Applying the Dynamic Social Systems Model to HIV Prevention in a Rural African Context: The Maasai and the "Esoto" Dance

Autor/inn/en	Siegler, Aaron J.; Mbwambo, Jessie K.; DiClemente, Ralph J.
Titel	Applying the Dynamic Social Systems Model to HIV Prevention in a Rural African Context: The Maasai and the "Esoto" Dance
Quelle	In: Health Education & Behavior, 40 (2013) 6, S.683-693 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198112474004
Schlagwörter	Acquired Immunodeficiency Syndrome (AIDS); Foreign Countries; Rural Areas; Risk; Tribes; Case Studies; Surveys; Dance; Cultural Awareness; Sexuality; Social Bias; Systems Approach; Regression (Statistics); Gender Differences; Prediction; Punishment; Attendance; Spouses; Ceremonies; Health Behavior; Intervention; Cultural Influences; Interviews; Sexually Transmitted Diseases; Religion; Socioeconomic Status; Tanzania + Suchen Sie Ihr Suchwort? Ausland; Rural area; Ländlicher Raum; Risiko; Tribal society; Stammesgesellschaft; Case study; Fallstudie; Case Study; Survey; Umfrage; Befragung; Tanz; Cultural identity; Kulturelle Identität; Sexualität; Systemischer Ansatz; Regression; Regressionsanalyse; Geschlechterkonflikt; Vorhersage; Bestrafung; Anwesenheit; Ehepartner; Zeremoniell; Health behaviour; Gesundheitsverhalten; Cultural influence; Kultureinfluss; Interviewing; Interviewtechnik; Sexual transmitted disease; Geschlechtskrankheit; Socio-economic status; Sozioökonomischer Status; Tansania
Abstract	This study applied the Dynamic Social Systems Model (DSSM) to the issue of HIV risk among the Maasai tribe of Tanzania, using data from a cross-sectional, cluster survey among 370 randomly selected participants from Ngorongoro and Siha Districts. A culturally appropriate survey instrument was developed to explore traditions reportedly coadunate with sexual partnership, including "wife sharing", fertility rituals, and various traditional dances. One dance, "esoto," accounted for more than two thirds of participants' lifetime sexual partners ("n" = 10.5). The DSSM, combining structural and systems theories, was applied to systematize complex multilevel factors regarding esoto practice. Participants reported multifaceted beliefs regarding esoto; a majority viewed the dance as exciting and essential, yet most men feared social stigma and three quarters of women had experienced physical punishment for nonattendance. In multivariate logistic regression, esoto attendance was predicted by female gender (adjusted odds ratio [AOR] = 4.67, 95% confidence interval [CI] = 1.6-13.2), higher positive beliefs regarding esoto (AOR = 2.84, 95% CI = 1.9-4.2), and Maasai life cycle events (AOR = 0.06, 95% CI = 0.01-0.47). The DSSM proved useful for characterizing esoto and for revealing feedback loops that maintain esoto, thus indicating avenues for future interventions. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10