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Published in: AIDS and Behavior 9/2016

01-09-2016 | Original Paper

HIV Testing Among Young People Aged 16–24 in South Africa: Impact of Mass Media Communication Programs

Authors: Mai Do, Maria Elena Figueroa, D. Lawrence Kincaid

Published in: AIDS and Behavior | Issue 9/2016

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Abstract

Knowing one’s serostatus is critical in the HIV prevention, care and treatment continuum. This study examines the impact of communication programs on HIV testing in South Africa. Data came from 2204 young men and women aged 16–24 who reported to be sexually active in a population based survey. Structural equation modeling was used to test the directions and causal pathways between communication program exposure, HIV testing discussion, and having a test in the last 12 months. Bivariate and multivariate probit regressions provided evidence of exogeneity of communication exposure and the two HIV-related outcomes. One in three sampled individuals had been tested in the last 12 months. Communication program exposure only had an indirect effect on getting tested by encouraging young people to talk about testing. The study suggests that communication programs may create an environment that supports open HIV-related discussions and may have a long-term impact on behavior change.
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Literature
2.
go back to reference Coates TJ. Efficacy of voluntary HIV-1 counselling and testing in individuals and couples in Kenya, Tanzania and Trinidad: a randomised trial. Lancet. 2000;356(9224):103–12.CrossRef Coates TJ. Efficacy of voluntary HIV-1 counselling and testing in individuals and couples in Kenya, Tanzania and Trinidad: a randomised trial. Lancet. 2000;356(9224):103–12.CrossRef
3.
go back to reference Deren S, Beardsley M, Tortu S, Goldstein MF. HIV serostatus and changers in risk behaviours among drug injectors and crack users. AIDS Behav. 1998;2(2):171–6.CrossRef Deren S, Beardsley M, Tortu S, Goldstein MF. HIV serostatus and changers in risk behaviours among drug injectors and crack users. AIDS Behav. 1998;2(2):171–6.CrossRef
4.
go back to reference Gibson DR, Lovelle-Drache J, Young M, Hudes ES, Sorensen JL. Effectiveness of brief counseling in reducing HIV risk behavior in injecting drug users: final results of randomized trials of counseling with and without HIV testing. AIDS Behav. 1999;3(1):3–12.CrossRef Gibson DR, Lovelle-Drache J, Young M, Hudes ES, Sorensen JL. Effectiveness of brief counseling in reducing HIV risk behavior in injecting drug users: final results of randomized trials of counseling with and without HIV testing. AIDS Behav. 1999;3(1):3–12.CrossRef
5.
go back to reference World Health Organization. Increasing access to HIV testing and counseling. Geneva: report of consultation meeting 19–21 Nov 2002; 2003. World Health Organization. Increasing access to HIV testing and counseling. Geneva: report of consultation meeting 19–21 Nov 2002; 2003.
6.
go back to reference Bertrand JT, O’Reilly K, Denison J, Anhang R, Sweat M. Systematic review of the effectiveness of mass communication programs to change HIV/AIDS-related behaviors in developing countries. Health Educ Res. 2006;21(4):567–97.CrossRefPubMed Bertrand JT, O’Reilly K, Denison J, Anhang R, Sweat M. Systematic review of the effectiveness of mass communication programs to change HIV/AIDS-related behaviors in developing countries. Health Educ Res. 2006;21(4):567–97.CrossRefPubMed
7.
go back to reference Noar SM, Palmgreen P, Chabot M, Dobransky N, Zimmerman RS. A 10-year systematic review of HIV/AIDS mass communication campaigns: have we made progress? J Health Commun. 2009;14(1):15–42.CrossRefPubMed Noar SM, Palmgreen P, Chabot M, Dobransky N, Zimmerman RS. A 10-year systematic review of HIV/AIDS mass communication campaigns: have we made progress? J Health Commun. 2009;14(1):15–42.CrossRefPubMed
8.
go back to reference McKee N, Bertrand JT, Becker-Benton A, Becker BL. Strategic communication in the HIV/AIDS epidemic. Washington: Sage Publications Pvt Ltd; 2004. McKee N, Bertrand JT, Becker-Benton A, Becker BL. Strategic communication in the HIV/AIDS epidemic. Washington: Sage Publications Pvt Ltd; 2004.
9.
