Chilisa Bagele, Mohiemang Irene, Mpeta Kolentino Nyamadzapasi, Malinga Tumane, Ntshwarang Poloko, Koyabe Bramwell Walela, Heeren G Anita
Department of Educational Foundations, University of Botswana, Gaborone, Botswana.
Department of Social Work, University of Botswana, Gaborone, Botswana.
J Hum Behav Soc Environ. 2016;26(6):533-540. doi: 10.1080/10911359.2015.1114820. Epub 2015 Nov 25.
Culture and tradition influences behaviour. Multiple partner and concurrent relationships are made responsible for the increase of HIV infection in Sub-Saharan Africa. A contextualized "Theory of Planned Behaviour" was used to identify predictors of intention to practice monogamy. A mixed method design using qualitative data from focus groups, stories and a survey were analyzed for quantitative data. The qualitative data added to the behavioural beliefs a socio-cultural belief domain as well as attitudes, subjective norms, and perceived behavioural control predicted the intention to practice monogamy. The adolescents showed a tendency towards having more than one sexual partner. The normative beliefs and the socio cultural beliefs also predicted intentions while hedonistic belief and partner reaction did not. In contextualizing theory-based interventions, it is important to draw from stories and the langauage that circulate in a community about a given behaviour. More studies are needed on ways to combine qualitative approaches with quantitative approaches to inform the development of theory based culturally appropriate and context specific intervention strategies to reduce the risk of HIV.
文化和传统影响行为。多个性伴侣和同时存在的关系被认为是撒哈拉以南非洲地区艾滋病毒感染率上升的原因。一种情境化的“计划行为理论”被用于确定实行一夫一妻制意图的预测因素。采用混合方法设计，对来自焦点小组、故事的定性数据和一项调查的定量数据进行了分析。定性数据在行为信念的基础上增加了一个社会文化信念领域，以及态度、主观规范和感知行为控制，这些因素预测了实行一夫一妻制的意图。青少年表现出拥有多个性伴侣的倾向。规范性信念和社会文化信念也预测了意图，而享乐主义信念和伴侣反应则没有。在将基于理论的干预措施情境化时，从社区中流传的关于特定行为的故事和语言中汲取经验很重要。需要更多关于如何将定性方法与定量方法相结合的研究，以为基于理论的、文化上适当且针对具体情境的干预策略的制定提供信息，以降低艾滋病毒感染风险。
