Sexual Behavior Change Intentions and Actions in the Context of a Randomized Trial of a Conditional Cash Transfer for HIV Prevention in Tanzania

Information, education, communication and interventions based on behavioral-change communication have had success in increasing the awareness of HIV. But these strategies alone have been less successful in changing risky sexual behavior. This paper...

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Main Authors: Packel, Laura, Dow, William H., de Walque, Damien, Isdahl, Zachary, Majura, Albert
Format: Policy Research Working Paper
Language:English
Published: 2012
Subjects:
HIV
SEX
Online Access:http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20120314091944
http://hdl.handle.net/10986/3285
id okr-10986-3285
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic ADOLESCENT
ADOLESCENT GIRLS
ADOLESCENT SEXUAL BEHAVIOUR
ADOLESCENT SEXUALITY
ADOLESCENTS
AGED
AIDS CARE
AIDS EDUCATION
AIDS EPIDEMIC
ALCOHOL
ALCOHOL USE
BEHAVIOR CHANGE
BEHAVIORAL CHANGE
BEHAVIOUR CHANGE
BIOLOGICAL MARKERS
BULLETIN
CHLAMYDIA
CLINICAL INFECTIOUS DISEASES
COERCION
COGNITIVE MODELS
CONDOM
CONDOM USE
CONDOMS
DEPENDENCE ON MEN
DEVELOPING COUNTRIES
DEVELOPMENT POLICY
DISSEMINATION
EPIDEMIC
FAMILY PLANNING
FEMALE
FEMALES
FERTILITY
FERTILITY DECLINE
GENDER
GENDER DIFFERENCES
GENDER INEQUITIES
GENDER RELATIONS
GLOBAL HEALTH
GONORRHEA
HEALTH BEHAVIOR
HEALTH EDUCATION
HEALTH FACILITIES
HEALTH INTERVENTIONS
HIV
HIV INFECTION
HIV INFECTIONS
HIV POSITIVE
HIV PREVENTION
HIV TESTING
HIV TRANSMISSION
HIV/AIDS
HUMAN DEVELOPMENT
HUMAN IMMUNODEFICIENCY VIRUS
HUSBANDS
ILLEGAL ABORTIONS
IMMUNODEFICIENCY
INFECTION PREVENTION
INFECTIOUS DISEASES
INFORMED CONSENT
INTERNATIONAL LABOR ORGANIZATION
INTERVENTION
MALES
MARITAL STATUS
MARRIED COUNTERPARTS
MARRIED WOMEN
MEDICAL RESEARCH
MEDICINE
METAANALYSIS
MINISTRY OF HEALTH
NUTRITION
PATIENT
PERCEPTIONS OF RISK
POLICY DISCUSSIONS
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POPULATION AND DEVELOPMENT
POPULATION CENTER
POPULATION REFERENCE BUREAU
PREVENTION INTERVENTIONS
PRIMARY SCHOOL
PRIMARY SCHOOL EDUCATION
PROSTITUTION
PSYCHOLOGY
PUBLIC HEALTH
PUBLIC SERVICES
REPRODUCTIVE HEALTH
REPRODUCTIVE HEALTH SERVICES
RESEARCH COMMUNITIES
RESPECT
RESPONSE TO AIDS
RISK BEHAVIOR
RISK FOR INFECTION
RISK OF AIDS
RISK OF INFECTION
RISK-REDUCTION
RISK-REDUCTION STRATEGIES
RISK-TAKERS
RISKY BEHAVIOR
RISKY BEHAVIORS
RISKY SEX
RISKY SEXUAL BEHAVIOR
RISKY SEXUAL BEHAVIORS
SAFER SEX
SECONDARY SCHOOL
SEX
SEX FOR MONEY
SEX PARTNERS
SEX PRACTICES
SEXUAL BEHAVIOR
SEXUAL BEHAVIORS
SEXUAL BEHAVIOUR
SEXUAL BEHAVIOUR DATA
SEXUAL CONTACT
SEXUAL DECISIONS
SEXUAL PARTNERS
SEXUAL PARTNERSHIPS
SEXUAL PRACTICES
