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UNESCO HIV and Health Education Clearinghouse

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  1. Assessment of the psychometric properties of HIV knowledge items across five countries

    HIV knowledge is commonly measured in HIV prevention research and program evaluations, but rigorous measurement standards are not always applied. Using item response theory methods, we examined the psychometric functioning of five commonly used HIV knowledge questions in five countries with varying HIV prevalence. We evaluated the internal consistency and measurement invariance of the items. The items performed poorly in all samples and the scale as a whole did not perform equally across samples. …

  2. Sexual risk behaviors among youth heads of household in Gikongoro, south province of Rwanda

    The purpose of this study was to: (a) identify risk behaviors that expose Rwandan young heads of household (YHH) to HIV infection, (b) determine gender-specific high-risk profiles and, (c) determine predictors of sexual onset. A household survey was conducted among 692 YHH, ages 12–24, all beneficiaries of a World Vision basic needs program in Gikongoro, Rwanda, from January to March 2004. Participants were interviewed using a structured questionnaire. Data were collected on socio-demographic variables, knowledge about HIV/AIDS prevention and sexual risk behaviors. …

  3. Condom use and the accuracy of AIDS knowledge in Côte d'Ivoire

    Logistical regression analyses were run on data from a 1994 Cote d'Ivoire Demographic and Health Survey to identify whether the accuracy of respondents' knowledge on AIDS could predict condom use at last sexual intercourse. Results indicate that accuracy of knowledge did not predict condom use among men or women in this sample. Results indicate that the odds of condom use were significantly lower among men 35 years of age or older, and women 25 years of age or older, than those 15-19 years of age. …

  4. HIV/AIDS knowledge and behaviour: have information campaigns reduced HIV infection? The case of Kenya

    AIDS continues to have a devastating effect on developing countries, particularly in sub-Saharan Africa. The lack of a proven effective vaccine to stop HIV transmission has led to much of public policy putting an emphasis on information campaigns in order to reduce HIV-prevalence. In this paper we examine the impact of HIV/AIDS-knowledge from two sides. First, we examine to what extent the campaigns have been successful at inducing the expected behavioural change with regards to HIV-related attitudes. Second, we examine the impact of HIV/AIDS knowledge on HIV status. …

  5. A multi-level model of condom use among male and female upper primary school students in Nyanza, Kenya

    Although several studies have emphasized the relevance of community level variables to AIDS prevention among young people in sub-Saharan Africa, few have tested the empirical connections between such variables and sexual behaviors. Using data from 3645 sexually experienced grade 6 and 7 students from 160 schools, this study applies hierarchical linear models to estimate the effects of individual and community level variables on condom use among youth in Nyanza Province, Kenya. Four separate models were fit for both males and females. …

  6. Timing of first intercourse among Malian adolescents: implications for contraceptive use

    In Mali, young women's psychological characteristics are strongly associated with their sexual experience (including the timing of their first sexual encounter) and ultimately with their ability to protect themselves from sexual health risks.

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