Prevalence of Human Immunodeficiency Virus (HIV) and reproductive health outcomes are priority public health challenges facing Sub-Saharan Africa. Much time and resources have been allocated to the development of interventions targeting behaviors for which the determinants are not clearly documented. Given the continuing impact of the HIV and AIDS epidemics in the Sub-Saharan region of Africa, sexual health research in this area of the world remains of paramount importance. As public health research and practice evolve, so must our views and practices of engaging community-based partners in this important arena. This dissertation documents a sequential mixed-methods study that aimed to engage an Evangelical Pentecostal community in Southern Nigeria with the ultimate goal of understanding how communities conceptualize and discuss sexuality topics, the factors influencing sexual decision making amongst youth and young adults, and to identify research needs that will support the design on innovative and efficacious interventions in response. Studying an extremely sensitive topic in a community that is not often open to outsiders often posed methodological complexities that were best dealt with when using the principles of community-based participatory research (CBPR). This dissertation reviews the results of two phases of the research study that were conducted in fall 2010. Results from the qualitative portion of the study showed that this population was highly interested in discussing sexuality in their community including major threats to their ideal sexual behavior path, reasons why people stray from this ideal and how to keep people on this ideal path. Results from the final phase of the study studied the implementation of the CBPR process for this study and offers examples of how the principles of CBPR were operationalized for this study as well as challenges presented by using a CBPR approach.
|Advisor:||Reece, Michael D.|
|Commitee:||Dodge, Brian, Gilbert, Kathleen, Obeng, Samuel|
|Department:||School of Health, Physical Education and Recreation|
|School Location:||United States -- Indiana|
|Source:||DAI-B 73/04, Dissertation Abstracts International|
|Subjects:||African Studies, Public health|
|Keywords:||Community-based research, Mixed-methods, Nigeria, Sex behavior, Sexual decision making|
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