Child abuse and AIDS-related knowledge, attitudes and behavior among adolescents in Zambia.
OBJECTIVE
To research the correlation between physical and sexual abuse by family members and AIDS-related knowledge, attitudes, self-efficacy and behavior among urban and rural adolescents in Zambia.


METHODS
The sample comprises 3,360 adolescents, aged 10-19, from urban and rural Zambia; 2,160 of them attended school, while 1,200 of them did not.


METHODS
Standardized scales were utilized to assess AIDS-related knowledge, attitudes, and self-efficacy. In addition, the adolescents reported the extent of their engagement in various high-risk behaviors and their lifetime experience of being sexually or physically abused.


RESULTS
As the level of abuse experienced by the adolescents increased, their level of knowledge about HIV/AIDS, tendency to hold positive attitudes toward prevention, and level of self-efficacy regarding HIV/AIDS prevention decreased. Most importantly, when controlling for socio-demographic variables, findings indicate that past abuse was a key factor predicting participation in high-risk behaviors associated with HIV infection.


CONCLUSIONS
Physical and sexual abuse of adolescents in Zambia is significantly related to HIV risk behaviors. Future studies should investigate which factors mediate between the experience of abuse and the tendency to engage in risky behaviors.
Slonim-Nevo
Vered
V
The Spitzer Department of Social Work, Ben-Guruion University of Negev 84105, Beer Sheva, Israel.
Mukuka
Lawrence
L
D000163:Acquired Immunodeficiency Syndrome; D000293:Adolescent; D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual; D003625:Data Collection; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D015024:Zambia