An integrated model of HIV/AIDS testing behaviour in the construction industry

 

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dc.contributor.author Bowen, Paul Anthony
dc.contributor.author Govender, Rajen
dc.contributor.author Edwards, Peter J
dc.contributor.author Cattell, Keith
dc.date.accessioned 2016-05-09T09:47:23Z
dc.date.available 2016-05-09T09:47:23Z
dc.date.issued 2014
dc.identifier http://dx.doi.org/10.1080/01446193.2014.958509
dc.identifier.citation Bowen, P. A., Govender, R., Edwards, P. J., & Cattell, K. (2014). An integrated model of HIV/AIDS testing behaviour in the construction industry. Construction Management and Economics, 32(11), 1106-1129. en_ZA
dc.identifier.issn 0144-6193 en_ZA
dc.identifier.uri http://hdl.handle.net/11427/19526
dc.description.abstract The South African construction industry is one of the economic sectors most adversely affected by the HIV/ AIDS pandemic. Prevalence rates exceed those of most other sectors. Little is known about the antibody testing behaviour of construction workers, and the determinants thereof. A field-administered questionnaire survey, using an item catalogue based on similar surveys, gathered data from 512 site-based construction employees in the Western Cape, South Africa. An integrated hypothesized conceptual model of testing behaviour, derived from the literature, was proposed as a starting point for data analysis. This model comprising demographic factors, lifestyle risk and condom use, alcohol consumption, drug use, knowledge about HIV/AIDS, prejudice towards HIV+ persons, and attitudinal fear of being tested, was used to explain testing behaviour. Bivariate analysis, regression modelling, and structural equation modelling were then used to test the conceptual model. A revised model was proposed. The findings indicate that: (1) employment type, alcohol consumption, drug use, and HIV/AIDS knowledge are the terminal predictors of testing behaviour; (2) knowledge about the disease is determined by education level and ethnicity; (3) age, gender, ethnicity and education behave as significant predictors of alcohol consumption; (4) drug use is predicted by employment type, education and alcohol consumption (marginally); and (5) the interrelationship between knowledge, prejudice, and fear of being tested is nuanced and complex. In strategies for positively influencing employee testing behaviour, employers should first ensure that effective communication is established with workers in all employment categories. Interventions relating to alcohol consumption and drug use by employees need particular attention. Existing peer educator training, and awareness campaign media, should be particularly sensitive to ethnic and cultural values that are likely to influence HIV/AIDS testing behaviour. en_ZA
dc.language eng en_ZA
dc.publisher Taylor & Francis en_ZA
dc.source Construction Management and Economics en_ZA
dc.source.uri http://www.tandfonline.com/loi/rcme20#.VzBbg9J96Uk
dc.subject.other Construction workers
dc.subject.other HIV/AIDS
dc.subject.other Predictive modelling
dc.subject.other Testing behaviour
dc.title An integrated model of HIV/AIDS testing behaviour in the construction industry en_ZA
dc.type Journal Article en_ZA
dc.date.updated 2016-05-09T09:44:33Z
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Humanities en_ZA
dc.publisher.department Centre for Social Science Research(CSSR) en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Bowen, P. A., Govender, R., Edwards, P. J., & Cattell, K. (2014). An integrated model of HIV/AIDS testing behaviour in the construction industry. <i>Construction Management and Economics</i>, http://hdl.handle.net/11427/19526 en_ZA
dc.identifier.chicagocitation Bowen, Paul Anthony, Rajen Govender, Peter J Edwards, and Keith Cattell "An integrated model of HIV/AIDS testing behaviour in the construction industry." <i>Construction Management and Economics</i> (2014) http://hdl.handle.net/11427/19526 en_ZA
dc.identifier.vancouvercitation Bowen PA, Govender R, Edwards PJ, Cattell K. An integrated model of HIV/AIDS testing behaviour in the construction industry. Construction Management and Economics. 2014; http://hdl.handle.net/11427/19526. en_ZA
dc.identifier.ris TY - Journal Article AU - Bowen, Paul Anthony AU - Govender, Rajen AU - Edwards, Peter J AU - Cattell, Keith AB - The South African construction industry is one of the economic sectors most adversely affected by the HIV/ AIDS pandemic. Prevalence rates exceed those of most other sectors. Little is known about the antibody testing behaviour of construction workers, and the determinants thereof. A field-administered questionnaire survey, using an item catalogue based on similar surveys, gathered data from 512 site-based construction employees in the Western Cape, South Africa. An integrated hypothesized conceptual model of testing behaviour, derived from the literature, was proposed as a starting point for data analysis. This model comprising demographic factors, lifestyle risk and condom use, alcohol consumption, drug use, knowledge about HIV/AIDS, prejudice towards HIV+ persons, and attitudinal fear of being tested, was used to explain testing behaviour. Bivariate analysis, regression modelling, and structural equation modelling were then used to test the conceptual model. A revised model was proposed. The findings indicate that: (1) employment type, alcohol consumption, drug use, and HIV/AIDS knowledge are the terminal predictors of testing behaviour; (2) knowledge about the disease is determined by education level and ethnicity; (3) age, gender, ethnicity and education behave as significant predictors of alcohol consumption; (4) drug use is predicted by employment type, education and alcohol consumption (marginally); and (5) the interrelationship between knowledge, prejudice, and fear of being tested is nuanced and complex. In strategies for positively influencing employee testing behaviour, employers should first ensure that effective communication is established with workers in all employment categories. Interventions relating to alcohol consumption and drug use by employees need particular attention. Existing peer educator training, and awareness campaign media, should be particularly sensitive to ethnic and cultural values that are likely to influence HIV/AIDS testing behaviour. DA - 2014 DB - OpenUCT DP - University of Cape Town J1 - Construction Management and Economics LK - https://open.uct.ac.za PB - University of Cape Town PY - 2014 SM - 0144-6193 T1 - An integrated model of HIV/AIDS testing behaviour in the construction industry TI - An integrated model of HIV/AIDS testing behaviour in the construction industry UR - http://hdl.handle.net/11427/19526 ER - en_ZA


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