go back to reference LaCroix JM, Snyder LB, Huedo-Medina TB, Johnson BT. Effectiveness of mass media interventions for HIV prevention, 1986–2013: a meta-analysis. J AIDS. 2014;66:S329–40. LaCroix JM, Snyder LB, Huedo-Medina TB, Johnson BT. Effectiveness of mass media interventions for HIV prevention, 1986–2013: a meta-analysis. J AIDS. 2014;66:S329–40.
10.
go back to reference Kincaid DL, Babalola S, Figueroa ME. HIV communication programs, condom use at sexual debut, and HIV infections averted in South Africa, 2005. J AIDS. 2014;66:S278–84. Kincaid DL, Babalola S, Figueroa ME. HIV communication programs, condom use at sexual debut, and HIV infections averted in South Africa, 2005. J AIDS. 2014;66:S278–84.
12.
go back to reference Brown CA, Sohani SB, Khan K, Lilford R, Mukhwana W. Antenatal care and perinatal outcomes in Kwale district, Kenya. BMC Pregnancy Childbirth. 2008;8(1):2.CrossRefPubMedPubMedCentral Brown CA, Sohani SB, Khan K, Lilford R, Mukhwana W. Antenatal care and perinatal outcomes in Kwale district, Kenya. BMC Pregnancy Childbirth. 2008;8(1):2.CrossRefPubMedPubMedCentral
13.
go back to reference Kwambai TK, Dellicour S, Desai M, et al. Perspectives of men on antenatal and delivery care service utilisation in rural western Kenya: a qualitative study. BMC Pregnancy Childbirth. 2013;13(1):134.CrossRefPubMedPubMedCentral Kwambai TK, Dellicour S, Desai M, et al. Perspectives of men on antenatal and delivery care service utilisation in rural western Kenya: a qualitative study. BMC Pregnancy Childbirth. 2013;13(1):134.CrossRefPubMedPubMedCentral
14.
go back to reference Kaufman MR, Massey M, Tsang SW et al. An assessment of HIV testing in Tanzania to inform future strategies and interventions. AIDS care. 2014. (ahead-of-print). Kaufman MR, Massey M, Tsang SW et al. An assessment of HIV testing in Tanzania to inform future strategies and interventions. AIDS care. 2014. (ahead-of-print).
15.
go back to reference Statistics South Africa. Mid-year population estimates 2014. Pretoria: Statistics South Africa; 2014. Statistics South Africa. Mid-year population estimates 2014. Pretoria: Statistics South Africa; 2014.
16.
go back to reference Shisana O, Rehle T, Simbayi LC, et al. South African National HIV prevalence, incidence, behaviour and communication survey: a turning tide among teenagers?. Cape Town: HSRC Press; 2009. Shisana O, Rehle T, Simbayi LC, et al. South African National HIV prevalence, incidence, behaviour and communication survey: a turning tide among teenagers?. Cape Town: HSRC Press; 2009.
18.
go back to reference O’Meara WP, Platt A, Naanyu V, Cole D, Ndege S. Spatial autocorrelation in uptake of antenatal care and relationship to individual, household and village-level factors: results from a community-based survey of pregnant women in six districts in western Kenya. Int J Health Geogr. 2013;12(1):55.CrossRef O’Meara WP, Platt A, Naanyu V, Cole D, Ndege S. Spatial autocorrelation in uptake of antenatal care and relationship to individual, household and village-level factors: results from a community-based survey of pregnant women in six districts in western Kenya. Int J Health Geogr. 2013;12(1):55.CrossRef
19.
20.
go back to reference Kincaid DL. Convergence theory. In: Littlejohn SW, Karen A, editors. Encyclopedia of Communication Theory. Thousand Oaks: Sage; 2009. p. 188–91. Kincaid DL. Convergence theory. In: Littlejohn SW, Karen A, editors. Encyclopedia of Communication Theory. Thousand Oaks: Sage; 2009. p. 188–91.
21.
go back to reference Kincaid DL, Delate R, Storey D, Figueroa ME. Closing the gaps in practice and in theory. In: Rice R, Atkin C, editors. Public Communication Campaigns. 4th ed. Thousand Oaks: Sage; 2012. p. 305–19. Kincaid DL, Delate R, Storey D, Figueroa ME. Closing the gaps in practice and in theory. In: Rice R, Atkin C, editors. Public Communication Campaigns. 4th ed. Thousand Oaks: Sage; 2012. p. 305–19.
22.
go back to reference Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.CrossRef Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.CrossRef
23.
go back to reference Fishbein M, Ajzen I. Belief, attitude, intention and behavior: An introduction to theory and research. Boston: Addison-Wesley Pub Co; 1975. Fishbein M, Ajzen I. Belief, attitude, intention and behavior: An introduction to theory and research. Boston: Addison-Wesley Pub Co; 1975.
