University of Macau / Faculty of Education

Thesis (MPhil)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: Introduction: The aim of the study was to assess the knowledge, attitudes and practices of peer educators and university students, on whether the Peer Education-HIV/AIDS Prevention Programme has made an impact on the behavioural change of the recipients of the module as compared to the non-recipients. Methods: A cross-sectional survey was conducted using stratified sampling design among peer educators and students to assess the knowledge, attitudes and practices of peer educators and students. Participants were selected from Tshwane University of Technology campuses in Pretoria, Soshanguve and Ga-rankuwa. The study was conducted among 300 participants; 150 peer educators and 150 students. Informed consent was provided with each structured questionnaire. Findings and Discussion: Three quarters of the respondents in this study were females. This is consistent with many other studies of HIV/AIDS among students. The response rate in this study was 68% and was higher than the 45% of the Namibian Polytechnic students who participated in the KAP surveys of HIV/AIDS (De Beer et al., 2012). Mean knowledge levels of HIV/AIDS in this study were slightly higher among peer educators (92%) than among students (90%). Peer educators had more positive attitudes towards HIV/AIDS than students in knowing someone who is HIV+ (78% vs. 67%) and sharing a desk with a PLHIV (97% vs. 95%). On whether HIV+ children should mix with others, attitude levels were the same (92% vs. 92%). Better practices were observed on peer educators vs. students - more peer educators (87%) than students (75%) said they always used a condom when they have sex. Conclusion and Recommendations: Knowledge, attitudes and practices of HIV/AIDS are high among peer educators and students at Tshwane University of Technology and it is recommended that the Peer Education-HIV/AIDS Prevention Programme at TUT should continue giving attention to changing attitudes and practices among peer educators and other learners. / AFRIKAANSE OPSOMMING: Inleiding: Die doel van die studie is om die kennis, houding en praktyke van Portuur Voorligters te assesseer, oor die vraag of die eweknie-opvoedkundige MIV/VIGS Voorkoming program 'n impak het op die gedrags verandering van die ontvangers van die module in vergelyking met die nie-ontvangers Metodes: 'n Deursnee-opname is uitgevoer deur gebruik te maak van gestratifiseerde steekproefneming ontwerp onder eweknie-opvoeders en studente om die kennis, houding en praktyke van eweknie-opvoeders en studente te assesseer. Deelnemers is gekies uit die Tshwane Universiteit van Tegnologie kampusse in Pretoria, Soshanguve en Ga-Rankuwa. Die studie is gedoen onder 300 deelnemers, 150 portuuropvoeders en 150 studente. Ingeligte toestemming is voorsien met elke gestruktureerde vraelys. Bevindings en bespreking: Driekwart van die respondente in hierdie studie was vroulik. Dit is in ooreenstemming met baie ander studies van MIV/VIGS onder studente. Die reaksie in hierdie studie was 68% en hoër as die 45% van die Namibiese Polytechnic studente wat deelgeneem het aan die KAP opnames van MIV/VIGS (De Beer et al, 2012). Middel kennis vlakke van MIV/VIGS in hierdie studie was effens hoër onder eweknie-opvoeders (92%) as onder studente (90%). Eweknie-opvoeders in hierdie studie het meer positiewe houdings teenoor MIV/VIGS as studente in die kennis van iemand wat MIV + is (78% vs. 67%), die deel van 'n lessenaar met 'n PLHIV (97% vs. 95%) en of HIV + kinders moet meng met ander (92% vs. 92%). Beter praktyke is waargeneem op portuuropvoeders teen oor studente, meer portuuropvoeders (87%) as studente (75%) het gesê hulle het altyd 'n kondoom gebruik wanneer jy seks het. Gevolgtrekking en aanbevelings: Bewustheid, kennis, positiewe houdings en praktyke van MIV/VIGS is hoog onder eweknie-opvoeders en studente by die Tshwane Universiteit van Tegnologie en aanbevelings sal aangespreek word aan die einde van die studie.

