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Sexual behaviour among adolescents living with HIV in ZimbabweVhembo, Tichaona 28 November 2014 (has links)
This study described sexual behaviours among adolescents living with the Human Immunodeficiency Virus (HIV) in Zimbabwe. This study utilised a quantitative descriptive design. Data was collected using structured questionnaires from 341 adolescents living with HIV. Findings revealed that some adolescents were sexually active and had early onset of sexual activity (before their sixteenth birthday). A good proportion of sexually active adolescents were noted not to practise safer sex and the main reason was condom inaccessibility and some had multiple sex partners. Factors independently associated with being sexually active included exposure to erotic content on television programmes, having a psychiatric diagnosis, discussions of sexuality with health worker and older age. Adolescents` behaviours living with HIV and the issue of availability of condoms may play a part in the spread of HIV. More discussions and research on sexuality of adolescents are recommended / Health Studies / M.A. (Public Health)
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Factors influencing young people's preventive actions against human immunodeficiency virus infections in TanzaniaAssenga, Evelyne Neema 11 1900 (has links)
This study identified factors influencing the practice of HIV prevention behaviours amongst Tanzania youths. Structured interviews with in-school youths (n=222) and out-of school youths (n=150); and focus groups discussions with 25 youths were conducted to collect data.
Although the level of HIV/AIDS awareness was 97.6% and 58.5% of the youths had positive attitudes towards HIV prevention, only 50.8% practised at least one mode of HIV prevention. Factors which promoted HIV prevention practices included positive attitudes towards specific preventive behaviours and the individual’s self-efficacy to enact such behaviours. The barriers against the practice of HIV prevention behaviours included the lack of comprehensive knowledge about HIV/AIDS and HIV prevention, socio-economic issues such as unemployment, influx of mobile populations, loss of cultural values, negative social norms, peer pressure, alcohol abuse and the lack of adequate HIV preventive services. / Health Studies / M.A. (Public Health)
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Empirical examination of decision making core technology adoption theory to explain youth preferences for HIV preventive actionsShongwe, Njabulo Samson Melusi 03 October 2014 (has links)
Submitted in fulfillment of the requirements for the degree of Master of Technology,
Information Technology, Durban University of Technology, Durban, South Africa, 2013. / This study reports on the application of decision making core technology adoption theory to empirically examine youth preferences for Human Immunodeficiency Virus (HIV) preventive actions. In order to contribute to the open discourse on whether technology adoption rate is higher for male or female, goal desire, goal intention, action desire and action intention elements of decision making core theory were tested. A mobile health information system was implemented as an HIV information disseminating tool and used for experimentation to determine adoption by youths. A dataset of 118 pupils from two high schools was used for pilot investigation. A dataset of 292 undergraduate youths aged 10-24 years from two universities in South Africa was generated to validate the research model. The Partial Least Square (PLS) analytic modelling technique was used to determine the predictive power of decision making core model from the input dataset. Results of experimentation show that regardless of the gender youth accepts to use mobile information system to access HIV information. The predictive power of the decision making core model was found to be independent of gender factor, which was also not found to moderate the relationship between Perceived Behavioural Control (PBC) and action intention. In addition, gender was not found to moderate the order of importance in factors that predict youth preferences for HIV preventive action. PBC, action desire and goal desire were selected as the most important predictors of HIV preventive actions. The factor of action desire was found to mediate the relationship between PBC and action intention such that the mediation effect was stronger for male youth (68%) than for female youth (19%). Finally, the decision making core model better predicted youth preferences for HIV preventive actions as compared to two models based on Theory of Reason Action (TRA) and Theory of Planned Behaviour (TPB).
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Church teaching and the views of youth on sexual practices : a study amongst Anglican youth of the Cape Town diocese aged 12-19Mash, Rachel 12 1900 (has links)
Thesis (M. Th.)--University of Stellenbosch, 2006. / ENGLISH ABSTRACT: This research aims to establish if church-going young people adhere to the principle
of ‘no sex before marriage’, or if there are competing ‘voices’ and pressures that young
people succumb to. Are they practising risky sexual behaviour, with multiple partners,
using no protection or experiencing sexual violence?
