Pediatrics-Prevention Research Center

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Gender Relations, Sexual Behaviors & Perceived HIV Risk

Linda Kaljee

19 September 2002 - 31 May 2007
NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
Total Funding: $ 1,521,794

While the first case of AIDS was not identified in Viet Nam until 1990, the rate of the disease has increased at an alarming rate over the past decade. It is currently estimated that 1 percent of the population is HIV positive and nearly half of those infected are between the ages of 15 and 20 years. The number of adolescents affected by HIV/AIDS strongly suggests the need for developing prevention programs targeting this population. At the same time as the HIV/AIDS epidemic has spread throughout Viet Nam, social and economic changes have affected employment, education, access to health care, and in-country migration. In the past five years, Vietnamese have had significantly more contact with the West including access to media, tourism, and increasing numbers of Vietnamese emigrants returning after years of exile. The research will be based in a political-economic theory of culture with an emphasis on the relationships between individual, socio-cultural, and historical representations and definitions of gender, life-stages, and class. Within this framework of culture, the research will focus on young men and women's perceptions of and engagement in protective and risk behaviors for HIV/AIDS, communication between youth and parents, peer relations and communication, and health-seeking behaviors of adolescents. The research will include two sites in Viet Nam: Ha Noi and its inner suburbs and Khanh Hoa Province (Nha Trang City and rural areas in the Western and Northern areas of the Province). The five year study is a three-phase project including the following: 1) qualitative research with Vietnamese adolescents, their parents, community leaders, and health care providers on gender roles and relations, experience and perceptions of "western culture", adolescents' engagement in risk and protective behaviors, and their perceptions, attitudes and knowledge of HIV and other STDs; 2) the development and administration of a quantitative survey instrument for adolescents; and 3) development of a gender specific HIV prevention program for adolescents based on the "Focus on Kids" program, including the development of educational modules for parents and health care providers. A three-prong intervention will be implemented and evaluated to compare outcomes for participants randomized into one of three programs: 1) standard Vietnamese "Focus on Kids" curriculum; 2) a gender-specific Focus on Kids curriculum; or 3) the gender-specific curriculum plus parent and health care provider modules.

3 Resulting Publications

• 1.

  2011

  Linda M Kaljee; Mackenzie Green; Porntip Lerdboon; Rosemary Riel; Van Pham; Le Huu Tho; Nguyen T Ha; Truong Tan Minh; Xiaoming Li; Xinguang Chen; et al.

  Parent-youth communication and concordance between parents and adolescents on reported engagement in social relationships and sexually intimate behaviors in Hanoi and Khanh Hoa Province, Vietnam.

  The Journal of adolescent health : official publication of the Society for Adolescent Medicine 2011;48(3):268-74.

• 2.

  2008

  Porntip Lerdboon; Van Pham; Mackenzie Green; Rosemary Riel; Le Huu Tho; Nguyen Thi Vinh Ha; Linda M Kaljee

  Strategies for developing gender-specific HIV prevention for adolescents in Vietnam.

  AIDS education and prevention : official publication of the International Society for AIDS Education 2008;20(5):384-98.

• 3.

  2007

  Linda M Kaljee; Mackenzie Green; Rosemary Riel; Porntip Lerdboon; Le Huu Tho; Le Thi Kim Thoa; Truong Tan Minh

  Sexual stigma, sexual behaviors, and abstinence among Vietnamese adolescents: implications for risk and protective behaviors for HIV, sexually transmitted infections, and unwanted pregnancy.

  The Journal of the Association of Nurses in AIDS Care : JANAC 2007;18(2):48-59.

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