HIV counselling and testing among Kenyan male youth aged 13-15 years: The Theory of Planned Behaviour Applied
Pikard, Jennifer L.
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An understanding of individual cognitions that influence both behavioural intentions and the enactment of actual behaviours is provided by the conceptual model of the Theory of Planned Behaviour (TPB). This study used the Theory of Planned Behaviour, with the added variable of perceived risk, to predict Kenyan students’ intention to use HIV voluntary counselling and testing (VCT) centres within the country. We conducted a survey questionnaire with 200 students, aged 13-15 years, within high schools in the Nairobi and Nakuru districts in May 2009. Chi-squared analysis showed no relationships between age, school, school level, knowledge of a VCT centre, or past sexual experience with intention to uptake HIV counselling and testing. Pearson product-moment analysis revealed a small positive correlation between attitude and subjective norm and a medium negative correlation between perceived behavioural control and perceived risk. One-way analysis of variance showed a relationship between perceived behavioural control and intention. Results of block entry logistic regression analysis indicate that perceived behavioural control and perceived risk were significant predictors of intention to use VCT services in the TPB model. The present study suggests that Kenyan teens’ perceived ease/difficulty in performing a specific behaviour is the most influential aspect in predicting their subsequent intention to carry through the behaviour. A theory-based intervention program should focus on reducing practical barriers related to the use of VCT services.