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Knowledge, attitudes, beliefs and practises (KABP) of adolescents / young adults (15-24 year of age) attending a private general practice, regarding HIV Voluntary Counselling & Testing (VCT)

Background: By 2005 an estimated 5. 5 million South Africans were living with HIV and the peak prevalence of HIV/AIDS occurs in young people aged 15-24 years. In order to develop prevention strategies aimed at young people, it is important to determine risk behaviours for HIV in this age group. As V...

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Main Author: Esack, Abdul Aziz
Other Authors: Coetzee, David
Format: Thesis
Language:English
Published: Department of Public Health and Family Medicine 2018
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access_status_str Open Access
author Esack, Abdul Aziz
author2 Coetzee, David
author_browse Coetzee, David
Esack, Abdul Aziz
author_facet Coetzee, David
Esack, Abdul Aziz
author_sort Esack, Abdul Aziz
collection Thesis
description Background: By 2005 an estimated 5. 5 million South Africans were living with HIV and the peak prevalence of HIV/AIDS occurs in young people aged 15-24 years. In order to develop prevention strategies aimed at young people, it is important to determine risk behaviours for HIV in this age group. As VCT has been shown to impact on risk behaviours, it is important to determine the accessibility of these services to youth. Aim: This study assessed the knowledge, attitudes, beliefs and practises (KABP) of young adults, 15-24 years of age attending a private general practise, regarding risks for HIV and accessibility of HIV Voluntary Counselling and Testing (VCT) services. Methods: This was a cross-sectional study. A self-administered questionnaire was completed by a sample of 100 patients attending a general practice located in Athlone. Results: Thirty-six of respondents were male and 64 were female. The age range was 15 to 24 years, with a mean age of 20.2 years. The demographic profile of the study population was typical of a formal urban settlement in a traditionally coloured area. Sixty four percent of respondents reported current or previous sexually activity, of which 89% reported that they had one sexual partner over the preceding three months and 58%, reported not using a condom at their last sexual encounter. The mean age of sexual debut was 16 years. Most respondents could identify safer sexual practices. While 97% of respondents had heard of HIV, only 33% knew someone who had died of HIV/AIDS. Most respondents knew how HIV was transmitted and 74% felt that they had never put themselves at risk of contracting HIV. Seventy five percent of respondents had heard of VCT, and 60% had considered having a test. Knowledge regarding the location of VCT testing sites, methods of testing and waiting period for results was generally poor. Most respondents had a favourable impression of staff in the clinic/CHC setting and would return to these facilities for HIV VCT. However, 71 % reported that they were prepared to pay for a HIV test. Respondents reported that having an HIV test would have a positive effect on sexual behaviour; however, only a third would disclose their HIV test result. Discussion: Respondents had high levels of awareness of HIV prevention strategies but these did not always translate into the adoption of appropriate behaviours. This disparity between awareness of HIV prevention strategies and actual risk taking sexual behaviour could reflect inadequacies in current HIV education programmes. Knowledge regarding most aspects of HIV VCT was inadequate, but there was a high willingness to test for HIV. Respondents indicated that they were prepared to pay for VCT. VCT could be used to engage with young adults and impact on behaviour changes. Further studies may be useful to illustrate the potential of VCT as a prevention strategy and to promote the allocation of more resources for this purpose.