SEXUAL RELATIONSHIP
SEXUAL RELATIONSHIPS
SEXUAL RISK
SEXUAL RISK BEHAVIORS
SEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED INFECTION
SEXUALLY TRANSMITTED INFECTIONS
SOCIAL POLICY
SOCIAL SCIENCE
SOCIAL WELFARE
SOCIOECONOMIC STATUS
SPOUSES
STIS
STRATEGIES FOR PREVENTION
SYNDROMIC MANAGEMENT
SYPHILIS
UNEQUAL POWER
UNMARRIED WOMEN
UNSAFE SEX
UNSAFE SEXUAL BEHAVIORS
VICTIMS
WOMAN
YOUTH
YOUTHS
spellingShingle ADOLESCENT
ADOLESCENT GIRLS
ADOLESCENT SEXUAL BEHAVIOUR
ADOLESCENT SEXUALITY
ADOLESCENTS
AGED
AIDS CARE
AIDS EDUCATION
AIDS EPIDEMIC
ALCOHOL
ALCOHOL USE
BEHAVIOR CHANGE
BEHAVIORAL CHANGE
BEHAVIOUR CHANGE
BIOLOGICAL MARKERS
BULLETIN
CHLAMYDIA
CLINICAL INFECTIOUS DISEASES
COERCION
COGNITIVE MODELS
CONDOM
CONDOM USE
CONDOMS
DEPENDENCE ON MEN
DEVELOPING COUNTRIES
DEVELOPMENT POLICY
DISSEMINATION
EPIDEMIC
FAMILY PLANNING
FEMALE
FEMALES
FERTILITY
FERTILITY DECLINE
GENDER
GENDER DIFFERENCES
GENDER INEQUITIES
GENDER RELATIONS
GLOBAL HEALTH
GONORRHEA
HEALTH BEHAVIOR
HEALTH EDUCATION
HEALTH FACILITIES
HEALTH INTERVENTIONS
HIV
HIV INFECTION
HIV INFECTIONS
HIV POSITIVE
HIV PREVENTION
HIV TESTING
HIV TRANSMISSION
HIV/AIDS
HUMAN DEVELOPMENT
HUMAN IMMUNODEFICIENCY VIRUS
HUSBANDS
ILLEGAL ABORTIONS
IMMUNODEFICIENCY
INFECTION PREVENTION
INFECTIOUS DISEASES
INFORMED CONSENT
INTERNATIONAL LABOR ORGANIZATION
INTERVENTION
MALES
MARITAL STATUS
MARRIED COUNTERPARTS
MARRIED WOMEN
MEDICAL RESEARCH
MEDICINE
METAANALYSIS
MINISTRY OF HEALTH
NUTRITION
PATIENT
PERCEPTIONS OF RISK
POLICY DISCUSSIONS
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POPULATION AND DEVELOPMENT
POPULATION CENTER
POPULATION REFERENCE BUREAU
PREVENTION INTERVENTIONS
PRIMARY SCHOOL
PRIMARY SCHOOL EDUCATION
PROSTITUTION
PSYCHOLOGY
PUBLIC HEALTH
PUBLIC SERVICES
REPRODUCTIVE HEALTH
REPRODUCTIVE HEALTH SERVICES
RESEARCH COMMUNITIES
RESPECT
RESPONSE TO AIDS
RISK BEHAVIOR
RISK FOR INFECTION
RISK OF AIDS
RISK OF INFECTION
RISK-REDUCTION
RISK-REDUCTION STRATEGIES
RISK-TAKERS
RISKY BEHAVIOR
RISKY BEHAVIORS
RISKY SEX
RISKY SEXUAL BEHAVIOR
RISKY SEXUAL BEHAVIORS
SAFER SEX
SECONDARY SCHOOL
SEX
SEX FOR MONEY
SEX PARTNERS
SEX PRACTICES
SEXUAL BEHAVIOR
SEXUAL BEHAVIORS
SEXUAL BEHAVIOUR
SEXUAL BEHAVIOUR DATA
SEXUAL CONTACT
SEXUAL DECISIONS
SEXUAL PARTNERS
SEXUAL PARTNERSHIPS
SEXUAL PRACTICES
SEXUAL RELATIONSHIP
SEXUAL RELATIONSHIPS
SEXUAL RISK
SEXUAL RISK BEHAVIORS
SEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED INFECTION
SEXUALLY TRANSMITTED INFECTIONS
SOCIAL POLICY
SOCIAL SCIENCE
SOCIAL WELFARE
SOCIOECONOMIC STATUS
SPOUSES
STIS
STRATEGIES FOR PREVENTION
SYNDROMIC MANAGEMENT
SYPHILIS
UNEQUAL POWER
UNMARRIED WOMEN
UNSAFE SEX
UNSAFE SEXUAL BEHAVIORS
VICTIMS
WOMAN
YOUTH
YOUTHS
Packel, Laura
Dow, William H.
