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

dc.contributor.authorBowen, Paul Anthony
dc.contributor.authorGovender, Rajen
dc.contributor.authorEdwards, Peter J
dc.contributor.authorCattell, Keith
dc.date.accessioned2016-05-09T09:47:23Z
dc.date.available2016-05-09T09:47:23Z
dc.date.issued2014
dc.date.updated2016-05-09T09:44:33Z
dc.description.abstractThe 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.identifierhttp://dx.doi.org/10.1080/01446193.2014.958509
dc.identifier.apacitationBowen, 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/11427/19526en_ZA
dc.identifier.chicagocitationBowen, 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/11427/19526en_ZA
dc.identifier.citationBowen, 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.issn0144-6193en_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
dc.identifier.urihttp://hdl.handle.net/11427/19526
dc.identifier.vancouvercitationBowen 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.languageengen_ZA
dc.publisherTaylor & Francisen_ZA
dc.publisher.departmentCentre for Social Science Research(CSSR)en_ZA
dc.publisher.facultyFaculty of Humanitiesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceConstruction Management and Economicsen_ZA
dc.source.urihttp://www.tandfonline.com/loi/rcme20#.VzBbg9J96Uk
dc.subject.otherConstruction workers
dc.subject.otherHIV/AIDS
dc.subject.otherPredictive modelling
dc.subject.otherTesting behaviour
dc.titleAn integrated model of HIV/AIDS testing behaviour in the construction industryen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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