Social venues that protect against and promote HIV risk for young men in Dar es Salaam, Tanzania

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dc.contributor.author Yamanis, T.J.
dc.contributor.author Maman, S.
dc.contributor.author Mbwambo, J.K.
dc.contributor.author Earp, J.A.E.
dc.contributor.author Kajula, L.J.
dc.date.accessioned 2013-02-11T07:42:12Z
dc.date.available 2013-02-11T07:42:12Z
dc.date.issued 2010
dc.identifier.citation Yamanis, T. J., Maman, S., Mbwambo, J. K., Earp, J. A. E., & Kajula, L. J. (2010). Social venues that protect against and promote HIV risk for young men in Dar es Salaam, Tanzania. Social Science & Medicine, 71(9), 1601-1609.
dc.identifier.issn 2010.07.039
dc.identifier.other doi:10.1016/j.socscimed.2010.07.039
dc.identifier.uri http://hdl.handle.net/123456789/253
dc.description.abstract Developing effective place-based health interventions requires understanding of the dynamic between place and health. The therapeutic landscape framework explains how place-based social processes and physical geography interact and influence health behavior. This study applied this framework to examine how venues, or social gathering places, influenced HIV risk behavior among young, urban men in Tanzania. Eighty-three public venues where men aged 15e19 met new sexual partners were identified by community informants in one city ward. The majority (86%) of the venues were called ‘camps’, social gathering places that had formal leaders and members. Observations were conducted at 23 camps and in-depth interviews were conducted with 36 camp members and 10 camp leaders in 15 purposively selected camps. Geographic and social features of camps were examined to understand their contributions to men’s behaviors. Camps were characterized by a geographic space claimed by members, a unique name and a democratic system of leadership and governance. Members were mostly men and socialized daily at their camp. They reported strong social bonds and engaging in health-promoting activities such as playing sports and generating income. Members also engaged in HIV risk behaviors, such as meeting new sexual partners and having sex in or around the camp at night. Some members promoted concurrent sexual partnerships with their friends and resisted camp leaders’ efforts to change their sexual risk behavior. We conclude that camps are strategic venues for HIV prevention programs for young Tanzanian men. They served as both protective and risk landscapes, illustrating three domains of the therapeutic landscape framework: the built environment; identities of landscape occupants; and sites for collective efficacy. The framework and data suggest HIV intervention components might augment the protective features of the camps, while changing environmental features to reduce risk. en_GB
dc.language.iso en en_GB
dc.publisher ELSEVIER en_GB
dc.relation.ispartofseries Social Science and Medicine;71 (2010) 1601e1609
dc.subject Tanzania en_GB
dc.subject Sub-Saharan Africa en_GB
dc.subject Youth en_GB
dc.subject HIV en_GB
dc.subject Therapeutic landscapes en_GB
dc.subject Collective efficacy en_GB
dc.subject Place en_GB
dc.subject Health behavior en_GB
dc.subject Men en_GB
dc.title Social venues that protect against and promote HIV risk for young men in Dar es Salaam, Tanzania en_GB
dc.type Article en_GB


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