Thesis (M.P.H.M. (Primary Health Care Management))--Mahidol University, 2008. / LICL has E-Thesis 0039 ; please contact computer services.

Thesis (M.P.H.M. (Primary Health Care Management))--Mahidol University, 2008. / LICL has E-Thesis 0038 ; please contact computer services.

Thesis (Ph. D.)--University of Missouri-Columbia, 1999. / Typescript. Vita. Includes bibliographical references (leaves 236-251). Also available on the Internet.

Thesis (Ph.D.)--Kent State University, 2007. / Title from PDF t.p. (viewed Apr. 29, 2009). Advisor: Stevan E. Hobfoll. Keywords: psychological, distress, resources, inner-city, women, AIDS, HIV, program. Includes bibliographical references (p. 82-101).

Thesis (Ph. D.)--University of Missouri-Columbia, 1999. / Typescript. Vita. Includes bibliographical references (leaves 236-251). Also available on the Internet.

Thesis (Ph. D.)--University of Texas at Austin, 2007. / Vita. Includes bibliographical references.

abstract: Female survivors of intimate partner violence (IPV) are at increased risk for negative sexual health outcomes, such as susceptibility to HIV/AIDS, other sexually transmitted infections, unintended pregnancy, miscarriage, and cervical cancer. Despite this known risk, HIV risk reduction interventions are lacking in IPV content, and little is known about women’s protective sexual health behaviors in this context. The purpose of this dissertation is to gain a deeper understanding of women’s sexual health within the context of a violent intimate relationship. Data were collected through semi-structured, in-person interviews with women who had experienced IPV (N = 28). Service-seeking women were recruited from a domestic violence shelter and a domestic violence counseling program; non-service-seeking women were recruited through a statewide coalition against domestic violence and online advertisements. Interviews were audio-recorded, transcribed, and then analyzed in NVivo Qualitative Software (Version 10). Detailed process notes, analytic memos, peer debriefing, and the use of visual analytic displays were used to increase the trustworthiness of findings. Results are presented in chapters two, three, and four. Chapter two explores women’s experiences of sexual violence in IPV relationships. Women described how their intimate partners used a combination of sexual abuse, sexual coercion, and sexual assault as a unique weapon of power and control. Chapter three examines women’s sexual risks across the levels of their ecological environment using an intersectional feminist framework. Women’s sexual risks went beyond sexual violence and were influenced by subtle yet pervasive cultural gender norms that reduced their power in relation to their male sexual partners. Chapter four focuses on understanding women’s protective sexual health behaviors in order to inform the development of an intervention that follows women’s natural pathway to care as they heal from victimization to surviving to thriving. / Dissertation/Thesis / Doctoral Dissertation Social Work 2016

Estuda as práticas sexuais de risco para a infecção pelo HIV entre jovens (18 a 25 anos) do período noturno de escolas públicas da cidade de São Paulo; avalia os efeitos de um modelo de prevenção segundo variáveis baseadas no Modelo de Redução de Risco em AIDS; analisa diferenças entre os gêneros. Desenvolveu-se um estudo longitudinal, envolvendo 4 escolas divididas randomicamente em grupo-intervenção e grupo-controle. 394 estudantes participaram do baseline, sendo que 77% completaram o questionário pós-intervenção. Desenvolvimento de Oficinas de Sexo Mais Seguro com 4 encontros, de 3 horas cada, onde foram discutidos: o simbolismo da AIDS; percepção de risco; influência das normas de gênero nas atitudes; informações sobre AIDS; corpo erótico e reprodutivo; prazer sexual; negociação do uso do preservativo. Dados do baseline mostraram que a freqüência do uso de preservativo foi baixa entre os jovens que mantiveram relação sexual, e que há diferenças significativas entre os gêneros com relação à sexualidade e aspectos envolvidos na prevenção de AIDS. Ao avaliar as oficinas, observaram-se efeitos estatisticamente significativos entre as mulheres, que tiveram relações sexuais mais seguras, e em algumas variáveis envolvidas com a prevenção da AIDS. As mudanças foram menos significativas entre os homens. Conclui-se que o risco para a infecção pelo HIV pode ser diminuído, mas resultados mais expressivos podem ser encontrados se forem enfatizados os obstáculos sócio-econômicos e papéis sexuais de gênero através de programas comunitários específicos de longa duração. / Examines sexual risk for HIV infection among young adults (18 to 25 years old) night school students in São Paulo city; evaluates effects of an HIV/AIDS prevention model through AIDS Risk Reduction Model variables; analyzes gender differences. A longitudinal study was conducted among four public night schools that were randomized into intervention group and control group. 394 students participated in the baseline survey, 77% completed a post intervention questionnaire. Development of Safer Sex Workshops during four sessions with 3 hours each, where they discussed: AIDS symbolism, risk perception, influences of gender norms on attitudes, AIDS-related knowledge, erotic and reproductive body, sexual pleasure, condom negotiation. Condom use was low among students that had sexual relation and gender differences were significant at baseline. Workshops evaluation showed significant effects among women that had more safer sex and in some variables involved with AIDS prevention. Changes were less significant among men. We conclude that the risk to HIV infection can be lowered, but more significant results can be achieved if the socioeconomic barriers and gender differences are considered in specific long-term community programs.