Thesis (MPhil)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: This study attempts to identify HIV/AIDS knowledge gaps and the factors which influence the perceptions of the risks of contracting of HIV/AIDS, in relation to the sexual behavior of high school learners in Port St Johns Municipality. In order to do this, a close ended questionnaire was administered to 116 learners from three senior secondary schools in Port St Johns Municipality. Frequency table counts and percentages were used to describe HIV/AIDS knowledge, the perceptions of the risks of contracting of HIV/AIDS and the risky sexual behaviors by learners. The Pearson Product Moment Correlation was used in the inferential analysis. From the data, it was clear that a significant proportion of learners had gaps in their knowledge of HIV/AIDS. Female senior secondary school learners were slightly more knowledgeable than their male counterparts, in that 60% of the female learners were correct in their knowledge of HIV/AIDS, compared to 57 % of males. According to the data, 58 % of male high school learners correctly interpreted the perceptions of the risks of contracting HIV/AIDS, compared to 56% of their female counterparts. These low percentages suggest that the high school learners have inadequate skills in interpreting the perceptions of the risks of contracting of HIV/AIDS. Another finding was that 74 % of female learners do not engage in risky sexual behaviors which might lead to a contraction of HIV/AIDS, compared to 67 % of male learners. Male learners, as well as the female learners, had a Pearson Product Moment Correlation coefficient: r=0.522 for males and r= -0.268 for females, in terms of perceptions of risks of contracting of HIV/AIDS and engaging in risky sexual behavior. In other words, the results indicate that if males perceive the risks more acutely, they will not take such risks, whereas females are not easily influenced by the perceptions of risks and the way in which they behave. The study recommends that stakeholders of the schools craft HIV/AIDS programmes and policies that bridge the knowledge gaps and reduce or eliminate inaccurate perceptions of the risks of contracting HIV/AIDS, so as to enable learners to adopt safer sexual behaviors. / AFRIKAANSE OPSOMMING: Hierdie studie poog om gapings in MIV/Vigs kennis te identifiseer en die faktore wat die persepsies van die risiko's van die kontraktering van MIV, met betrekking tot die seksuele gedrag van hoërskoolleerders in Port St Johns Munisipaliteit beïnvloed. Ten einde dit te doen, is 'n vraelys geadministreer onder 116 leerders van drie senior sekondêre skole in Port St Johns Munisipaliteit. Frekwensietabel-tellings en persentasies is gebruik om MIV/Vigs kennis te beskryf, die persepsies van die risiko's van die kontraktering van MIV en die riskante seksuele gedrag deur leerders. Die Pearson Produk Oomblik korrelasie is gebruik in die inferensiële analise. Die data toon dat ‘n aansienlike persentasie van die leerders ‘n tekort aan kennis het rakende MIV/Vigs. Vroulike senior sekondêre leerders toon effens meer kennis as hul manlike eweknieë, 60% van die vroulike leerders korrek was in hul kennis van MIV/Vigs, in vergelyking met 57% van die mans. 58% van die manlike hoërskoolleerders het die persepsies van die risiko's van MIV/Vigs korrek geïnterpreteer, in vergelyking met 56% van hul vroulike eweknieë. Hierdie lae persentasies dui daarop dat die hoërskoolleerders onvoldoende vaardighede het in die interpretasie van die persepsies van die risiko's van die kontraktering van MIV. Nog 'n bevinding was dat 74% van vroulike leerders nie betrokke is in riskante seksuele gedrag wat kan lei tot MIV-infeksie nie, in vergelyking met 67% van die manlike leerders. Manlike leerders, sowel as die vroulike leerders, het 'n Pearson Produk korrelasiekoëffisiënt: r = 0,522 vir mans en r = -0,268 vir vroue, in terme van die persepsies van risiko's van kontraktering van MIV/Vigs en betrokke te raak in riskante seksuele gedrag. Die studie beveel aan dat belanghebbendes van skole MIV/Vigs-programme en beleide ontwikkel wat die kennisgapings oorbrug en onakkurate persepsies verminder rakende die risiko van MIV-infeksie, met die doel dat leerder veiliger seksuele gerag sal toon.