24.
go back to reference Bandura A. Social foundations of thought and action: A social cognitive theory. Upper Saddle River: Prentice-Hall Inc; 1986. Bandura A. Social foundations of thought and action: A social cognitive theory. Upper Saddle River: Prentice-Hall Inc; 1986.
25.
go back to reference Katz E, Lazarsfeld PF. Personal influence: The part played by people in the flow of mass communications. Transaction Pub: Piscataway; 2006. Katz E, Lazarsfeld PF. Personal influence: The part played by people in the flow of mass communications. Transaction Pub: Piscataway; 2006.
26.
go back to reference Rogers E. Diffusion of innovations. New york: Simon and Schuster; 2003. Rogers E. Diffusion of innovations. New york: Simon and Schuster; 2003.
27.
go back to reference Noelle-Neumann E. The theory of public opinion: the concept of the spiral of silence. Chicago: University of Chicago Press; 1991. Noelle-Neumann E. The theory of public opinion: the concept of the spiral of silence. Chicago: University of Chicago Press; 1991.
28.
go back to reference Noelle-Neumann E. The spiral of silence: public opinion—our social skin. Chicago: University of Chicago Press; 1993. Noelle-Neumann E. The spiral of silence: public opinion—our social skin. Chicago: University of Chicago Press; 1993.
29.
go back to reference Festinger L. A theory of social comparison processes. Human Relat. 1954;7(2):117–40.CrossRef Festinger L. A theory of social comparison processes. Human Relat. 1954;7(2):117–40.CrossRef
30.
go back to reference Suls J, Martin R, Wheeler L. Social comparison: why, with whom, and with what effect? Curr Dir Psychol Sci. 2002;11(5):159–63.CrossRef Suls J, Martin R, Wheeler L. Social comparison: why, with whom, and with what effect? Curr Dir Psychol Sci. 2002;11(5):159–63.CrossRef
31.
go back to reference Johnson S, Kincaid L, Laurence S, Chiwava F, Delate R, Mahlasela L. Second National HIV Communication Survey 2009. Pretoria: JHHESA; 2010. Johnson S, Kincaid L, Laurence S, Chiwava F, Delate R, Mahlasela L. Second National HIV Communication Survey 2009. Pretoria: JHHESA; 2010.
32.
go back to reference Kincaid DL. Mass media, ideation, and contraceptive behavior. Communication Research. 2000;27(6):723–63.CrossRef Kincaid DL. Mass media, ideation, and contraceptive behavior. Communication Research. 2000;27(6):723–63.CrossRef
33.
go back to reference Kincaid DL. Social networks, ideation, and contraceptive behavior in Bangladesh: a longitudinal analysis. Soc Sci Med. 2000;50(2):215–31.CrossRefPubMed Kincaid DL. Social networks, ideation, and contraceptive behavior in Bangladesh: a longitudinal analysis. Soc Sci Med. 2000;50(2):215–31.CrossRefPubMed
34.
go back to reference Hong Y, Li X, Fang X, Lin X, Zhang C. Internet use among female sex workers in China: implications for HIV/STI prevention. AIDS Behav. 2011;15(2):273–82.CrossRefPubMed Hong Y, Li X, Fang X, Lin X, Zhang C. Internet use among female sex workers in China: implications for HIV/STI prevention. AIDS Behav. 2011;15(2):273–82.CrossRefPubMed
35.
go back to reference Swendeman D, Rotheram-Borus MJ. Innovation in sexually transmitted disease and HIV prevention: internet and mobile phone delivery vehicles for global diffusion. Curr Opin Psychiatry. 2010;23(2):139.CrossRefPubMedPubMedCentral Swendeman D, Rotheram-Borus MJ. Innovation in sexually transmitted disease and HIV prevention: internet and mobile phone delivery vehicles for global diffusion. Curr Opin Psychiatry. 2010;23(2):139.CrossRefPubMedPubMedCentral
36.
go back to reference Sobel ME. Asymptotic confidence intervals for indirect effects in structural equation models. Soc Methodol. 1982;1982(13):290–312.CrossRef Sobel ME. Asymptotic confidence intervals for indirect effects in structural equation models. Soc Methodol. 1982;1982(13):290–312.CrossRef
37.
go back to reference Ith P, Dawson A, Homer CS. Women’s perspective of maternity care in Cambodia. Women Birth. 2013;26(1):71–5.CrossRefPubMed Ith P, Dawson A, Homer CS. Women’s perspective of maternity care in Cambodia. Women Birth. 2013;26(1):71–5.CrossRefPubMed
39.
go back to reference Kincaid DL, Do MP. Multivariate causal attribution and cost-effectiveness of a national mass media campaign in the Philippines. J Health Commun. 2006;11(S2):69–90.CrossRefPubMed Kincaid DL, Do MP. Multivariate causal attribution and cost-effectiveness of a national mass media campaign in the Philippines. J Health Commun. 2006;11(S2):69–90.CrossRefPubMed