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language eng
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2018
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spelling oai:open.uct.ac.za:11427/26934 Knowledge, attitudes, beliefs and practises (KABP) of adolescents / young adults (15-24 year of age) attending a private general practice, regarding HIV Voluntary Counselling & Testing (VCT) Esack, Abdul Aziz Coetzee, David Schweitzer, Beverley HIV Counselling Young Adults Family Medicine Background: By 2005 an estimated 5. 5 million South Africans were living with HIV and the peak prevalence of HIV/AIDS occurs in young people aged 15-24 years. In order to develop prevention strategies aimed at young people, it is important to determine risk behaviours for HIV in this age group. As VCT has been shown to impact on risk behaviours, it is important to determine the accessibility of these services to youth. Aim: This study assessed the knowledge, attitudes, beliefs and practises (KABP) of young adults, 15-24 years of age attending a private general practise, regarding risks for HIV and accessibility of HIV Voluntary Counselling and Testing (VCT) services. Methods: This was a cross-sectional study. A self-administered questionnaire was completed by a sample of 100 patients attending a general practice located in Athlone. Results: Thirty-six of respondents were male and 64 were female. The age range was 15 to 24 years, with a mean age of 20.2 years. The demographic profile of the study population was typical of a formal urban settlement in a traditionally coloured area. Sixty four percent of respondents reported current or previous sexually activity, of which 89% reported that they had one sexual partner over the preceding three months and 58%, reported not using a condom at their last sexual encounter. The mean age of sexual debut was 16 years. Most respondents could identify safer sexual practices. While 97% of respondents had heard of HIV, only 33% knew someone who had died of HIV/AIDS. Most respondents knew how HIV was transmitted and 74% felt that they had never put themselves at risk of contracting HIV. Seventy five percent of respondents had heard of VCT, and 60% had considered having a test. Knowledge regarding the location of VCT testing sites, methods of testing and waiting period for results was generally poor. Most respondents had a favourable impression of staff in the clinic/CHC setting and would return to these facilities for HIV VCT. However, 71 % reported that they were prepared to pay for a HIV test. Respondents reported that having an HIV test would have a positive effect on sexual behaviour; however, only a third would disclose their HIV test result. Discussion: Respondents had high levels of awareness of HIV prevention strategies but these did not always translate into the adoption of appropriate behaviours. This disparity between awareness of HIV prevention strategies and actual risk taking sexual behaviour could reflect inadequacies in current HIV education programmes. Knowledge regarding most aspects of HIV VCT was inadequate, but there was a high willingness to test for HIV. Respondents indicated that they were prepared to pay for VCT. VCT could be used to engage with young adults and impact on behaviour changes. Further studies may be useful to illustrate the potential of VCT as a prevention strategy and to promote the allocation of more resources for this purpose. 2018-01-24T11:51:29Z 2018-01-24T11:51:29Z 2008 Master Thesis Masters MMed (FamMed) http://hdl.handle.net/11427/26934 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town
spellingShingle HIV Counselling
Young Adults
Family Medicine
Esack, Abdul Aziz
Knowledge, attitudes, beliefs and practises (KABP) of adolescents / young adults (15-24 year of age) attending a private general practice, regarding HIV Voluntary Counselling & Testing (VCT)
thesis_degree_str Master's
title Knowledge, attitudes, beliefs and practises (KABP) of adolescents / young adults (15-24 year of age) attending a private general practice, regarding HIV Voluntary Counselling & Testing (VCT)
title_full Knowledge, attitudes, beliefs and practises (KABP) of adolescents / young adults (15-24 year of age) attending a private general practice, regarding HIV Voluntary Counselling & Testing (VCT)
title_fullStr Knowledge, attitudes, beliefs and practises (KABP) of adolescents / young adults (15-24 year of age) attending a private general practice, regarding HIV Voluntary Counselling & Testing (VCT)
title_full_unstemmed Knowledge, attitudes, beliefs and practises (KABP) of adolescents / young adults (15-24 year of age) attending a private general practice, regarding HIV Voluntary Counselling & Testing (VCT)
title_short Knowledge, attitudes, beliefs and practises (KABP) of adolescents / young adults (15-24 year of age) attending a private general practice, regarding HIV Voluntary Counselling & Testing (VCT)
title_sort knowledge attitudes beliefs and practises kabp of adolescents young adults 15 24 year of age attending a private general practice regarding hiv voluntary counselling testing vct
topic HIV Counselling
Young Adults
Family Medicine
url http://hdl.handle.net/11427/26934
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