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Facts, Attitudes, and Health Reasoning About HIV and AIDS: Explaining the Education Effect on Condom Use Among Adults in Sub-Saharan Africa
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Behavioral Science
Behavioral and Social Science Publications
:
Facts, Attitudes, and Health Reasoning About HIV and AIDS: Explaining the Education Effect on Condom Use Among Adults in Sub-Saharan Africa
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Title
Facts, Attitudes, and Health Reasoning About HIV and AIDS: Explaining the Education Effect on Condom Use Among Adults in Sub-Saharan Africa
Authors
D. Baker, J. Leon, J. Collins
Network Affiliation
Other
Organization
Journal Name
AIDS and Behavior
Publication Date
6/11/2010
PubMed Search
Link to full-text
PMID
20544383
Abstract
In contrast to earlier in the
HIV
/
AIDS
pandemic, net of other demographic factors, formal
education
acts as a preventative factor in
sub-Saharan
Africa
. Despite this trend, there has been almost no research on the causal mechanisms behind the widely reported
education
effect
. Consistent with the
education
effect
, structural equation modeling of the influence of
education
attainment on
condom
use with Demographic
Health
Survey data from nine
sub-Saharan
Africa
nations collected between 2003 and 2005 finds that net of control variables, there is a robust, positive influence of
education
on
condom
use among sexually risky
adults
. Information-transfer and attitude change, the two most commonly assumed educational influences on the use of condoms, are tested, and although
education
attainment increases acquisition of basic
facts
and the inculcation of positive
attitudes
about
HIV
/
AIDS
, these factors have only weak influence on
condom
use. Given this, a new hypothesis about
education
's enhancement of
health
reasoning
is developed from neuro-developmental and decision-making research. Modeling finds that
education
robustly influences
health
reasoning
ability and this factor mediates a significant proportion of the
education
effect
on
condom
use. The results raise concern about the enormous effort by NGOs in the region to use mainly fact- and attitude-based educational programs to reduce future
HIV
infections. Future research on the causal mechanisms behind the association between
education
and
HIV
/
AIDS
prevention should focus how on schooling enhances the cognitive skills needed for
health
reasoning
.
Keywords
Topic
Behavior; Black; Neurocognitive Assessment
Attachments
Created at 10/27/2011 3:18 PM by Davis, Gregory P
Last modified at 10/27/2011 3:18 PM by Davis, Gregory P
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