Text in English / Aim: The aim of this study was to explore the perceptions’ of young Indian adolescents in Chatsworth, towards HIV and AIDS. Methods: An interpretative phenomenological analysis design was used. The participants were selected using judgemental purposive sampling. Nine participants were interviewed. The sample size was determined by data saturation. Data was collected through individual interviews guided by an interview schedule. The interpretative phenomenological analysis framework for data analysis was used for data analysis. Results: The study revealed that participants were well informed about HIV and AIDS. Participants reported disinterest in HIV prevention programmes due to inundation with repetitive information; disinterested attitudes of facilitators of these programme as well as fear of social stigmatisation. The misconceptions that were highlighted were related to very little personal contact with people living with HIV and AIDS. Conclusions and Recommendations: These findings have revealed that there is a need for a revision in HIV/AIDS prevention programme. The HIV/AIDS school programmes should be contextual relevant to learners from diverse backgrounds and communities. / Health Studies / M.A. (Nursing Science)

Quantitative, descriptive research, using self-completion questionnaires, was conducted to determine the level of HIV/AIDS knowledge of the learners in Sefhare. The sample, comprising 92 learners, was selected from forms 1-3. Of the learners, 53.4% knew what HIV/AIDS stand for, but only 13.6% said AIDS is caused by HIV and only 4.5% said AIDS is an incurable disease. The ABC of protecting oneself against HIV (abstain from sex, be faithful to one sex partner, use condoms) was mentioned by merely 57.6% of the learners. The learners’ lack of knowledge should be addressed by school HIV/AIDS programmes offered at schools in Botswana. As 81.5% of the learners were willing to be tested for HIV, this service should be made available with simultaneous confidential personal HIV/AIDS education, irrespective of the HIV test results. Teachers’ and parents’ HIV/AIDS knowledge should also be updated regularly. / Health Studies / M.A. (Public Health)

This study’s purpose was to explore the knowledge, attitudes and perceptions regarding HIV/AIDS and condom use, and sexual behaviours among senior secondary school learners in Kumba, Cameroon using the Health Belief Model (HBM) as the theoretical framework. The ultimate goal was to determine how at risk learners were of contracting HIV/AIDS. A quantitative, non-experimental descriptive, explorative and correlational research design was adapted; using self-designed questionnaires for data collection. Respondents were sampled through proportionally stratified simple random sampling resulting in 480 (240 male and 240 female) grade 10 to grade 12 learners from two participating high schools. Descriptive and inferential statistics were calculated using the SPSS version 12 software program. Most learners were knowledgeable about HIV transmission; the prevention of HIV/AIDS; and sexual risk behaviours pertaining to HIV transmission. Learners also manifested positive attitudes towards PLWHA. Most learners did not perceive themselves to be at high risk of contracting HIV/AIDS. Up to 52,3% who were sexually active, only 30,0% used condoms consistently. The respondents knew about condoms, but had poor attitudes towards condom use. Most respondents received information on HIV/AIDS, condoms and sexuality from magazines/newspapers and teachers. The findings could assist policy makers, programme planners and educators in developing and implementing programmes to improve the health of adolescents. The perceived barriers to condom use and modifying factors should be addressed into consideration in designing any policy geared towards controlling risk exposure to HIV/AIDS among youths in Kumba, Cameroon.

This study investigated the challenges faced by implementers of VCT campaigns for higher education distance learning students. Qualitative and explorative approaches, using a case study, were employed as the research methodology. It has been concluded that the administrative planning procedures of VCT campaigns were not properly followed, which resulted in the following difficulties: defining the roles and responsibilities of stakeholders, using limited resources, and the inability to reach all the students, in order to get them to actively participate in the campaigns. Lack of coordination of HIV and AIDS activities and the absence of monitoring and evaluation also impacted negatively on the success of VCT campaigns. This study recommends that VCT campaigns have a proper task team constituting of experts in VCT campaign operations, in order to strategically plan and coordinate all the campaigns' activities. The implementers should also monitor and evaluate these activities on a regular basis. / Social Work / M.A. (Social Behaviour Studies in HIV/AIDS)