We conducted a survey in order to understand the gravity of the challenge, and to
identify ways in which the Anglican Church might become more effective in dealing with
issues of sexuality among young people. The field research was undertaken between
October 2004 and January 2005 and involved a detailed questionnaire survey (with
1,306 responses analysed), and three different focus group discussions. Respondents
were between 12 and 19 years of age, both male and female, and demographically
representative of the Anglican Church of Cape Town Diocese. It is hoped that the
results of this survey will be informative for church leaders and those involved in
ministry with young people.
Our research reveals that church-going young people are not excluded from the risks
faced by others in society. Of the respondents 30.5% have had sex (40% Male and
21% Female; Black 44%, White 26% and Coloured 30%). This is irrespective of
geographical location (32% Rural and 30% Urban). Young people are practising
vaginal, oral and anal sex or any combination. During their first sexual experience, only
35% used contraceptives. Ninety percent of their first partners are friends or
schoolmates and when it came to venue, 75% had sex at home or at their partner’s
place. Casual sex was common and 33% of those who have had sex have been with
four or more sexual partners. Sexual violence also occurred as 6% of the respondents
were forced to have sex (Black 7.1%, White 6.5% and Coloured 5.4%). Of this coerced
group, 12% have themselves demanded sex from somebody else.
There is thus a gap between the Church’s traditional teaching of ‘no sex before
marriage’ and the realities of the way in which our young people live. Hence, we
should no longer hide our heads in the sand and pretend that our young people are not
at risk. This research has certainly identified several areas of concern. Nonetheless, it
has also revealed encouraging information, as young people are interested in changing
the situation. In order to increase its effectiveness in addressing the sexuality of young people, the
Anglican Church should be prepared to act decisively. The approach recommended
from this study should be multifaceted, given the increasingly complex landscape in
which young people live. There is an urgent need to support young people in building
healthy relationships. Parental workshops are an important intervention in order to
enable parents to communicate with their children about sexuality, using an ageappropriate
approach. Peer education should be adopted: that is training key opinion
leaders in each church so that they can provide positive peer pressure. In addition, the
church should take a stand against sexual messages seen in the media; silence implies
consent. The church must clearly communicate its opposition to these unhealthy
sexual messages to society at large. / AFRIKAANSE OPSOMMING: The doel van die navorsing is om jongmense war kerklik meelewend is se siening en
persepsies oor die standpunt van die Anglikaanse kerk, naamlik geen seks voor die
huwelik , te ondersoek en te toets aan die hand van sekere teologiese kriteria. Dit wil
vasstel of daar ander moontlike faktore of stemme is wat jongmense se standpunt oor
seks en seksualiteit bepaal. Van die belangrike vrae wat ondersoek is: beoefen
jongmense hoë risiko, seksuele gedrag met meervoudige bedmaats? Tree hulle
genoegsaam voorkomend op? Is hulle blootgestel aan seksueel-geweldadige gedrag?
‘n Empiriese ondersoek (Oktober 2004 en Januarie 2005) is geloots ten einde die
uitdagings waarvoor die Anglikaanse Kerk ten opsigte van seks-onderrig te staan kom,
vas te stel. Die projek beoog om die kerk se bediening op te skerp en meer relevant
gefokus te raak op die seksuele orientasie van jongmense. ‘n Vraelys is opgestel en
uitgestuur.Drie verskillende diskussiegroepe was betrokke.1306 response is ontleed.
Respondente was tussen 12 en 19 jaar, gender-gemeng en demografies
verteenwoordigend van die Anglikaanse Kerk se bedieningsopset binne die Cape Town
Diocese.
