Aanvaarding van roetine MIV berading en toetsing in die konteks van die gesondheidsoortuigingsmodel

[摘要] ENGLISH ABSTRACT: South Africa is one of the countries with the highest HIV prevalence rates worldwide andyounger age groups are often disproportionately affected. Knowledge of HIV status is regardedas an important prevention strategy for reducing HIV transmission and infection and it is viewedas a means to access antiretroviral therapy. Routine HIV Counseling and Testing (RCT) cansignificantly increase knowledge of HIV status, but it is unclear whether RCT will be accepted ifoffered. The aim of this study was to determine whether the main dimensions of the HealthBelief Model (HBM) namely, perceived susceptibility, perceived severity, perceived benefits andperceived barriers can predict acceptance of RCT. A second objective of the study was todetermine if the variable of the HBM, namely cue's to action could significantly contribute topredicting acceptability of RCT.A sample of 1113 students at the University of Stellenbosch in the Western CapeProvince of South Africa completed a structured questionnaire, measuring the acceptability ofRCT. Multiple regression analysis was used to analyze the data and it was found that the maindimensions of the HBM could explain 25.1% of the variance in acceptance of RCT. It washowever found that the variable perceived severity did not make a significant individualcontribution to predicting acceptability of RCT. The addition of the variable cues to action alsodid not make a significant individual contribution to the prediction of RCT.It was therefore found that the HBM could partially, but not in its entirety, predictacceptability of RCT among the student population. Interventions should therefore aim toincrease perceived benefits of RCT, reduce perceived barriers to RCT and facilitate correctpersonal risk assessment in order to increase perceived susceptibility.

[发布机构] Stellenbosch University