       Document 0832
 DOCN  M9640832
 TI    Promoting safer sexual practices among young adults: a survey of health
       workers in Moshi Rural District, Tanzania.
 DT    9604
 AU    Ngomuo ET; Klepp KI; Rise J; Mnyika KS; Centre for International
       Health/Research Centre for Health; Promotion, University of Bergen,
       Norway.
 SO    AIDS Care. 1995;7(4):501-7. Unique Identifier : AIDSLINE MED/96119356
 AB    As part of the national effort to prevent further spread of HIV/AIDS,
       rural health workers in Tanzania are asked to promote safer sex
       practices among the sexually active population. We conducted a survey
       among health workers in Moshi Rural District, Kilimanjaro, designed to
       assess their attitudes, perceived norms and self-efficacy with respect
       to the promotion of safer sexual practices among young adults 15-35
       years old. Health workers at all private and governmental health
       facilities were included (n = 342; participation rate of 68.4%). We
       observed relatively strong associations between the frequency and
       quality of reported counselling behaviour and perceived norms, attitudes
       and self-efficacy (standardized regression coefficients (beta) of 0.329,
       0.252 and 0.159 respectively). In addition, exposure to behaviour change
       strategies during formal training and marital status of the health
       workers were associated with counselling behaviour (beta of 0.133 and
       0.118 respectively). Overall, these factors accounted for 40.8% of the
       observed variance in reported counselling behaviour. It is recommended
       that continued education for health workers focus on providing normative
       support for promoting safer sex, provide information which may help
       foster positive attitudes and teach practical counselling skills to
       further increase the self-efficacy regarding counselling young people.
 DE    Adult  *Attitude of Health Personnel  Female  Health Personnel/EDUCATION
       Health Promotion/*ORGANIZATION & ADMIN  Human  HIV
       Infections/*PREVENTION & CONTROL  Male  Middle Age  Psychological Theory
       Regression Analysis  *Rural Health  *Sex Behavior  Social Conformity
       Support, Non-U.S. Gov't  Tanzania  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

