Cultural sensitivity in communication campaigns for the prevention of sexually transmitted infection in Nigeria

The role of culture in sexually transmitted infections (STIs) prevention campaign has been crucial. However, a common vision on how culture ought to inform the design and implementation of the campaign appears to be lacking in Nigeria. Given this phenomenon, this study examined how culture can be c...

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Main Author: Kadijat, Kadiri Kehinde
Format: Thesis
Language:eng
eng
Published: 2015
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Online Access:https://etd.uum.edu.my/5357/1/s93729.pdf
https://etd.uum.edu.my/5357/2/s93729_abstract.pdf
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institution Universiti Utara Malaysia
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language eng
eng
advisor Ahmad, Mohd Khairie
Mustaffa, Che Su
topic RA Public aspects of medicine
spellingShingle RA Public aspects of medicine
Kadijat, Kadiri Kehinde
Cultural sensitivity in communication campaigns for the prevention of sexually transmitted infection in Nigeria
description The role of culture in sexually transmitted infections (STIs) prevention campaign has been crucial. However, a common vision on how culture ought to inform the design and implementation of the campaign appears to be lacking in Nigeria. Given this phenomenon, this study examined how culture can be conceptualized into improving STIs prevention communication campaign in Nigeria. Data was collected through indepth interviews of 22 STIs positive and 19 STIs negative young people within the ages of 15 to 26 years in South-West and North-Central Nigeria. Data was analyzed through thematic analysis. While some of these cultural aspects help positively, others have negative impacts. Religion, values and taboos, cultural practices, and civilization were discovered to be the four major aspects where culture and STIs have nexus and influence communication of STIs messages in Nigeria. Evidence showed that religion discourage youths from pre-marital and extramarital sex. The Nigerian youths acknowledge values and taboos as having a powerful influence on matters of sexuality. However, there were still some local practices which discourage safe sexual behavior such as subservient roles of women, polygamy, female genital mutilation and using young females for sexual satisfaction. Findings indicate the need for STIs messages to address stigmatization, the use of local dialects, misconception in STIs knowledge, negative portrayal of STIs, usage of current information and disclosure of STIs status. It was discovered that integrated marketing communication channels will be effective to STIs negative individuals. However, the STIs positive individuals prefer the use of interpersonal communication and radio. The study concludes that a culturally sensitive communication intervention is crucial and should spearhead behavior interventions, both as agents and beneficiaries. Two STIs cultural sensitivity models were proposed as a potential guide in order to make the intervention gain acceptance among young people in various Nigerian communities.
format Thesis
qualification_name Ph.D.
qualification_level Doctorate
author Kadijat, Kadiri Kehinde
author_facet Kadijat, Kadiri Kehinde
author_sort Kadijat, Kadiri Kehinde
title Cultural sensitivity in communication campaigns for the prevention of sexually transmitted infection in Nigeria
title_short Cultural sensitivity in communication campaigns for the prevention of sexually transmitted infection in Nigeria
title_full Cultural sensitivity in communication campaigns for the prevention of sexually transmitted infection in Nigeria
title_fullStr Cultural sensitivity in communication campaigns for the prevention of sexually transmitted infection in Nigeria
title_full_unstemmed Cultural sensitivity in communication campaigns for the prevention of sexually transmitted infection in Nigeria
title_sort cultural sensitivity in communication campaigns for the prevention of sexually transmitted infection in nigeria
granting_institution Universiti Utara Malaysia
granting_department Awang Had Salleh Graduate School of Arts & Sciences
