Abstract
ABSTRACTCulture and tradition influence behavior. Multiple-partner and concurrent relationships are held responsible for the increase of HIV infection in Sub-Saharan Africa. A contextualized “theory of planned behavior” is used in this article to identify predictors of intention to practice monogamy. A mixed method design using qualitative data from focus groups, stories, and a survey is analyzed for quantitative data. The qualitative data add to the behavioral beliefs a sociocultural belief domain, as well as attitudes and subjective norms. Perceived behavioral control predicts the intention to practice monogamy. Adolescents show a tendency toward having more than one sexual partner. The normative beliefs and the sociocultural beliefs also predict intentions, while hedonistic beliefs and partner’s reaction do not. In contextualizing theory-based interventions, it is important to draw from stories and the language that circulate in a community about a given behavior. More studies are needed on ways to combine qualitative approaches with quantitative approaches to inform the development of theory-based, culturally appropriate, and context-specific intervention strategies to reduce the risk of HIV.
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