Die navorsing toon duidelik dat jongmense aan risikos blootgestel is met implikasies vir
die MIV pandemie. Van die respondente het 30.5% seks gehad (40% mans; 21%
vrouens; swart 44%; wit 26% en bruin 30%). Wat geografiese verspreiding aan betref
(stad 30%, platteland 32%) was daar nie beduidende verskille nie. Daar bestaan ‘n
kombinasie van seks-praktyke, vanaf vaginale, orale en anale seks. Gedurende die
eerste seks-ervaring het net 35% kontraseptiewe middels/metodes gebruik. 90% van
die eerste bedmaats was maats, vriende of skoolmaats. 75% van die kontakte het tuis
plaas gevind. Toevallige seks was algemeen en 33% van die respondente het seks
met vier of meer pesone gehad. Seksuele geweld kom voor. 6% van die repondent was
geforseer om seks te beoefen (swart 7.1%; wit 6.5%; bruin 5.4%). Vanuit hierdie groep
het 12% seks geeis van iemand anders.
Daar bestaan ‘n groot gaping tussen die leer van die kerk: geen seks voor die huwelik
en die lewensrealiteit van jongmense. Jongmense is belis ‘n hoë risikogroep. Die
navoring het verkeie areas geïdentifiseer wat dringend die kerk se aandag verg. Van belang is die feit dat jongmense duidelik ‘n behoefte toon aan konstruktiewe
begeleiding.
Ten einde the problematiek van seksuele gedrag onder jongmense in die kerk sinvol
aan te spreek, sal relevante programme ontwikkel moet word wat multi-faktoreel
gestruktureer en kontekstueel moet wees. ‘n Belangrike bedieningstrategie is die skep
van ouerbegeleidingsgroepe en werkswinkels ten einde ouers toe te rus hoe om sinvol
met jongmense oor seksuele gedrag en seksualiteit te kommunikeer. Daar moet
gefokus word op verskillende ouderdomsgroepe en hoe om jongmense by te staan om
gesonde verhoudinge te bou. Die seksopvoeding en voorligting moet jongmense
inskakel. Leiers onder jongmense wat kan help, moet geïdentifiseer word en ook
opgelei word. Destruktiewe groepsdruk moet aangespreek word. Die kerk sal ook
leiding moet gee oor die wyse waarop die media seksualiteit hanteer. Op hiedie wyse
moet die kerk betrokke raak by die publieke diskoers en negatiewe tendens aanspreek.
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Agents of change : the implementation and evaluation of a peer education programme on sexuality in the Anglican church of the Western CapeMash, Rachel A. 12 1900 (has links)
Thesis (PhD)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: INTRODUCTION
Religion is important in Africa and many churches are involved in HIV ministry. Prevention programmes, however, are less frequent in the church setting and there is little evaluation of them. If an effective model is found, it can contribute to HIV prevention efforts in Sub-Saharan Africa.
This study was conducted in the Cape Town Diocese of the Anglican Church. Fikelela, an HIV/AIDS project of the Diocese, developed a 20-session peer education programme (Agents of Change) aimed at changing the risky sexual behaviour of youth. Workshops were also aimed at parents.
A literature review was conducted looking at three areas: 'theories of behaviour change', 'adolescent sexual relationships' and 'religion and HIV'. A conceptual framework for the programme was developed by integrating findings from the literature review.
The aim of this research was to evaluate the effectiveness and functioning of the programme, to develop a best practice model and to make recommendations for the use of the programme in the wider church.
METHODS
Outcome mapping was used to integrate an approach to the design, monitoring and evaluation of the programme. Changes in project partners, key project strategies and organisational practices were all monitored. Project partners were defined as peer educators, facilitators, young people, clergy and parents. Monitoring allowed an in-depth understanding of which aspects of the programme worked.
Evaluation was designed as a quasi-experimental study that compared non-randomly chosen intervention and control groups. 1352 participants took part at base-line, 176 returned matched questionnaires in the intervention groups and 92 in the control groups. Reported changes in attitudes, knowledge and sexual behaviour were compared between the two groups.
RESULTS
The main factors leading to the success of the programme were: a well developed curriculum and programme, effective training camps, the support given by facilitators to peer educators, ongoing mentoring and training, role modelling by peer educators, a participatory style of education and positive peer pressure within a strong church based social network. Challenging the church.s negative attitude to condoms was also important. The weakest areas of the programme were amongst clergy and parents and in challenging media messages and norms on gender. The project impact evaluation showed significant differences at baseline between genders in terms of sexual beliefs and behaviour. There was no significant impact of religiosity on sexual activity.