de Walque, Damien
Isdahl, Zachary
Majura, Albert
Sexual Behavior Change Intentions and Actions in the Context of a Randomized Trial of a Conditional Cash Transfer for HIV Prevention in Tanzania
geographic_facet Africa
Africa
Sub-Saharan Africa
East Africa
Tanzania
relation Paper is funded by the Knowledge for Change Program (KCP),Policy Research working paper ; no. WPS 5997,Impact Evaluation series ; no. IE 53
description Information, education, communication and interventions based on behavioral-change communication have had success in increasing the awareness of HIV. But these strategies alone have been less successful in changing risky sexual behavior. This paper addresses this issue by exploring the link between action and the intention to change behaviors. In Africa, uncertainty in the lives of those at risk for HIV may affect how intentions are formed. Characterize this uncertainty by understanding the reasons for discrepancies between intentions and actions may help improve the design of HIV-prevention interventions. Based on an incentives-based HIV prevention trial in Tanzania, the longitudinal dataset in this paper allows the exploration of intended strategies for changing sexual behaviors and their results. The authors find that gender, intervention groups and new positive diagnoses of sexually transmitted infections can significantly predict the link between intent and action. The paper examines potential mediators of these relationships.
format Publications & Research :: Policy Research Working Paper
author Packel, Laura
Dow, William H.
de Walque, Damien
Isdahl, Zachary
Majura, Albert
author_facet Packel, Laura
Dow, William H.
de Walque, Damien
Isdahl, Zachary
Majura, Albert
author_sort Packel, Laura
title Sexual Behavior Change Intentions and Actions in the Context of a Randomized Trial of a Conditional Cash Transfer for HIV Prevention in Tanzania
title_short Sexual Behavior Change Intentions and Actions in the Context of a Randomized Trial of a Conditional Cash Transfer for HIV Prevention in Tanzania
title_full Sexual Behavior Change Intentions and Actions in the Context of a Randomized Trial of a Conditional Cash Transfer for HIV Prevention in Tanzania
title_fullStr Sexual Behavior Change Intentions and Actions in the Context of a Randomized Trial of a Conditional Cash Transfer for HIV Prevention in Tanzania
title_full_unstemmed Sexual Behavior Change Intentions and Actions in the Context of a Randomized Trial of a Conditional Cash Transfer for HIV Prevention in Tanzania
title_sort sexual behavior change intentions and actions in the context of a randomized trial of a conditional cash transfer for hiv prevention in tanzania
publishDate 2012
url http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20120314091944
http://hdl.handle.net/10986/3285
_version_ 1764386733353336832
spelling okr-10986-32852021-04-23T14:02:08Z Sexual Behavior Change Intentions and Actions in the Context of a Randomized Trial of a Conditional Cash Transfer for HIV Prevention in Tanzania Packel, Laura Dow, William H. de Walque, Damien Isdahl, Zachary Majura, Albert ADOLESCENT ADOLESCENT GIRLS ADOLESCENT SEXUAL BEHAVIOUR ADOLESCENT SEXUALITY ADOLESCENTS AGED AIDS CARE AIDS EDUCATION AIDS EPIDEMIC ALCOHOL ALCOHOL USE BEHAVIOR CHANGE BEHAVIORAL CHANGE BEHAVIOUR CHANGE BIOLOGICAL MARKERS BULLETIN CHLAMYDIA CLINICAL INFECTIOUS DISEASES COERCION COGNITIVE MODELS CONDOM CONDOM USE CONDOMS