Amsterdam 2015
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| Abstract #2133 - Kids in focus: Children and HIV | ||||
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Session: 7.6: Kids in focus: Children and HIV (Parallel) on Wednesday @ 11.30-13.00 in C001 Chaired by Naume Kupe, Ashraf Grimwood Authors: Presenting Author: Dr. Daniel Montano - University of Washington, United States |
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| Additional Authors: | ||||
| Aim: Male circumcision (MC) has been shown to significantly reduce HIV acquisition among men. It is expected that target levels of circumcision will eventually be maintained by circumcising newborns for whom MC is easier and safer. Adoption among adult men has been exceedingly slow and it is likely to remain slow regardless of the population targeted without effective messaging to change the beliefs underlying the decision to seek MC. Thus the eventual shift to neonatal MC will likely be as ineffective as current adult programs without an effective evidence-based messaging campaign targeted to parents. This research was conducted to identify key beliefs that explain newborn MC intention/motivation among expectant parents in Zimbabwe. | ||||
| Method / Issue: The Integrated Behavioral Model (IBM) was used as a framework for the study. A survey instrument was designed based on qualitative interviews. The quantitative survey was administered to a representative antenatal clinic-based sample of 1,576 expectant parents from two urban and two rural areas in Zimbabwe. A 3-stage regression process was used to identify key beliefs to target in future messaging to motivate parents to seek MC for their newborn. | ||||
| Results / Comments: All five IBM constructs significantly explained MC intention among mothers (R=.72) four constructs significantly explained intention among fathers (R=.70). Analyses of beliefs underlying each construct found 15 behavioral, 5 normative, 2 descriptive norm and 6 efficacy beliefs were significant predictors of intention among fathers while 14 behavioral, 4 normative, 3 descriptive norm, 7 control and 4 efficacy beliefs were significant among mothers. An analysis of all significant IBM construct beliefs identified 13 key beliefs among fathers and 13 key beliefs among mothers (only four in common) that best explain MC intention. Similar analyses were carried out with urban and rural subgroups, and found different sets of behavioral, normative, efficacy, and control beliefs were significant for urban and rural mothers and fathers. | ||||
| Discussion: This study demonstrates the application of theory-driven research to identify evidence-based key beliefs to target in communication messages, to increase parents’ motivation to get their newborn sons circumcised and thereby improve demand for male circumcision. Our findings suggest that communication messages need to be tailored to target different key beliefs to be most effective for urban and rural mothers and fathers of newborn boys in Zimbabwe. | ||||
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