The programme was successful at increasing condom usage (Condom use score 3.5 vs. 2.1; p=0.02) and reduced sexual debut (9.6% vs. 22.6%; p=0.04). There was increased abstinence amongst the intervention group, but it did not reach statistical significance (22.5% vs. 12,5%; p=0.25). There was no effect on the number of partners (Mean 1.7 vs. 1.4; p=0.67).
CONCLUSIONS
Implementation: The programme should be promoted as a youth development programme rather than an HIV prevention programme. Priority should be given to churches in communities with the highest HIV rates. The target group should include younger teens. Peer educators should be selected by peers not by adults.
Strategies: The strategies of training camp and quarterly gatherings are effective, but a new strategy needs to be devised to impact the parents.
Content: The programme should build self-efficacy amongst the youth, develop a critical consciousness about sexual health, provide positive messages rather than fear-inducing ones, address sexual coercion and persuasion, explore the linking of condom use with trust, address inter-generational sex and promote community outreach and advocacy activities.
The programme is effective and meets the threshold of evidence required to be rolled out. It should be rolled out through the Anglican Church with its estimated membership of two million and could be adapted for other denominations as well. / AFRIKAANSE OPSOMMING: INLEIDING
Godsdiens is belangrik in Afrika en talle kerke is betrokke by HIV-bediening. Voorkomingsprogramme is egter ongewoon in die kerkomgewing en die evaluering daarvan vind selde plaas. Indien 'n effektiewe voorkomingsprogram model gevind kan word, behoort dit 'n belangrike bydrae te lewer tot HIV infeksie voorkomingspogings in Sub-Sahara Afrika.
Hierdie studie is gedoen onder die lidmate van die Kaapstadse Biskoplike gebied van die Anglikaanse Kerk. 'n Bestaande HIV/VIGS projek van die Biskoplike gebied, genaamd Fikelela, het 'n 20-sessie portuurgroepopvoedingsprogram (Agente van Verandering) ontwikkel wat gemik is op die verandering van riskante seksuele gedrag onder die jeug. Daar was ook werkswinkels gemik op ouers.
'n Voorstellingsraamwerk vir die program is ontwikkel deur die integrasie van gedragsveranderingsteorieë met bewyse ten opsigte van verandering van seksuele gedrag onder adolossente en die invloed van godsdiens op adolossente seksualiteit.
Die doelwit van hierdie navorsing was om die doeltreffendheid en funksionering van die program te evalueer, 'n optimale praktiese model te ontwikkel en aanbevelings vir die gebruik van die program aan 'n wyer sirkel van kerke te maak.
METODES
Uitkomskartering is gebruik om 'n benadering tot die ontwerp, waarneming en evaluering van die program te integreer. Alle veranderinge in projekvennote, sleutelprojekstrategieë en organisatoriese handelinge is waargeneem. Projekvennote is gedefinieër as portuurgroepopvoeders, fasiliteerders, jongmense, leraars en ouers. 'n Diepgaande begrip van watter aspekte van die program gewerk het, is bewerkstellig.
Die evaluasie was ontwerp as 'n prospektiewe bykans-eksperimentele studie wat nie-lukraak gekose intervensiegroepe en kontrolegroepe vergelyk het. Daar was1352 deelnemers by aanvang, 176 afgepaarde vraelyste is teruggestuur in die intervensiegroepe en 92 in die kontrolegroepe. Veranderings in houdings, kennis en seksuele gedrag wat gerapporteer is, is tussen die twee groepe vergelyk.
RESULTATE
Die hooffaktore wat tot die sukses van die program gelei het, was: 'n goed ontwikkelde kurrikulum en program, effektiewe opleidingskampe, ondersteuning aan portuurgroepopvoeders deur die fasiliteerders, deurlopende raadgewing en opleiding, portuurgroepopvoeders as rolmodelle, 'n deelnemende styl van opvoeding en positiewe groepsdruk binne 'n sterk kerkgebaseerde sosiale netwerk. Die uitdaging van die kerk se negatiewe houding teenoor kondome was ook belangrik. Die swakste areas van die program was onder die leraars en ouers en in die uitdaging van media boodskappe en norme aangaande geslagskwessies.
