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M94A1862.TXT
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1994-10-24
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DOCN M94A1862
TI The AIDS risk reduction model and HIV prevention in Uganda.
DT 9412
AU Schumann DA; Stallings R; Nathanson C; Nabwiso F; Salmond W; Rwabukwali
C; Assingwire N; Marks J; Dept. of Pop. Dynamics, Johns Hopkins
University, Baltimore,; Maryland 21205.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):434 (abstract no. PD0344). Unique
Identifier : AIDSLINE ICA10/94370713
AB OBJECTIVES: This study examines the applicability of the AIDS Risk
Reduction Model (Cantania et al 1990) to a population served by the AIDS
Information Center (AIC) in Uganda. METHODOLOGY: 443 AIC clients aged
18-35 were interviewed in 1992. 375 of the study clients were
re-interviewed 6-12 months later. Scaled variables measuring specific
ARRM variables were developed using factor analysis and reliability
assessment. Scale scores were compared at baseline and follow-up to
ascertain change in ARRM variables by gender, serostatus, and other key
indicators. RESULTS: Items designed to measure the ARRM variable,
perceived susceptibility, formed two dimensions, susceptible to
temptation and susceptible when drinking. There was no change in
perceived susceptibility to temptation between baseline and followup by
gender, serostatus, and knowledge of serostatus. But type of partnership
at baseline (stable unions or abstinent) was associated with a decrease
in perceived susceptibility to temptation over time. One dimension of
the ARRM variable Social Norms entitled justify many partners showed an
increase over time for seropositive males and males who did not return
for test results. DISCUSSION AND CONCLUSIONS: This paper illustrates the
application of the AIDS Risk Reduction Model to the urban Ugandan
setting. Change in specific ARRM variables over time identifies
potential high risk groups in the study population, such as seropositive
males, and reminds us that target groups for behavioral change programs
are heterogeneous and may respond differently to HIV prevention programs
dependent upon gender, serostatus, and relationship status.
DE Acquired Immunodeficiency Syndrome/PREVENTION & CONTROL Adolescence
Adult Female *Health Education Human HIV Infections/*PREVENTION &
CONTROL Male Risk Factors Uganda MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).