The purpose of this study was to explore the knowledge, attitudes and behaviours regarding HIV and AIDS of university in Zimbabwe using the Health Belief Model (HBM) as the theoretical framework. The ultimate aim was to find out how at risk university students were of contracting HIV and AIDS. A quantitative, non-experimental descriptive, explorative and correlational research design was used, using self-designed questionnaires for data collection. Respondents were sampled through systemic stratified random sampling resulting in 403 undergraduate university students. Descriptive and inferential statistics were calculated using SPSS version 21 software program. Most students were knowledgeable about HIV transmission; the prevention of HIV and AIDS and sexual risk behaviours pertaining to HIV transmission. Students also did show positive attitudes towards PLHIV. Most students did not perceive themselves to be at high of contracting HIV and AIDS. Up to 52% who were sexually active had more than one sexual partner. The respondents knew that HIV and AIDS were not treatable but continued to indulge in risky sexual behaviours. Most respondents received information about HIV and AIDS from the media and peers. The findings would assist policy makers, programme planners and educators in developing in developing and implementing programmes to improve the health of university students. / Health Studies / M.A. (Health Studies)

BACKGROUND: Studies done in both developed and developing countries have reported the tendencies of adolescents to engage in risky behaviours. Such behaviours include indulging in early and unsafe sexual activities, having multiple sexual partners, alcohol and drug use and dropping out of school among others. PURPOSE: The main aim of the study was to develop intervention strategies for reducing sexual risk practices among adolescents in Ethiopia. METHODS: A mixed method approach using quantitative and qualitative approaches was employed in order to investigate the risks of sexual practices among urban and rural adolescents in the selected area. A cross-sectional survey was used to gather data quantitatively and focus group discussions were used for the qualitative part of data collection. A total of 449 students and 72 FGD participants were selected for quantitative and qualitative study respectively using systematic random sampling technique. Logistic regression was done to identify possible factors associated with knowledge on emergency contraceptive, condom utilisation, pre-marital sex practices and perception of risky sexual practices. RESULTS: One hundred and seventy (37.9%) respondents had experienced sexual intercourse at the time of the study. The higher proportion (42.6%) of those who had engaged in sexual relationships was from the rural school compared to 33.1% in the urban schools. The proportion of sexually active respondents was higher among males (44.8%) compared to (29%) females. Multiple partners were higher in rural adolescents (44.7%) compared to 31.8% among urban adolescents. Sexually Transmitted Diseases were reported by 28.6% of the sexually active adolescents and the prevalence was higher among males (73.5%) compared to 27% females. 87% of the sexually active adolescents rarely used a condom. CONCLUSION: The study identified a knowledge gap on ASRH which limited adolescents to access reproductive services. Social, cultural and economic factors contributed to adolescent engagement in risky sexual behaviours. Based on the major findings of this study, intervention strategies targeting behavioural, biomedical and structural interventions were proposed. / Health Studies / D. Litt. et Phil. (Health Studies)

Certain sport environments may contribute to the development of disordered eating and those that heavily emphasize weight and/or body shape can be particularly damaging to an athlete's body image, self-concept, and eating behaviors. In particular, female athletes in collegiate sports are at a greater risk for engaging in unhealthy behaviors because they face both societal pressures from Western culture to be thin, in addition to sport pressures that focus on performance and appearance. According to the American Medical Association almost half of American women are trying to lose weight, illustrating that societal pressures alone to be thin and attractive can influence the development of disordered eating. Athletes are exposed to the same sociocultural pressures as their nonathlete counterparts, and would be expected to have similar feelings about their bodies as women in general. Add subsequent pressures like team "weigh-ins," coaches' body comp preferences, judges' critiques, revealing attire, and endurance/strength demands, and the stage is set for the development of disordered eating. In the current study, participants were 414 Division-I female gymnasts, swimmers/divers, and they completed self-report measures assessing sport pressures, body satisfaction and disordered eating behavior to test Petrie & Greenleaf's etiological model. Results indicate that sport pressures do lead directly to dietary restraint, a precursor to disordered eating, and are not always mediated through internalization and body dissatisfaction. These findings suggest that decreasing and intervening with perceived sport pressures may lessen the risk of female athletes developing an eating disorder.