publishDate 2015
url https://etd.uum.edu.my/5357/1/s93729.pdf
https://etd.uum.edu.my/5357/2/s93729_abstract.pdf
_version_ 1747827916029296640
spelling my-uum-etd.53572021-03-18T08:20:27Z Cultural sensitivity in communication campaigns for the prevention of sexually transmitted infection in Nigeria 2015 Kadijat, Kadiri Kehinde Ahmad, Mohd Khairie Mustaffa, Che Su Awang Had Salleh Graduate School of Arts & Sciences Awang Had Salleh Graduate School of Arts and Sciences RA Public aspects of medicine The role of culture in sexually transmitted infections (STIs) prevention campaign has been crucial. However, a common vision on how culture ought to inform the design and implementation of the campaign appears to be lacking in Nigeria. Given this phenomenon, this study examined how culture can be conceptualized into improving STIs prevention communication campaign in Nigeria. Data was collected through indepth interviews of 22 STIs positive and 19 STIs negative young people within the ages of 15 to 26 years in South-West and North-Central Nigeria. Data was analyzed through thematic analysis. While some of these cultural aspects help positively, others have negative impacts. Religion, values and taboos, cultural practices, and civilization were discovered to be the four major aspects where culture and STIs have nexus and influence communication of STIs messages in Nigeria. Evidence showed that religion discourage youths from pre-marital and extramarital sex. The Nigerian youths acknowledge values and taboos as having a powerful influence on matters of sexuality. However, there were still some local practices which discourage safe sexual behavior such as subservient roles of women, polygamy, female genital mutilation and using young females for sexual satisfaction. Findings indicate the need for STIs messages to address stigmatization, the use of local dialects, misconception in STIs knowledge, negative portrayal of STIs, usage of current information and disclosure of STIs status. It was discovered that integrated marketing communication channels will be effective to STIs negative individuals. However, the STIs positive individuals prefer the use of interpersonal communication and radio. The study concludes that a culturally sensitive communication intervention is crucial and should spearhead behavior interventions, both as agents and beneficiaries. Two STIs cultural sensitivity models were proposed as a potential guide in order to make the intervention gain acceptance among young people in various Nigerian communities. 2015 Thesis https://etd.uum.edu.my/5357/ https://etd.uum.edu.my/5357/1/s93729.pdf text eng public https://etd.uum.edu.my/5357/2/s93729_abstract.pdf text eng public Ph.D. doctoral Universiti Utara Malaysia Abubakar, I., Iliyasu, Z., Kabir, M., Uzoho, C. & Abdulkadir, M.B. (2004). Knowledge, attitude and practice of female genital cutting among antenatal patients in Aminu Kano Teaching Hospital, Kano. Nigeria Journal of Medicine, 13(3), 254-258. Acharya, L., & Dutta, M. J. (2012). Deconstructing the portrayals of HIV/AIDS among campaign planners targeting tribal populations in Koraput, India: A culturecentered interrogation. Health communication, 27(7), 629-640. Adebileje, A. (2012). Socio-cultural and attitudinal Study of Selected Yoruba taboos in South West Nigeria. Studies in Literature and Language, 4(1), 94-100. Adedimeji, A. A. (2005). Beyond knowledge and behavior change: The social structural context of HIV/AIDS risk perceptions and protective behaviour among young urban slum inhabitants in Nigeria. Boston, MA: Department of Population and International Health Harvard School of Public Health. Adeokun, L.A., Oduwole, M., Oronsaye, F., Gbogboade, A.O., Aliyu, N., Wumi, A. et al. (2006).Trends in female circumcision between 1933 and 2003 in Osun and Ogun states, Nigeria (a cohort analysis). Africa Journal of Reproductive Health,10 (2), 48-56. Aderinto, A. A. 2000. Correlates and coping measures of street children: A comparative study of street and non-street children in South West Nigeria. Child Abuse and Neglect, 24 (9), 1199-213. Admassu, A. (2000). Coping with the challenges of AIDS: The experience of persons living with