Social representations of the prevention of heterosexual transmission of HIV among young Africans from five countries, 1997-2014

PloS One
Kate WinskellRob Stephenson

Abstract

HIV prevention has evolved dramatically since the 1990s. The ABC trilogy (abstinence, be faithful, use a condom) has expanded to incorporate a range of biomedical prevention strategies, including voluntary medical male circumcision, pre- and post-exposure prophylaxis, and treatment-as-prevention, and to accommodate structural and combination prevention approaches. This study examines how young Africans from five epidemiologically and socio-culturally diverse countries (Swaziland, Kenya, Nigeria, Burkina Faso and Senegal) made sense of the evolving prevention of sexual transmission of HIV between 1997 and 2014. It uses a distinctive data source: 1,343 creative narratives submitted to HIV-themed scriptwriting competitions by young people aged 10-24. The study triangulates between analysis of quantifiable characteristics of the narratives, thematic qualitative analysis, and narrative-based approaches. Over time, HIV prevention themes become less prominent. Condoms are represented less often from 2008, though representations become more favourable. Biomedical prevention is all but absent through 2014. While prevention strategies may be described as effective in narratorial commentary, they are rarely depicted as preventing HIV, but...Continue Reading

References

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Feb 2, 2019·Current HIV/AIDS Reports·Sybil Hosek, Audrey Pettifor

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Citations

Apr 9, 2020·Culture, Health & Sexuality·Robyn SingletonKate Winskell

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Methods Mentioned

BETA
Circumcision

Software Mentioned

DREAMS
PrEPWatch
Qualtrics
Excel
SAS
MAXQDA

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