IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v75y2012i6p1078-1087.html
   My bibliography  Save this article

Enhancing adolescent self-efficacy and collective efficacy through public engagement around HIV/AIDS competence: A multilevel, cluster randomized-controlled trial

Author

Listed:
  • Carlson, Mary
  • Brennan, Robert T.
  • Earls, Felton

Abstract

The potential capacity of children to confront the HIV/AIDS pandemic is rarely considered. Interventions to address the impact of the pandemic on children and adolescents commonly target only their vulnerabilities. We evaluated the Young Citizens Program, an adolescent-centered health promotion curriculum designed to increase self- and collective efficacy through public education and community mobilization across a municipality in the Kilimanjaro Region of Tanzania. The theoretical framework for the program integrates aspects of human capability, communicative action, social ecology and social cognition. The design consists of a cluster randomized-controlled trial (CRCT). Fifteen pairs of matched geopolitically defined neighborhoods of roughly 2000–4000 residents were randomly allocated to treatment and control arms. Within each neighborhood cluster, 24 randomly selected adolescents, ages 9–14, deliberated on topics of social ecology, citizenship, community health and HIV/AIDS competence. Building on their acquired understanding and confidence, they dramatized the scientific basis and social context of HIV infection, testing and treatment in their communities over a 28-week period. The curriculum comprised 5 modules: Group Formation, Understanding our Community, Health and our Community, Making Assessments and Taking Action in our Community and Inter-Acting in our Community. Adolescent participants and adult residents representative of their neighborhoods were surveyed before and after the intervention; data were analyzed using multilevel modeling. In treatment neighborhoods, adolescents increased their deliberative and communicative efficacy and adults showed higher collective efficacy for children. Following the CRCT assessments, the control group received the same curriculum. In the Kilimanjaro Region, the Young Citizens Program is becoming recognized as a structural, health promotion approach through which adolescent self-efficacy and child collective efficacy are generated in the context of civil society and local government.

Suggested Citation

  • Carlson, Mary & Brennan, Robert T. & Earls, Felton, 2012. "Enhancing adolescent self-efficacy and collective efficacy through public engagement around HIV/AIDS competence: A multilevel, cluster randomized-controlled trial," Social Science & Medicine, Elsevier, vol. 75(6), pages 1078-1087.
  • Handle: RePEc:eee:socmed:v:75:y:2012:i:6:p:1078-1087
    DOI: 10.1016/j.socscimed.2012.04.035
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612004030
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2012.04.035?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Sampson, R.J. & Morenoff, J.D. & Raudenbush, S., 2005. "Social anatomy of racial and ethnic disparities in violence," American Journal of Public Health, American Public Health Association, vol. 95(2), pages 224-232.
    2. Lochner, Kimberly A. & Kawachi, Ichiro & Brennan, Robert T. & Buka, Stephen L., 2003. "Social capital and neighborhood mortality rates in Chicago," Social Science & Medicine, Elsevier, vol. 56(8), pages 1797-1805, April.
    3. Onyango-Ouma, W. & Aagaard-Hansen, J. & Jensen, B.B., 2005. "The potential of schoolchildren as health change agents in rural western Kenya," Social Science & Medicine, Elsevier, vol. 61(8), pages 1711-1722, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    RePEc Biblio mentions

    As found on the RePEc Biblio, the curated bibliography for Economics:
    1. > Economics of Welfare > Health Economics > Economics of Pandemics > Policy responses > Behavioral

