Gender differentials in factors associated with HIV testing intentions in Kenya: An application of the health belief model

2011 ◽  
Vol 3 (12) ◽  
Author(s):  
Li Liu
2018 ◽  
Vol 12 (09) ◽  
pp. 706-711 ◽  
Author(s):  
Nemat Azizi ◽  
Mahmood Karimy ◽  
Vahid Naseri Salahshour

Introduction: Adherence to TB treatment is an important issue for TB control, with key health consequences. Identification of the factors associated with that adherence is also important. The objective of this study was to identify factors associated with adherence to tuberculosis treatment, using the health belief model (HBM). Methodology: Overall 297 TB patients were recruited to the study using the census method. All patients completed a 40-question survey form anonymously. The questionnaire was developed based on the Health Belief Model. Data collection was carried out through interviews and questionnaires, as well as observing medical records and medical cards to be used in medical performance checklists. Results: The participants comprised 159 men and 138 women with an average age of 56.8 years (range 19-72 years). The results showed that the variables of perceived threat, benefits, barriers, and self-efficacy accounted for 42% of the variance in therapeutic adherence. The strongest predictor of adherence was found to be self-efficacy. Conclusion: HBM appears to be a suitable model in predicting therapeutic adherence in TB patients. Our results emphasize the centrality of self-efficacy in treatment adherence, that health educators should consider when developing programs to motivate patients to adhere to treatment.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leila Katirayi ◽  
Job Akuno ◽  
Bright Kulukulu ◽  
Rose Masaba

Abstract Background HIV testing among adolescents is significantly lower than among adults and many adolescents living with HIV do not know their status. Adolescent perceptions of HIV testing are poorly understood and may negatively affect testing uptake. Using a qualitative design, this study sought to explore perceptions about HIV testing and treatment among adolescents living with HIV and adolescents of unknown HIV status in Lusaka, Zambia and Kenya. Methods Study participants were adolescents aged 15–19 years old. The adolescents living with HIV were recruited from HIV support groups at health facilities. Adolescents of unknown HIV status were recruited from existing adolescent groups within the community. In both Zambia and Kenya, four focus group discussions (FGDs) were conducted with adolescents living with HIV and four FGDs were conducted with adolescents whose HIV status was unknown, for a total of 16 FDGs. FGDs consisted of 6–12 participants, a moderator, and a note-taker. FGDs were audio-recorded, transcribed, and translated into transcripts. Transcripts were coded in the qualitative analysis software program MAXQDA v. 12. Data reduction and summary tables were generated to help identify themes across the two study population groups. Data were interpreted within the health belief model. Results Adolescents discussed the challenges of facing a positive HIV test result, including fear of a positive result and need to change their lifestyle, fear of social isolation, and perception of the lost opportunity to achieve future dreams. Most adolescents of unknown status were not as aware of the benefits of learning their HIV status, nor were they aware of the ability to live a long and healthy life on ART. HIV-positive adolescents reported that the messages targeted towards adolescents focus on the need to remain HIV-negative, as opposed to the benefits of knowing one’s status. Adolescents described age and requirements for parental permission as a significant limitation in their ability to access HIV testing. Conclusions Adolescents require more information about the benefits of testing early and the ability to live a long and healthy life on ART. Educating adolescents that HIV testing is a normative behavior among their peers could strengthen HIV testing among adolescents.


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