSION, HIV/AIDS, HUMAN DEVELOPMENT, HUMAN IMMUNODEFICIENCY VIRUS, HUSBANDS, ILLEGAL ABORTIONS, IMMUNODEFICIENCY, INFECTION PREVENTION, INFECTIOUS DISEASES, INFORMED CONSENT, INTERNATIONAL LABOR ORGANIZATION, INTERVENTION, MALES, MARITAL STATUS, MARRIED COUNTERPARTS, MARRIED WOMEN, MEDICAL RESEARCH, MEDICINE, METAANALYSIS, MINISTRY OF HEALTH, NUTRITION, PATIENT, PERCEPTIONS OF RISK, POLICY DISCUSSIONS, POLICY RESEARCH, POLICY RESEARCH WORKING PAPER, POPULATION AND DEVELOPMENT, POPULATION CENTER, POPULATION REFERENCE BUREAU, PREVENTION INTERVENTIONS, PRIMARY SCHOOL, PRIMARY SCHOOL EDUCATION, PROSTITUTION, PSYCHOLOGY, PUBLIC HEALTH, PUBLIC SERVICES, REPRODUCTIVE HEALTH, REPRODUCTIVE HEALTH SERVICES, RESEARCH COMMUNITIES, RESPECT, RESPONSE TO AIDS, RISK BEHAVIOR, RISK FOR INFECTION, RISK OF AIDS, RISK OF INFECTION, RISK-REDUCTION, RISK-REDUCTION STRATEGIES, RISK-TAKERS, RISKY BEHAVIOR, RISKY BEHAVIORS, RISKY SEX, RISKY SEXUAL BEHAVIOR, RISKY SEXUAL BEHAVIORS, SAFER SEX, SECONDARY SCHOOL, SEX, SEX FOR MONEY, SEX PARTNERS, SEX PRACTICES, SEXUAL BEHAVIOR, SEXUAL BEHAVIORS, SEXUAL BEHAVIOUR, SEXUAL BEHAVIOUR DATA, SEXUAL CONTACT, SEXUAL DECISIONS, SEXUAL PARTNERS, SEXUAL PARTNERSHIPS, SEXUAL PRACTICES, SEXUAL RELATIONSHIP, SEXUAL RELATIONSHIPS, SEXUAL RISK, SEXUAL RISK BEHAVIORS, SEXUALLY TRANSMITTED DISEASES, SEXUALLY TRANSMITTED INFECTION, SEXUALLY TRANSMITTED INFECTIONS, SOCIAL POLICY, SOCIAL SCIENCE, SOCIAL WELFARE, SOCIOECONOMIC STATUS, SPOUSES, STIS, STRATEGIES FOR PREVENTION, SYNDROMIC MANAGEMENT, SYPHILIS, UNEQUAL POWER, UNMARRIED WOMEN, UNSAFE SEX, UNSAFE SEXUAL BEHAVIORS, VICTIMS, WOMAN, YOUTH, YOUTHS,
Online Access:	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20120314091944 https://hdl.handle.net/10986/3285
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