Die evaluering van die projekimpak het betekenisvolle verskille op grondslag tussen geslagte in terme van seksuele geloof en gedrag getoon. Daar was geen betekenisvolle impak van godsienstigheid op seksuele aktiwiteit nie.
Die program was wel suksesvol in die toename van kondoomgebruik (p=0.02) en verhoging in ouderdom van eerste seksuele optrede (p =0.04), maar het geen impak in toename van geheelonthouding onder dié wie alreeds seksueel aktief is (p=0.25) of op die aantal seksmaats (p=0.67) gewys nie.
GEVOLGTREKKING
Implementering: Die program moet eerder as 'n jeug-ontwikkelingsprogram, as 'n HIV-voorkomingsprogram bemark word. Kerke in gemeenskappe met die hoogste HIV-koers moet voorkeur geniet. Die teikengroep moet jonger tieners insluit. Portuurgroepopvoeders moet deur portuurgroepe self aangewys word en nie deur volwassenes nie.
Strategieë: Die strategieë van opleidingskampe en kwartaalikse byeenkomste is effektief, maar nuwe strategieë word benodig om 'n impak op ouers te maak.
Inhoud: Die program behoort self-doeltreffendheid onder die jeug te bou, 'n kritiese bewustheid oor seksuele gesondheid te ontwikkel, eerder positiewe as vrees-gebaseerde boodskappe aan te bied, seksuele dwang en oorreding aan te spreek, die verband tussen kondoomgebruik en vertroue te verken, intergenerasie-seks aan te spreek en gemeenskapsuitreik- en aanbevelingsprogramme te bevorder.
Die program is effektief en voldoen aan die verlangde bewyse ten einde aangewend te kan word.Met sy geskatte lidmaatskap van twee miljoen behoort die Anglikaanse Kerk dit aan te wend en kan dit ook vir ander denominasies aangepas word.
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Factors influencing young people's preventive actions against human immunodeficiency virus infections in TanzaniaAssenga, Evelyne Neema 11 1900 (has links)
This study identified factors influencing the practice of HIV prevention behaviours amongst Tanzania youths. Structured interviews with in-school youths (n=222) and out-of school youths (n=150); and focus groups discussions with 25 youths were conducted to collect data.
Although the level of HIV/AIDS awareness was 97.6% and 58.5% of the youths had positive attitudes towards HIV prevention, only 50.8% practised at least one mode of HIV prevention. Factors which promoted HIV prevention practices included positive attitudes towards specific preventive behaviours and the individual’s self-efficacy to enact such behaviours. The barriers against the practice of HIV prevention behaviours included the lack of comprehensive knowledge about HIV/AIDS and HIV prevention, socio-economic issues such as unemployment, influx of mobile populations, loss of cultural values, negative social norms, peer pressure, alcohol abuse and the lack of adequate HIV preventive services. / Health Studies / M.A. (Public Health)
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Adolescents' knowledge of contraception in a selected area in AngolaFreitas, Engrácia da Glória Gomes de 30 June 2007 (has links)
Adolescent pregnancy is a worldwide problem. This study attempted to describe and explore the knowledge of female adolescents in Angola's knowledge with regard to contraception.
The research results, obtained from interview schedules, revealed that the respondents lacked knowledge about themselves as adolescents as well as a lack of knowledge of their reproductive health and development. Furthermore, the results portrayed a lack of knowledge of contraceptives.