40.
go back to reference Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects. Biometrika. 1983;70(1):41–55.CrossRef Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects. Biometrika. 1983;70(1):41–55.CrossRef
41.
go back to reference Bollen KA, Guilkey DK, Mroz TA. Binary outcomes and endogenous explanatory variables: tests and solutions with an application to the demand for contraceptive use in Tunisia. Demography. 1995;32(1):111–31.CrossRefPubMed Bollen KA, Guilkey DK, Mroz TA. Binary outcomes and endogenous explanatory variables: tests and solutions with an application to the demand for contraceptive use in Tunisia. Demography. 1995;32(1):111–31.CrossRefPubMed
42.
go back to reference Greene WH. Econometric analysis. New Delhi: Pearson Education India; 2003. Greene WH. Econometric analysis. New Delhi: Pearson Education India; 2003.
43.
go back to reference Bia M, Mattei A. A Stata package for the estimation of the dose-response function through adjustment for the generalized propensity score. The Stata Journal. 2008;8(3):354–73. Bia M, Mattei A. A Stata package for the estimation of the dose-response function through adjustment for the generalized propensity score. The Stata Journal. 2008;8(3):354–73.
44.
go back to reference Stata Statistical Software. Release 12 [computer program]. College Station: StataCorp LP; 2011. Stata Statistical Software. Release 12 [computer program]. College Station: StataCorp LP; 2011.
45.
go back to reference Eaton JW, Johnson LF, Salomon JA, et al. HIV treatment as prevention: systematic comparison of mathematical models of the potential impact of antiretroviral therapy on HIV incidence in South Africa. PLoS Med. 2012;9(7):e1001245.CrossRefPubMedPubMedCentral Eaton JW, Johnson LF, Salomon JA, et al. HIV treatment as prevention: systematic comparison of mathematical models of the potential impact of antiretroviral therapy on HIV incidence in South Africa. PLoS Med. 2012;9(7):e1001245.CrossRefPubMedPubMedCentral
46.
go back to reference Granich R, Kahn JG, Bennett R, et al. Expanding ART for treatment and prevention of HIV in South Africa: estimated cost and cost-effectiveness 2011–2050. PLoS One. 2012;7(2):e30216.CrossRefPubMedPubMedCentral Granich R, Kahn JG, Bennett R, et al. Expanding ART for treatment and prevention of HIV in South Africa: estimated cost and cost-effectiveness 2011–2050. PLoS One. 2012;7(2):e30216.CrossRefPubMedPubMedCentral
47.
go back to reference Tanser F, Bärnighausen T, Grapsa E, Zaidi J, Newell M-L. High coverage of ART associated with decline in risk of HIV acquisition in rural KwaZulu-Natal, South Africa. Science. 2013;339(6122):966–71.CrossRefPubMedPubMedCentral Tanser F, Bärnighausen T, Grapsa E, Zaidi J, Newell M-L. High coverage of ART associated with decline in risk of HIV acquisition in rural KwaZulu-Natal, South Africa. Science. 2013;339(6122):966–71.CrossRefPubMedPubMedCentral
48.
go back to reference Pettifor AE, MacPhail C, Bertozzi S, Rees HV. Challenge of evaluating a national HIV prevention programme: the case of loveLife South Africa. Sex Transm Infect. 2007;83(suppl 1):i70–4.CrossRefPubMed Pettifor AE, MacPhail C, Bertozzi S, Rees HV. Challenge of evaluating a national HIV prevention programme: the case of loveLife South Africa. Sex Transm Infect. 2007;83(suppl 1):i70–4.CrossRefPubMed
49.
go back to reference Hutchinson P, Mahlalela X, Yukich J. Mass media, stigma, and disclosure of HIV test results: multilevel analysis in the Eastern Cape South Africa. AIDS Education Prevention. 2007;19(6):489–510.CrossRefPubMed Hutchinson P, Mahlalela X, Yukich J. Mass media, stigma, and disclosure of HIV test results: multilevel analysis in the Eastern Cape South Africa. AIDS Education Prevention. 2007;19(6):489–510.CrossRefPubMed
Metadata
Title
HIV Testing Among Young People Aged 16–24 in South Africa: Impact of Mass Media Communication Programs
Authors
Mai Do
Maria Elena Figueroa
D. Lawrence Kincaid
Publication date
01-09-2016
Publisher
Springer US
Published in
AIDS and Behavior / Issue 9/2016
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1402-1

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