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Salmen, Charles R. & Hickey, Matthew D. & Fiorella, Kathryn J. & Omollo, Dan & Ouma, Gor & Zoughbie, Daniel & Salmen, Marcus R. & Magerenge, Richard & Tessler, Robert & Campbell, Harold & Geng, Elvin , 2015. "“Wan Kanyakla” (We are together): Community transformations in Kenya following a social network intervention for HIV care," Social Science & Medicine, Elsevier, vol. 147(C), pages 332-340.
    2. Mary Kay Gugerty & Pierre Biscaye & C. Leigh Anderson, 2019. "Delivering development? Evidence on self‐help groups as development intermediaries in South Asia and Africa," Development Policy Review, Overseas Development Institute, vol. 37(1), pages 129-151, January.
    3. Mburu, Gitau & Ram, Mala & Oxenham, Danielle & Haamujompa, Choolwe & Iorpenda, Kate & Ferguson, Laura, 2014. "Responding to adolescents living with HIV in Zambia: A social–ecological approach," Children and Youth Services Review, Elsevier, vol. 45(C), pages 9-17.
    4. Guerra, Nancy & Modecki, Kathryn & Cunningham, Wendy, 2014. "Developing social-emotional skills for the labor market : the PRACTICE model," Policy Research Working Paper Series 7123, The World Bank.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Damiano Fiorillo & Giuseppe Lubrano Lavadera & Nunzia Nappo, 2020. "Individual Heterogeneity in the Association Between Social Participation and Self-rated Health: A Panel Study on BHPS," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 151(2), pages 645-667, September.
    2. Tse-Chuan Yang & Stephen A Matthews, 2015. "Death by Segregation: Does the Dimension of Racial Segregation Matter?," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-26, September.
    3. Barış Alpaslan & Julide Yildirim, 2020. "The Missing Link: Are Individuals with More Social Capital in Better Health? Evidence from India," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 150(3), pages 811-834, August.
    4. Mike Males, 2015. "Age, Poverty, Homicide, and Gun Homicide," SAGE Open, , vol. 5(1), pages 21582440155, March.
    5. Stafford, Mai & Cummins, Steven & Ellaway, Anne & Sacker, Amanda & Wiggins, Richard D. & Macintyre, Sally, 2007. "Pathways to obesity: Identifying local, modifiable determinants of physical activity and diet," Social Science & Medicine, Elsevier, vol. 65(9), pages 1882-1897, November.
    6. Evans, W.D. & Pattanayak, S.K. & Young, S. & Buszin, J. & Rai, S. & Bihm, Jasmine Wallace, 2014. "Social marketing of water and sanitation products: A systematic review of peer-reviewed literature," Social Science & Medicine, Elsevier, vol. 110(C), pages 18-25.
    7. Eiji Yamamura, 2011. "Differences in the effect of social capital on health status between workers and non-workers," International Review of Economics, Springer;Happiness Economics and Interpersonal Relations (HEIRS), vol. 58(4), pages 385-400, December.
    8. Allen, Jonathan & Cancino, Jeffrey M., 2012. "Social disorganization, Latinos and juvenile crime in the Texas borderlands," Journal of Criminal Justice, Elsevier, vol. 40(2), pages 152-163.
    9. Blume,L.E. & Durlauf,S.N., 2005. "Identifying social interactions : a review," Working papers 12, Wisconsin Madison - Social Systems.
    10. Cénat, Jude Mary & McIntee, Sara-Emilie & Mukunzi, Joana N. & Noorishad, Pari-Gole, 2021. "Overrepresentation of Black children in the child welfare system: A systematic review to understand and better act," Children and Youth Services Review, Elsevier, vol. 120(C).
    11. Lee, Min-Ah, 2009. "Neighborhood residential segregation and mental health: A multilevel analysis on Hispanic Americans in Chicago," Social Science & Medicine, Elsevier, vol. 68(11), pages 1975-1984, June.
    12. Damiano Fiorillo & Giuseppe Lubrano Lavadera & Nunzia Nappo, 0. "Individual Heterogeneity in the Association Between Social Participation and Self-rated Health: A Panel Study on BHPS," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 0, pages 1-23.
    13. Fiorillo, Damiano & Sabatini, Fabio, 2015. "Structural social capital and health in Italy," Economics & Human Biology, Elsevier, vol. 17(C), pages 129-142.
    14. Damiano Fiorillo, 2016. "Workers' health and social relations in Italy," Journal of Economic Studies, Emerald Group Publishing, vol. 43(5), pages 835-862, October.
    15. Jae-Young Lim & Hyun-Hoon Lee & Yeon-Hee Hwang, 2011. "Trust on doctor, social capital and medical care use of the elderly," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(2), pages 175-188, April.
    16. Riumallo-Herl, Carlos Javier & Kawachi, Ichiro & Avendano, Mauricio, 2014. "Social capital, mental health and biomarkers in Chile: Assessing the effects of social capital in a middle-income country," Social Science & Medicine, Elsevier, vol. 105(C), pages 47-58.
    17. Friedrich, Max N.D. & Kappler, Andreas & Mosler, Hans-Joachim, 2018. "Enhancing handwashing frequency and technique of primary caregivers in Harare, Zimbabwe: A cluster-randomized controlled trial using behavioral and microbial outcomes," Social Science & Medicine, Elsevier, vol. 196(C), pages 66-76.
    18. Dubow, Eric F. & Huesmann, L. Rowell & Boxer, Paul & Smith, Cathy, 2016. "Childhood and adolescent risk and protective factors for violence in adulthood," Journal of Criminal Justice, Elsevier, vol. 45(C), pages 26-31.
    19. Lee, Matthew R., 2010. "The protective effects of civic communities against all-cause mortality," Social Science & Medicine, Elsevier, vol. 70(11), pages 1840-1846, June.
    20. Webel, Allison R. & Cuca, Yvette & Okonsky, Jennifer G. & Asher, Alice K. & Kaihura, Alphoncina & Salata, Robert A., 2013. "The impact of social context on self-management in women living with HIV," Social Science & Medicine, Elsevier, vol. 87(C), pages 147-154.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:75:y:2012:i:6:p:1078-1087. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: . General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.