A Multilevel Path Analysis of Risk Perception and Risky Sexual Behavior Under the Framework of the Health Belief Model

REFERENCES

• Achieng , J. ( 1998 , July 2 ). Health-religion: Catholic Church under fire for opposing safe sex. InterPress News Service (IPS). Available at http://www.ipsnews.net/ 1998/07/health-religion-catholic-church-under-fire-for-opposing-safe-sex/
   Google Scholar
• Adepegba , B. ( 2001 , January 2 ). Canada rises up for Sharia convict. PM News, Lagos.
   Google Scholar
• Adogame , A. ( 2008 ). HIV/AIDS support and African Pentecostalism: The case of the Redeemed Christian Church of God (RCCG) . Journal of Health Psychology , 12 , 475 – 484 .
   Web of Science ®Google Scholar
• Agadjanian , V. ( 2005 ). Gender, religious involvement and HIV/AIDS prevention in Mozambique . Social Science and Medicine , 61 , 1529 – 1539 .
   PubMed Web of Science ®Google Scholar
• Aggleton , P. , O'Reilly , K. , Slutkin , G. , & Davies , P. ( 1994 ). Risking everything? Risk behavior, behavior change, and AIDS . Science, New Series , 15 , 341 – 345 .
   Google Scholar
• Akwara , A. P. , Madise , J. N. , & Hinde , A. ( 2003 ). Perception of risk of HIV/AIDS and sexual behaviour in Kenya . Journal of Biosocial Science , 35 , 385 – 411 .
   PubMed Web of Science ®Google Scholar
• Amuyunzu-Nyamongo , M. , Tendo-Wambua , L. , Babishangire , N. J. , Yitbarek , N. , Matasha , M. , & Omurwa , T. ( 1999 ). Barriers to behaviour change as a response to STDs including HIV/AIDS: The East African experience . In J. Caldwell , P. Caldwell , & J. Anarfi (Eds.), Resistances to behavioral change to reduce HIV/AIDS infections: Predominantly heterosexual epidemics in third world countries (pp. 1 – 11 ). Canberra , Australia : Health Transition Centre, The Australian National University .
   Google Scholar
• Anarfi , J. K. (1999). Initiating behavioral change among street-involved youth: findings from a youth clinic in Accra. In J. Caldwell , P. Caldwell , & J. Anarfi (Eds.), Resistances to behavioral change to reduce HIV/AIDS infections: Predominantly heterosexual epidemics in third world countries (pp. 81–90). Canberra , Australia : Health Transition Centre, The Australian National University.
   Google Scholar
• Anderson , K. G. , Beutel , A. M. , & Maughan-Brown , B. ( 2007 ). HIV risk perceptions and first sexual intercourse among youth in Cape Town, South Africa . International Family Planning Perspectives , 33 , 98 – 105 .
   PubMedGoogle Scholar
• Awusabo-Asare , K. , Abane , A. M. , Badasu , D. M. , & Anarfi , J. K. ( 1999 ). All die be die: Obstacles to change in the face of HIV infection in Ghana . In J. Caldwell , P. Caldwell , & J. Anarfi (Eds.), Resistances to behavioral change to reduce HIV/AIDS infections: Predominantly heterosexual epidemics in third world countries (pp. 125 – 132 ). Canberra , Australia : Health Transition Centre, The Australian National University .
   Google Scholar
• Barden O'Fallon , J. L. , De-Graft-Johnson , J. , Bisika , T. , Sulzbach , S. , Benson , A. , & Tsui , A. O. ( 2004 ). Factors associated with HIV/AIDS knowledge and risk perception in rural Malawi . AIDS and Behaviour , 8 , 131 – 139 .
   PubMed Web of Science ®Google Scholar
• Bernadi , L. ( 2002 ). Determinants of individual AIDS risk perception: Knowledge, behavioural control and social influence. MPIDR Working Paper WP 2002–029.
   Google Scholar
• Bertrand , T. J. , Bakutuvwidi , M. , Hassig , E. S. , Kinavwidi , N. L. , Balowa , D. , Mbadu , M. , & Chirwisa , C. ( 1995 ). AIDS-related knowledge, sexual behavior, and condom use among men and women in Kinshasa, Zaire . In R. E. Bethel (Ed.), AIDS: Readings on a global crisis . Boston , MA : Allyn and Bacon .
   Google Scholar
• Bollen , K. A. ( 1989 ). Structural equations with latent variables . New York , NY : Wiley Interscience .
