title: What do African new settlers in New Zealand 'know' about HIV? y.
abstract: OBJECTIVE
  To demonstrate the differences between objective and operational knowledges of HIV transmission and care in Black African migrants, and how these differences may be managed in a clinical interview.
  
  
  METHODS
  This two phase national New Zealand study first estimated the resident Black African migrant population and HIV seroprevalence. The second phase collected surveys (n=703); focus groups (n=131 people) amplified the survey data. Community advisory groups comprising community leaders and people living with HIV were consulted throughout the study.
  
  
  RESULTS
  Black African migrants reported good levels of basic knowledge of HIV on the survey, but demonstrated a range of culturally constructed beliefs and operational knowledge in focus groups.
  
  
  CONCLUSIONS
  Study findings suggest that objective knowledge assessment is not sufficient, and that a contextual approach to understanding what people 'know' is essential, not only for HIV, but for the delivery of all health care education and interventions to Black African new settlers. Routine HIV education and testing, together with staff education, may increase acceptance of these interventions.
authors.affiliation: Associate Professor, School of Social Work Massey University Albany, Auckland, New Zealand. M.Henrickson@massey.ac.nz.
authors.forename: Mark
authors.initials: M
authors.lastname: Henrickson
authors.forename: Meaghan
authors.initials: M
authors.lastname: Fisher
authors.forename: Adrian Howard
authors.initials: AH
authors.lastname: Ludlam
authors.forename: Fungai
authors.initials: F
authors.lastname: Mhlanga
mesh_terms: D000349:Africa / Q000208:ethnology; D044383:Black People / Q000523:psychology*; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000208:ethnology* / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D008297:Male; D009520:New Zealand / Q000453:epidemiology; D012307:Risk Factors; D057545:Social Stigma; D011795:Surveys and Questionnaires