The study findings may assist health care providers to identify educational programmes on contraception at schools, markets and in the community. / Health Studies / Thesis (M.A. (Health Studies))
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Factors influencing sexual risk behaviors among senior secondary school students (youths)Demeke Gizew Damtie 11 1900 (has links)
This quantitative descriptive cross sectional study explored factors influencing sexual risk behaviours among youths in senior secondary schools in Ethiopia. Data were collected using structured questionnaires. Religious attachment, living with friends, living alone, parental control, level of parental education, peer pressure and number of friends who had experienced sex were some of the factors noted to influence youths to engage in sexual risk behaviours. The findings of this study have implications for both practice and policy development. They will enable healthcare workers to identify youths at risk of engaging in sexual risk behaviours and subsequently motivate them using health promotion strategies to engage in safe sexual practices. Adopting such an approach will prevent or at least minimise risk of youths being infected with sexually transmitted diseases, such as HIV/AIDS. / Health Studies / M.A. (Health Studies)
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An exploration of adolescents' knowledge of HIV/AIDS and its influence on sexual behaviour: the case of a high school in Johannesburg, South AfricaTagwireyi, Laurence 06 1900 (has links)
Aims: The study was aimed at exploring adolescents‟ level of knowledge of HIV/AIDS and the influence this knowledge has on their sexual behaviour. Methods: In total, 20 in- depth interviews were conducted from a group of 20 (both males and females) secondary school learners. The interviews were audio taped with consent from participants. Results: The results of the study showed that participants possess basic knowledge of HIV/AIDS, including methods of prevention and transmission. No serious misconceptions about modes of transmission of HIV were found in this study. Although, participants reported condom use, no sexual intercourse with multiple concurrent partners and no intergenerational sexual relationships, the findings revealed some risk factors such as early sexual debuts, early dating, multiple sexual partnerships. Conclusions: The aforesaid sexual behaviours and the sexual activeness among learners is a cause for angst. Thus, these findings highlighted the need for a comprehensive approach to sexual reproductive health education by all interested parties in order to enhance and sustain behaviour change among young people. / Health Studies / M.A. (Public Health)
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HIV knowledge and sexual risk behaviour of grade 12 learners in the Cape Metropole, Cape TownJaars, Cleopatra 12 1900 (has links)
Thesis (MCurr)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: The HIV pandemic threatens the social, emotional, and physical development of all persons, especially the youth. Adolescents are more at risk of contracting HIV as their lifestyle often involves sexual exploration and experimentation. Effective educational interventions are central to HIV prevention in South Africa. Being a clinical nurse practitioner in a primary health care (PHC) facility, the principal investigator observed that school learners failed to practice safe sex and demonstrated little knowledge about HIV/AIDS prevention.
The aim of the study was to investigate the reported level of HIV knowledge and sexual risk behaviour of grade 12 school learners in the Eastern Sub-District of the Cape Metropole, Cape Town. A descriptive, non-experimental, research design was employed with a primarily quantitative approach. The study population comprised grade 12 learners from high schools in the Eastern Sub-District of the Cape Metropole in Cape Town (N=7940). A total of 92 participants from four schools (2 public and 2 private) were included in the sample by using a cluster sampling method. A self-completion semi-structured questionnaire was used to collect the data. Data was collected by the principal investigator and a trained field worker.
Ethical approval was obtained from the Health Research Ethics Committee of the Faculty of Health Sciences, Stellenbosch University (N11/07/225). Permission to conduct the research was obtained from the Department of Education.
Reliability and validity were assured by means of a pilot study and the use of experts in the field of nursing research and statistics.
Descriptive statistics were used to analyse data. Statistical associations were determined using ANOVA and the Mann-Whitney U tests. The qualitative data was analysed thematically and then quantified.
The results show that the average HIV/AIDS knowledge score of participants was 60.73%. However, many gaps in HIV/AIDS knowledge were identified. Only 77.2% (n=71) of participants knew the meaning of HIV, 80.4% (n=74) did not know all the ways in which HIV can be transmitted and only 8.7% (n=8) knew how to safely use a condom. The majority of participants (67.4%; n=62) believed in the myth that HIV can be cured and 18.5% (n=17) reported that a traditional healer can cure HIV. With regard to risky behaviour, half of the participants at the time of the study (51%; n=47) reported sexual engagement and 20% (n=9) of these respondents did not use condoms. Furthermore, 25% (n=23) had used alcohol before having sex. There were no association found between the knowledge about HIV/AIDS of participants and their sexual risk behaviour.