Magister Public Health - MPH / Background: In Namibia, studies showed that HIV/AIDS affects youth, especially the under 24 years age group. At the same time the pregnancy rate is also high by age 19. Interestingly, in Andara district several reports from staff working in the reproductive services have indicated that adolescent girls, who would seem to be taking responsibility in one sphere of their sexual lives by protecting themselves against unwanted pregnancy, were however not using condoms to protect themselves from HIV infection. Study Aim and Objectives: To describe the knowledge, attitude and behaviour related to HIV/AIDS amongst female adolescents who are accessing the primary health care (PHC) services for contraception. Specific objectives were to describe the knowledge of female adolescents who are accessing the PHC services for contraception about the modes of transmission and prevention of HIV/AIDS, to assess their attitude with regards to condom use, abstinence and being faithful to one uninfected partner, also to determine the significance of association between age and knowledge, attitudes and behaviour, between their education level and knowledge, attitudes and behaviour and the significance of association between knowledge of HIV prevention strategies and behaviour of female adolescents accessing PHC services for contraception in the district. Setting: The study was conducted in Andara district, North East of Namibia. Methods: Descriptive cross-sectional KAB study. Sample: All female adolescents who are accessing PHC services for contraception selected from multistage simple random sampling in 5 facilities and systematic sampling at facility level in Andara. All married women within this age range were excluded in the study. Data collection tool: An interviewer-administered standardised questionnaire was used to collect the data. Data analysis and Interpretations: Epi Info software 2002 was used for data analysis. The results were presented using descriptive statistics including means, 95% confidence intervals and percentages and this information was shown in tables, bar and pie charts. Cross-tabulations of knowledge, attitude and behaviour scores against demographic variables were performed. P-values <0.05 were considered statistically significant. Results: 76.5% knew that unprotected sexual intercourse was the main way of getting HIV/AIDS, 77.3% knew that people could protect themselves by abstaining from sexual intercourse and 64.5% knew that people could protect themselves by having one uninfected faithful sexual partner. Out of 192 respondents who stated that unprotected sexual intercourse was the main way of HIV/AIDS transmission, 25.5% used condom every time they had sexual intercourse, 10.9% used condom almost every time they had sex, 41.1% used condom sometimes and 22.4% never used condom. Older girls and those who were in higher grades at school had more knowledge that could protect them from HIV infection. Later sexual debut is associated with increased condom usage at sexual debut. Conclusions: The general HIV knowledge of respondents and their knowledge of how to protect themselves from HIV infection were disappointing given that this study was conducted in health facilities. In this study we also see that knowledge does not always translate into the appropriate behaviour. The health services need to evaluate the targeting and effectiveness of their HIV educational messages and develop skills that will support behaviour change. / South Africa

This study describes how AIDS prevention education programs were constructed, delivered, and implemented in Vancouver between 1983 and 1994. Biodeterministic models of disease are examined through a historical analysis of documents that include newsletters, minutes of board meetings, policy reviews, annual reports, and personal journals. This study assumes that AIDS is as much a sociocultural phenomenon as it is biological. The findings suggest that present educational guidelines for AIDS prevention are unable to identify what messages should be communicated and fail to identify to whom they should be conveyed. This study does not recommend the use of biodeterministic models of AIDS prevention education which reflect plague metaphors. Instead, culturally relevant strategies need to be developed throughout all aspects of AIDS prevention curricula. / Education, Faculty of / Educational Studies (EDST), Department of / Graduate