Using the Health Belief Model and Acculturation to Predict Safer Sexual Behavior and Sexual Communication among African Immigrants

Using the Health Belief Model and Acculturation to Predict Safer Sexual Behavior and Sexual Communication among African Immigrants

Bibliographic Details
Main Author: Asare, Matthew
Language:English
Published: University of Cincinnati / OhioLINK 2011
Subjects:
Health Education
Health Belief Model
Acculturation
Sexual Communication
Safer Sex
African immigrants
condom use
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=ucin1318611530
id ndltd-OhioLink-oai-etd.ohiolink.edu-ucin1318611530
record_format oai_dc
collection NDLTD
language English
sources NDLTD
topic Health Education
Health Belief Model
Acculturation
Sexual Communication
Safer Sex
African immigrants
condom use
spellingShingle Health Education
Health Belief Model
Acculturation
Sexual Communication
Safer Sex
African immigrants
condom use
Asare, Matthew
Using the Health Belief Model and Acculturation to Predict Safer Sexual Behavior and Sexual Communication among African Immigrants
author Asare, Matthew
author_facet Asare, Matthew
author_sort Asare, Matthew
title Using the Health Belief Model and Acculturation to Predict Safer Sexual Behavior and Sexual Communication among African Immigrants
title_short Using the Health Belief Model and Acculturation to Predict Safer Sexual Behavior and Sexual Communication among African Immigrants
title_full Using the Health Belief Model and Acculturation to Predict Safer Sexual Behavior and Sexual Communication among African Immigrants
title_fullStr Using the Health Belief Model and Acculturation to Predict Safer Sexual Behavior and Sexual Communication among African Immigrants
title_full_unstemmed Using the Health Belief Model and Acculturation to Predict Safer Sexual Behavior and Sexual Communication among African Immigrants
title_sort using the health belief model and acculturation to predict safer sexual behavior and sexual communication among african immigrants
publisher University of Cincinnati / OhioLINK
publishDate 2011
url http://rave.ohiolink.edu/etdc/view?acc_num=ucin1318611530
work_keys_str_mv AT asarematthew usingthehealthbeliefmodelandacculturationtopredictsafersexualbehaviorandsexualcommunicationamongafricanimmigrants
_version_ 1719433475241541632
spelling ndltd-OhioLink-oai-etd.ohiolink.edu-ucin13186115302021-08-03T06:15:05Z Using the Health Belief Model and Acculturation to Predict Safer Sexual Behavior and Sexual Communication among African Immigrants Asare, Matthew Health Education Health Belief Model Acculturation Sexual Communication Safer Sex African immigrants condom use Background: Since the outbreak of HIV/AIDS in the 1980s, governments, nongovernmental organizations and public health professionals have been trying to find treatment and prevention strategies that can help control the transmission of the disease. However, after three decades, the disease continues to remain a global menace. African immigrants in the United States are at high risk of HIV/AIDS because of their sexual behaviors and their unwillingness to communicate about their sexual behaviors to their partners, but they are the least studied subpopulation in the U.S. Purpose: Therefore, the purposes of this study were to examine the extent to which: (a) the constructs of the Health Belief Model (HBM) predict safer sexual behavior and sexual communication of African immigrants, (b) the level of acculturation predicts African immigrants' safer sexual behavior and sexual negotiation, and (c) sexual communication predict safer sexual behavior. Methods: The design for the study was cross-sectional in nature as such the data were collected at one point in time. A 64-item questionnaire based on constructs of HBM and acculturation levels was administered to a convenience sample of 412 African immigrants in Ohio. A snowball method was used in the recruitment process. Content and face Validities of the instrument were established by a panel of six experts. The readability, comprehension and the appropriateness of the instrument were also established through a pilot test. The reliability of the instrument was tested using test-retest reliability and internal consistency methods. The Cronbach's alpha and correlation coefficient for the subscales were found to be more than .70 alpha level established a priori. An extended version of exploratory factor analysis and confirmatory factor analysis using Structural equation model were used for the construct validity of the instrument. Results: The results for both approaches yielded acceptable factor loadings (.30) for the instruments. The binary logistic regression analysis revealed the HBM and acculturation as a set significantly accounted for the variance of condom use, monogamous and sexual communication behaviors of the participants. The major findings showed that the HBM constructs of perceived susceptibility (OR = 1.10), perceived barriers (OR = 1.10), cues to action (OR = 1.19), and self-efficacy (OR = 1.21) were significant predictors of condom use among the participants (p < .05). Also, there was a significant association between perceived barriers (OR = 1.53) and monogamous relationships among the participants (p < .05). However, the self-efficacy construct had a negative correlation with the participants' monogamous behaviors. The results also showed that there were significant relationships between participants' sexual communication behaviors and cues to action (OR = 1.22), perceived benefits (OR = 1.45), and perceived susceptibility (1.14). Acculturation was found to be contributing to the variance in the participants' sexual communication behaviors (OR = 1.08). However, acculturation did not have any association between the participants' condom use and monogamous behaviors. Conclusion: Based on the findings, a future HIV/AIDS risk reduction program among African immigrants should include perceived susceptibility, cues to action, self-efficacy, perceived barriers, and perceived benefits of condom use and sexual communication behaviors. 2011 English text University of Cincinnati / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ucin1318611530 http://rave.ohiolink.edu/etdc/view?acc_num=ucin1318611530 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.

Similar Items