Packel, LauraDow, William H.de Walque, DamienIsdahl, ZacharyMajura, Albert2012-03-192012-03-192012-03-01https://hdl.handle.net/10986/3285Information, education, communication and interventions based on behavioral-change communication have had success in increasing the awareness of HIV. But these strategies alone have been less successful in changing risky sexual behavior. This paper addresses this issue by exploring the link between action and the intention to change behaviors. In Africa, uncertainty in the lives of those at risk for HIV may affect how intentions are formed. Characterize this uncertainty by understanding the reasons for discrepancies between intentions and actions may help improve the design of HIV-prevention interventions. Based on an incentives-based HIV prevention trial in Tanzania, the longitudinal dataset in this paper allows the exploration of intended strategies for changing sexual behaviors and their results. The authors find that gender, intervention groups and new positive diagnoses of sexually transmitted infections can significantly predict the link between intent and action. The paper examines potential mediators of these relationships.CC BY 3.0 IGOADOLESCENTADOLESCENT GIRLSADOLESCENT SEXUAL BEHAVIOURADOLESCENT SEXUALITYADOLESCENTSAGEDAIDS CAREAIDS EDUCATIONAIDS EPIDEMICALCOHOLALCOHOL USEBEHAVIOR CHANGEBEHAVIORAL CHANGEBEHAVIOUR CHANGEBIOLOGICAL MARKERSBULLETINCHLAMYDIACLINICAL INFECTIOUS DISEASESCOERCIONCOGNITIVE MODELSCONDOMCONDOM USECONDOMSDEPENDENCE ON MENDEVELOPING COUNTRIESDEVELOPMENT POLICYDISSEMINATIONEPIDEMICFAMILY PLANNINGFEMALEFEMALESFERTILITYFERTILITY DECLINEGENDERGENDER DIFFERENCESGENDER INEQUITIESGENDER RELATIONSGLOBAL HEALTHGONORRHEAHEALTH BEHAVIORHEALTH EDUCATIONHEALTH FACILITIESHEALTH INTERVENTIONSHIVHIV INFECTIONHIV INFECTIONSHIV POSITIVEHIV PREVENTIONHIV TESTINGHIV TRANSMISSIONHIV/AIDSHUMAN DEVELOPMENTHUMAN IMMUNODEFICIENCY VIRUSHUSBANDSILLEGAL ABORTIONSIMMUNODEFICIENCYINFECTION PREVENTIONINFECTIOUS DISEASESINFORMED CONSENTINTERNATIONAL LABOR ORGANIZATIONINTERVENTIONMALESMARITAL STATUSMARRIED COUNTERPARTSMARRIED WOMENMEDICAL RESEARCHMEDICINEMETAANALYSISMINISTRY OF HEALTHNUTRITIONPATIENTPERCEPTIONS OF RISKPOLICY DISCUSSIONSPOLICY RESEARCHPOLICY RESEARCH WORKING PAPERPOPULATION AND DEVELOPMENTPOPULATION CENTERPOPULATION REFERENCE BUREAUPREVENTION INTERVENTIONSPRIMARY SCHOOLPRIMARY SCHOOL EDUCATIONPROSTITUTIONPSYCHOLOGYPUBLIC HEALTHPUBLIC SERVICESREPRODUCTIVE HEALTHREPRODUCTIVE HEALTH SERVICESRESEARCH COMMUNITIESRESPECTRESPONSE TO AIDSRISK BEHAVIORRISK FOR INFECTIONRISK OF AIDSRISK OF INFECTIONRISK-REDUCTIONRISK-REDUCTION STRATEGIESRISK-TAKERSRISKY BEHAVIORRISKY BEHAVIORSRISKY SEXRISKY SEXUAL BEHAVIORRISKY SEXUAL BEHAVIORSSAFER SEXSECONDARY SCHOOLSEXSEX FOR MONEYSEX PARTNERSSEX PRACTICESSEXUAL BEHAVIORSEXUAL BEHAVIORSSEXUAL BEHAVIOURSEXUAL BEHAVIOUR DATASEXUAL CONTACTSEXUAL DECISIONSSEXUAL PARTNERSSEXUAL PARTNERSHIPSSEXUAL PRACTICESSEXUAL RELATIONSHIPSEXUAL RELATIONSHIPSSEXUAL RISKSEXUAL RISK BEHAVIORSSEXUALLY TRANSMITTED DISEASESSEXUALLY TRANSMITTED INFECTIONSEXUALLY TRANSMITTED INFECTIONSSOCIAL POLICYSOCIAL SCIENCESOCIAL WELFARESOCIOECONOMIC STATUSSPOUSESSTISSTRATEGIES FOR PREVENTIONSYNDROMIC MANAGEMENTSYPHILISUNEQUAL POWERUNMARRIED WOMENUNSAFE SEXUNSAFE SEXUAL BEHAVIORSVICTIMSWOMANYOUTHYOUTHSWorld Bank10.1596/1813-9450-5997