A quantitative survey of knowledge, attitudes and behaviour, related to AIDS/HIV, among Zulu speaking standard eight high school students

Abstract

AIDS is a serious South African health problem, with HIV infection in KwaZulu-Natal being at the local epidemic's forefront. Adolescents in this province are at additional risk because of their lifestyles. Information on existing risky behaviour and its psychosocial concomitants can provide an important base for educational interventions aimed at reducing further transmission. This study aims to provide baseline information on knowledge, attitudes and reported behaviour, relating to HIV/AIDS, among adolescents in KwaZulu-Natal. A survey, using an anonymous, self-administered questionnaire with closed-ended questions to collect data, was conducted among standard eight Zulu-speaking students (N = 1511) in five parts of the province. The theoretical framework that informed data collection was drawn from the Health Belief Model and Bandura's Social Cognitive Theory. The data generated were first analysed descriptively, providing percentages for responses to individual items. Secondly, cross-tabulations were calculated for relevant items using three independent biographical variables, namely: Locality (rural/peri-urban), gender and students' reports of sexual activity. The results showed inadequate knowledge concerning HIV/AIDS to provide a foundation for developing healthier attitudes. Although most students acknowledged the disease's severity, few reported feeling personally susceptible, denying the immediacy of the threat. Additionally, cues to action and the perceived benefits of adopting preventive behaviours were not influential. Barriers preventing condom use were not primarily logistical, with personal concerns being the main barriers to change. Furthermore, perceived self-efficacy in preventive behaviours was low. Recommendations regarding areas for future research, as well as considerations which will enhance the effectiveness of risk reducing interventions among similar populations, are provided.