   Google Scholar
• Bozick , R. ( 2006 ). Precocious behaviours in early adolescence: Employment and the transition to first sexual intercourse . The Journal of Early Adolescence , 26 , 60 – 86 .
   Web of Science ®Google Scholar
• Butler , A. ( 2005 ). South Africa's HIV/AIDS policy, 1994–2004: How can it be explained? African Affairs , 104 , 1 – 24 .
   Google Scholar
• Caldwell , C. J. ( 2000 ). Rethinking the African AIDS epidemic . Population and Development Review , 26 , 117 – 135 .
   Web of Science ®Google Scholar
• Caldwell , J. C. ( 1999 ). Reasons for limited sexual behavioral change in the sub-Saharan AIDS epidemic, and possible future intervention strategies . In J. Caldwell , P. Caldwell , & J. Anarfi (Eds.), Resistances to behavioral change to reduce HIV/AIDS infections: Predominantly heterosexual epidemics in third world countries (pp. 241 – 256 ). Canberra , Australia : Health Transition Centre, The Australian National University .
   Google Scholar
• Carael , M. ( 1995 ) Sexual behaviour. In J. Cleland & B. Ferry (Eds.), Sexual behaviour and AIDS in the developing world (pp. 75–123). London, UK: Taylor and Francis.
   Google Scholar
• Cornwell , K. , & Inder , B. ( 2008 ). Language and labour markets in South Africa . Journal of African Economics , 17 , 490 – 525 .
   Web of Science ®Google Scholar
• Do , M. , & Meekers , D. ( 2009 ). Multiple sex partners and perceived risk of HIV in Zamia: Attitudinal determinants and gender differences . AIDS Care , 21 , 1211 – 1221 .
   PubMed Web of Science ®Google Scholar
• Fisher , J. D. , & Fisher , W. ( 2000 ). Theoretical approaches to individual-level change in HIV risk behaviour (Paper 4). CHIP Document. Retrieved from http://digitalcommons.uconn.edu/chip_docs/4/
   Google Scholar
• Garbus , L. ( 2002 ). HIV/AIDS in South Africa . Country AIDS Policy Project : AIDS Policy Research Center. San Francisco: University of California .
   Google Scholar
• Garner , C. R. (2000). Safe sects? Dynamics religion and AIDS in South Africa. Journal of Modern African Studies , 38, 41–69.
   PubMed Web of Science ®Google Scholar
• Gillmore , M. R. , Butler , S. S. , Lohr , M. J. , & Gilchrist , L. ( 1992 ). Substance use and other factors associated with risky sexual behaviour among pregnant adolescents . Family Planning Perspectives , 24 , 255 – 268 .
   PubMedGoogle Scholar
• Glick , P. ( 2006 ). Reproductive health and behaviour, HIV/AIDS and poverty in Africa. A paper prepared for the African Economic Research Consortium. Cornell University, Ithaca, NY.
   Google Scholar
• Gregson , S. , Zhuwau , T. , Anderson , R. M. , & Chandiwana , S. K. ( 1998 ). Is there evidence for behaviour change in response to AIDS in rural Zimbabwe? Social Science and Medicine , 46 , 321 – 330 .
   PubMed Web of Science ®Google Scholar
• Hallman , K. , & Grant , M. ( 2004 ). Poverty, educational attainment and livelihoods: How well do young people fare in KwaZulu-Natal, South Africa? Horizons Research Summary. Washington, DC: Population Council.
   Google Scholar
• Hox , J. J. ( 1995 ). Applied multi-level analysis . Den Haag , Amsterdam : TT Publishers .
   Google Scholar
• Hulton , L. A. , Cullen , R. , & Khalokho , S. W. ( 2001 ). Perceptions of the risks of sexual activity and their consequences among Ugandan adolescents . Studies in Family Planning , 31 , 35 – 46 .
   Web of Science ®Google Scholar
• Hunter , M. ( 2007 ). The changing political economy of sex in South Africa: The significance of unemployment and inequalities to the scale of the AIDS epidemic . Social Science & Medicine , 64 , 689 – 700 .
   PubMed Web of Science ®Google Scholar
• Isiugbo-Abanihe , U. C. , & Oyediran , K. ( 2004 ). Household socioeconomic status and sexual behaviour among Nigerian female youth . African Population Studies , 19 , 81 – 98 .