DEPENDENCE ON MEN DEVELOPING COUNTRIES DEVELOPMENT POLICY DISSEMINATION EPIDEMIC FAMILY PLANNING FEMALE FEMALES FERTILITY FERTILITY DECLINE GENDER GENDER DIFFERENCES GENDER INEQUITIES GENDER RELATIONS GLOBAL HEALTH GONORRHEA HEALTH BEHAVIOR HEALTH EDUCATION HEALTH FACILITIES HEALTH INTERVENTIONS HIV HIV INFECTION HIV INFECTIONS HIV POSITIVE HIV PREVENTION HIV TESTING HIV TRANSMISSION HIV/AIDS HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HUSBANDS ILLEGAL ABORTIONS IMMUNODEFICIENCY INFECTION PREVENTION INFECTIOUS DISEASES INFORMED CONSENT INTERNATIONAL LABOR ORGANIZATION INTERVENTION MALES MARITAL STATUS MARRIED COUNTERPARTS MARRIED WOMEN MEDICAL RESEARCH MEDICINE METAANALYSIS MINISTRY OF HEALTH NUTRITION PATIENT PERCEPTIONS OF RISK POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POPULATION AND DEVELOPMENT POPULATION CENTER POPULATION REFERENCE BUREAU PREVENTION INTERVENTIONS PRIMARY SCHOOL PRIMARY SCHOOL EDUCATION PROSTITUTION PSYCHOLOGY PUBLIC HEALTH PUBLIC SERVICES REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH SERVICES RESEARCH COMMUNITIES RESPECT RESPONSE TO AIDS RISK BEHAVIOR RISK FOR INFECTION RISK OF AIDS RISK OF INFECTION RISK-REDUCTION RISK-REDUCTION STRATEGIES RISK-TAKERS RISKY BEHAVIOR RISKY BEHAVIORS RISKY SEX RISKY SEXUAL BEHAVIOR RISKY SEXUAL BEHAVIORS SAFER SEX SECONDARY SCHOOL SEX SEX FOR MONEY SEX PARTNERS SEX PRACTICES SEXUAL BEHAVIOR SEXUAL BEHAVIORS SEXUAL BEHAVIOUR SEXUAL BEHAVIOUR DATA SEXUAL CONTACT SEXUAL DECISIONS SEXUAL PARTNERS SEXUAL PARTNERSHIPS SEXUAL PRACTICES SEXUAL RELATIONSHIP SEXUAL RELATIONSHIPS SEXUAL RISK SEXUAL RISK BEHAVIORS SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTION SEXUALLY TRANSMITTED INFECTIONS SOCIAL POLICY SOCIAL SCIENCE SOCIAL WELFARE SOCIOECONOMIC STATUS SPOUSES STIS STRATEGIES FOR PREVENTION SYNDROMIC MANAGEMENT SYPHILIS UNEQUAL POWER UNMARRIED WOMEN UNSAFE SEX UNSAFE SEXUAL BEHAVIORS VICTIMS WOMAN YOUTH YOUTHS Information, education, communication and interventions based on behavioral-change communication have had success in increasing the awareness of HIV. But these strategies alone have been less successful in changing risky sexual behavior. This paper addresses this issue by exploring the link between action and the intention to change behaviors. In Africa, uncertainty in the lives of those at risk for HIV may affect how intentions are formed. Characterize this uncertainty by understanding the reasons for discrepancies between intentions and actions may help improve the design of HIV-prevention interventions. Based on an incentives-based HIV prevention trial in Tanzania, the longitudinal dataset in this paper allows the exploration of intended strategies for changing sexual behaviors and their results. The authors find that gender, intervention groups and new positive diagnoses of sexually transmitted infections can significantly predict the link between intent and action. The paper examines potential mediators of these relationships. 2012-03-19T17:29:43Z 2012-03-19T17:29:43Z 2012-03-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20120314091944 http://hdl.handle.net/10986/3285 English Paper is funded by the Knowledge for Change Program (KCP),Policy Research working paper ; no. WPS 5997,Impact Evaluation series ; no. IE 53 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Publications & Research :: Policy Research Working Paper Africa Africa Sub-Saharan Africa East Africa Tanzania