In view of these study findings, participants are exposing themselves to high risk sexual behaviour that may increase their chances of acquiring sexually transmitted infections including HIV. Several recommendations were identified, including the strengthening of HIV and STI education linked to sexual risk reduction, open communication and additional information sources, availability of condoms at schools and improved access to HIV testing at schools. / AFRIKAANSE OPSOMMING: Die jeug se sosiale, emosionele en fisiese ontwikkeling word deur die MIV-pandemie gekortwiek. As gevolg van hulle seksuele eksperimentering, word adolessente as ʼn hoë risikogroep beskou, sover dit die ontwikkeling van MIV aangaan. Gevolglik speel onderrig ʼn belangrike rol in MIV voorkoming. Die beoefening van onveilige seks, en onvoldoende kennis rakende MIV/VIGS-voorkoming, is deur die primêre navorser, ʼn kliniese verpleegpraktisyn in die primêre gesondheidsorg omgewing, waargeneem.
Die studie het dit ten doel om te bepaal wat die MIV-kennis vlakke, en die seksuele gedrag risiko van Graad 12 leerders in die Oostelike sub-distrik van die Kaapstadse Metropool is. ʼn Beskrywende, nie-eksperimentele navorsingsontwerp is gebruik, met ʼn hoofsaaklike kwantitatiewe benadering. Uit die studie populasie van Graad 12 leerders in die Oostelike sub-distrik van die Kaapstadse Metropool hoërskole (N=7940), is ʼn steekproef van 92 deelnemers uit vier hoërskole (twee staatskole en twee privaatskole) gekies – die trossteekproefnemingsmetode is gebruik. Data is versamel deur middel van ʼn semi-gestruktureerde vraelys wat deur die deelnemers self voltooi is.
Toestemming vir die uitvoer van die studie is verkry van die Etiese Komitee van die Mediese Fakulteit van die Universiteit van Stellenbosch (N11/07/225), asook die Wes-Kaapse Departement van Onderwys.
Die betroubaarheid en geldigheid van die studie is verseker deur die uitvoer van ʼn voorstudie, en is verder versterk deur gebruik te maak van kundiges in die veld van statistiek en verpleegnavorsing.
Data is ontleed deur middel van beskrywende statistiese metodes en assosiasies is bepaal deur gebruik te maak van variansie-analise (“ANOVA”) en Mann-Whitney U toetse. Die bevindinge is in frekwensie tabelle en histogramme vervat. Die kwalitatiewe data is gekodeer en gekategoriseer, waarna temas geïdentifiseer is. Alhoewel die studie-bevindinge aangedui het dat die deelnemers ʼn gemiddelde MIV/VIGS-kennis telling van 60.73% behaal het, is verskeie leemtes in hulle bestaande kennis geïdentifiseer. Slegs 77.2% (n=71) van die deelnemers het geweet wat MIV beteken, terwyl 80.4% (n=74) nie geweet het hoe MIV oorgedra word nie. Slegs 8.7% (n=8) van die deelnemers het kennis gehad rakende veilige kondoom gebruik. Die meerderheid van die deelnemers (67.4%; n=62) glo dat MIV genees kan word en 18.5% (n=17) het aangedui dat MIV deur ʼn tradisionele geneesheer genees kan word. Hoë-risiko gedrag, spesifiek seksuele aktiwiteit (51%; n=47%) sonder kondome (20%; n=9) is rapporteer. ʼn Verdere 25% (n=23) van die deelnemers het rapporteer dat hulle alkohol gebruik voor seks, maar daar was geen assosiasie tussen die vlak van MIV/VIGS-kennis en hoë-risiko gedrag nie.
Die bevindinge dui daarop dat die deelnemers hulself blootstel aan hoë-risiko seksuele gedrag met die gevolg dat hul kans om MIV te kry verhoog. Die aanbevelings, gegrond op die bevindinge, sluit in: ʼn groter fokus op onderrig wat verband hou met MIV en seksueel oordraagbare infeksies wat gekoppel is aan ʼn verlaging in hoe-risiko seksuele gedrag, openhartige kommunikasie en bykomende inligtingshulpbronne, beskikbaarheid van kondome by skole, asook verbeterde toegang tot MIV toetsing by skole.
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