   Google Scholar
• Kingdon , G. G. , & Knight , J. ( 2001 ). Unemployment in South Africa: The nature of the beast . (Working paper series WPS/2001–15) . Oxford : Centre for the Study of African Economics, University of Oxford .
   Google Scholar
• Kiragu , K. , & Zabin , L. S. ( 1993 ). The correlates of premarital sexual activity among school-age adolescents in Kenya . International Family Planning Perspectives , 19 , 92 – 97 .
   Google Scholar
• Kohler , H. P. , Behrman , J. R. , & Watkins , S. C. ( 2007 ). Social networks and HIV/AIDS risk perceptions . Demography , 44 , 1 – 33 .
   PubMed Web of Science ®Google Scholar
• Kongnyuy , E. J. , Wiysonge , C. S. , Mbu , R. E. , Nana , P. , & Kouam , L. ( 2006 ). Wealth and sexual behaviour among men in Cameroun . BMC International Health and Human Rights , 6 , 1 – 8 .
   PubMedGoogle Scholar
• Kowalewski , M. R. , Henson , K. D. , & Longshore , D. ( 1997 ). Rethinking perceived risk health behaviour: A critical review of HIV research . Health Education & Behavior , 24 , 313 – 325 .
   PubMed Web of Science ®Google Scholar
• Lam , D. , Ardington , C. , Branson , N. , Case , A. , Leibbrandt , M. , Menendez , A. , … Sparks , M. ( 2008 ). The Cape Area Panel Survey: A very short introduction to the integrated waves 1–2-3–4 data . Cape Town , South Africa : The University of Cape Town .
   Google Scholar
• Macintyre , K. , Brown , L. , & Sosler , S. ( 2001 ). It's not what you know, but who you knew: Examining the relationship between behaviour change and AIDS mortality in Africa . AIDS Education and Prevention , 13 , 160 – 174 .
   PubMed Web of Science ®Google Scholar
• Macintyre , K. , Rutenberg , N. , Brown , L. , & Karim , A. ( 2004 ). Understanding perceptions of HIV risk among adolescents in KwaZulu-Natal . AIDS and Behavior , 8 , 237 – 250 .
   PubMed Web of Science ®Google Scholar
• Marteleto , L. , Lam , D. , & Ranchhod , V. (2008). Sexual behavior, pregnancy, and schooling among young people in urban South Africa. Studies in Family Planning , 39, 351–368.
   PubMed Web of Science ®Google Scholar
• Maswanya , E. S. , Moji , K. , Horiguchi , I. , Nagata , K. , Aoyagi , K. , Honda , S. , & Taketo , T. ( 1999 ). Knowledge, risk perception of AIDS and reported sexual behaviour among students in secondary schools and colleges in Tanzania . Health Education Research , 14 , 185 – 196 .
   PubMed Web of Science ®Google Scholar
• Maticka-Tyndale , E. , & Tenkorang , E. Y. ( 2010 ). A multi-level model of condom use among male and female upper primary school students in Nyanza, Kenya . Social Science and Medicine , 71 , 616 – 625 .
   PubMed Web of Science ®Google Scholar
• Mukuka , L. , & Slonim-Nevo , V. ( 2006 ). The role of the church in the fight against HIV/AIDS infection in Zambia . International Social Work , 49 , 641 – 649 .
   Web of Science ®Google Scholar
• Noar , S. M. ( 2005 ). A health educator's guide to theories of health behaviour . International Quarterly of Community Health Education , 24 , 75 – 92 .
   PubMedGoogle Scholar
• Ntozi , J. P. M. , Mulindwa , I. N. , Ahimbisibwe , F. , Ayiga , N. , & Odwee , J. ( 2003 ). Has the HIV/AIDS epidemic changed the sexual behaviour of high risk groups in Uganda? African Health Sciences , 3 , 107 – 116 .
   PubMedGoogle Scholar
• Paicheler , G. ( 1993 ). Perception of HIV risk and preventive strategies: A dynamic analysis Health, 3, 47–70.
   Google Scholar
• Sandu , D. , & De Jong , G. F. ( 1996 ). Migration in market democracy transition: Migration intentions and behaviour in Romania . Population Research and Policy , 15 , 437 – 457 .
   Web of Science ®Google Scholar
• Sastry , N. ( 1997 ). Family-level clustering of childhood mortality in Northeast Brazil . Population Studies , 51 , 245 – 261 .
   Web of Science ®Google Scholar
• Shelton , J. D. , Cassell , M. M. , & Adetunji , J. ( 2005 ). Is poverty or wealth at the root of HIV? The Lancet , 366 ( 9491 ), 1057 – 1058 .
   PubMed Web of Science ®Google Scholar
• Skinner , C. S. , Kreuter , M. W. , Kobrin , S. , & Strecher , V. J. ( 1998 ). Perceived and actual breast cancer risk: Optimistic and pessimistic biases . Journal of Health Psychology , 3 , 181 – 193 .
   PubMedGoogle Scholar
• Statistics South Africa . ( 2001 ). Census 2001: Key results, 2001 . Pretoria , South Africa : Statistics South Africa .
   Google Scholar
• Surur , F. , & Kaba , M. ( 2000 ). The role of religious leaders in HIV/AIDS prevention, control, and patient care and support: A pilot project in Jimma zone. Northeast African Studies, 7, 59–80
   Google Scholar
• Tenkorang , E. Y. ( 2013 ). Myths and Misconceptions about HIV transmission in Ghana: What are the drivers? Culture, Health & Sexuality , 15 , 296 – 310 .
   PubMed Web of Science ®Google Scholar
• Tenkorang , E. Y. , Rajulton , F. , & Maticka-Tyndale , E. ( 2009 ). Perceived risks of HIV/AIDS and first sexual intercourse among youth in Cape Town, South Africa . AIDS & Behavior , 13 , 234 – 245 .
   PubMed Web of Science ®Google Scholar
• Tenkorang , E. Y. , Adjei , J. , & Gyimah , S. O. ( 2010 ). Perceptions of HIV/AIDS risk and sexual risk-taking of young people in Ghana . Canadian Journal of Development Studies , 31 , 329 – 347 .
   Web of Science ®Google Scholar
• Tenkorang , E. Y. , Gyimah , S. O. , Maticka-Tyndale , E. , & Adjei , J. ( 2011a ). Superstition, Witchcraft and AIDS prevention in sub-Saharan Africa: The case of Ghana . Culture, Health & Sexuality , 13 , 1001 – 1014 .
   PubMed Web of Science ®Google Scholar
• Tenkorang , E. Y. , Maticka-Tyndale , E. , & Rajulton , F. ( 2011b ). A multi-level analysis of risk perception, poverty and sexual risk-taking among young people in cape town, South Africa . Health & Place , 17 , 525 – 535 .
   PubMed Web of Science ®Google Scholar
• Trinitapolis , J. , & Regnerus , M. D. (2006). Religion and HIV risk behaviours among married men: Initial results from a study in rural sub-Saharan Africa. Journal for the Scientific Study of Religion , 45, 505–528.
   Web of Science ®Google Scholar
• UNAIDS/WHO . ( 2004 ). Women and HIV/AIDS: Confronting the crises. A joint report by UNAIDS/UNFPA/UNIFEM. Geneva: Author. Available at http://www.unfpa.org/upload/lib_pub_file/308_filename_women_aids1.pdf
   Google Scholar
• Varga , A. C. ( 2003 ). How gender influence sexual and reproductive health among South African adolescents . Studies in Family Planning , 34 , 160 – 172 .
   PubMed Web of Science ®Google Scholar
• Ward , E. G. , Disch , W. B. , Levy , J. A. , & Schensul , J. J. ( 2004 ). Perception of HIV/AIDS risk among urban, low-income senior-housing residents . AIDS Education and Prevention , 16 , 571 – 588 .
   PubMed Web of Science ®Google Scholar
• Weinstein , N. ( 1980 ). Unrealistic optimism about future life events . Journal of Personality and Social Psychology , 39 , 806 – 820 .
   Web of Science ®Google Scholar
• Weinstein , N. ( 1982 ). Unrealistic optimism about susceptibility to health problems . Journal of Behavioral Medicine , 5 , 441 – 460 .
   PubMed Web of Science ®Google Scholar
• Yamba , C. B. ( 1997 ). Cosmologies in Turmoil: Witchfinding and AIDS in Chiawa, Zambia . Journal of African International Institute , 67 , 200 – 223 .
   Web of Science ®Google Scholar
• Zellner , S. L. ( 2003 ). Condom use and accuracy of AIDS knowledge in Cote’ D'Ivoire . International Family Planning Perspectives , 29 , 41 – 47 .
   PubMedGoogle Scholar