HIV/AIDS in Addis Ababa. Northeast African Studies, 7(2), 81-100. Agha, S. (2003). The Impact of a mass media campaign on risk perception, perceived self-efficacy and other behavioural predictors. AIDS Care, 15 (6), 749 762. Ahmad, F., Cameron, J. I., & Stewart, D. E. (2005). A tailored intervention to promote breast cancer screening among South Asian immigrant women. Social science & medicine, 60(3), 575-586. Ahmad, M.K. & Harrison, J. (2010). Cultural sensitivity in health promotion programs: Islamic persuasive communication. In Y. Pasadeos (Ed), Advances in communication and mass media research, (pp. 167-180). Athens: ATINER. Ahmed, S., Delaney, K., Villalba-Diebold, P., Aliyu, G., Constantine, N., Ememabelem, M., ... & Charurat, M. (2013). HIV counseling and testing and access-to-care needs of populations most-at-risk for HIV in Nigeria. AIDS care, 25(1), 85-94. Airhihenbuwa, C. O. (1995). Health and culture: Beyond the Western paradigm. Thousand Oaks, CA: Sage. Airhihenbuwa, C. O. (2007). Healing our differences: The crisis of global health and the politics of identity. Rowman & Littlefield. Airhihenbuwa, C. O., & Obregon, R. (2000). A critical assessment of theories/models used in health communication for HIV/AIDS. Journal of Health Communication, 5, 5-16. Airhihenbuwa, C. O., & Webster, J. D. (2004). Culture and African contexts of HIV/AIDS prevention, care and support. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 1(1), 4-13. Airhihenbuwa, C. O., Di-Clemente, R. J., Wingwood, G. M., Lowe, A. (1992). HIV/AIDS education and prevention among African- Americans: A focus on culture. AIDS Education Prevention, 4, 267–276. Airhihenbuwa, C. O., Ford, C. L., & Iwelunmor, J. I. (2013). Why culture matters in health interventions lessons from HIV/AIDS stigma and NCDs. Health Education & Behavior, 41, 78-84. doi: 1090198113487199. Airhihenbuwa, C., Okoror, T., Shefer, T., Brown, D., Iwelunmor, J., Smith, E., ... & Shisana, O. (2009). Stigma, culture, and HIV and AIDS in the Western Cape, South Africa: An application of the PEN-3 cultural model for community-based research. Journal of Black Psychology, 35(4), 407-432. Airhihenbuwa, C.O., Makinwa, B. & Obregon, R. (1998). Health communications in the next millenium. Journal of Health Education. 29(5): 326-327 Airhihenbuwa, CO. (1989). Perspectives on AIDS in Africa: Strategies for prevention and control. AIDS Education and Prevention. 1(1), 57-69. Airhihenbuwa, С. O., DiClemente, R. J., Wingood, G. M., & Lowe, A. (1992). HIV/AIDS education and prevention among African-Americans: A focus on culture. Journal of AIDS Education &. Prevention, 4, 251-260. Airhihenbuwa,C.O., Makinwa, B., Obregon,R. C. (2000). Toward a new communications framework for HIV/AIDS. Journal of Health Communication, 5(sup1), 101-111. Ajjawi, R., & Higgs, J. (2007). Using Hermeneutic Phenomenology to Investigate How Experienced Practitioners Learn to Communicate Clinical Reasoning. Qualitative Report, 12(4), 612-638. Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behaviour. Englewood Cliffs, NJ: Prentice-Hall. Ajzen, Icek (1991). "The theory of planned behavior". Organizational Behavior and Human Decision Processes 50 (2): 179–211. doi:10.1016/0749-5978(91)90020-T. Akinfaderin-Agarau, F., Chirtau, M., Ekponimo, S., & Power, S. (2012). Opportunities and limitations for using new media and mobile phones to expand access to sexual and reproductive health information and services for adolescent girls and young women in six Nigerian states. African Journal of Reproductive Health, 16(2), 219-230. Akwara, P. A., Madise, N. J., & Hinde, A. (2003). Perception of risk of HIV/AIDS and sexual behaviour in Kenya. Journal of Biosocial Science, 35(03), 385-411. Alabi, T., Bahah, M., & Alabi, S. O. (2014). The girl-child: A sociological view on the problems of girl-child education in Nigeria. European Scientific Journal, 10(2), 393-407 Albarracín, D., Gillette, J. C., Earl, A. N., Glasman, L. R., Durantini, M. R., & Ho, M. H. (2005). A test of major assumptions about behavior change: A comprehensive look at HIV prevention interventions since the beginning of the epidemic. Psychological Bulletin, 131, 856–897. Alden, D. L., Friend, J., Schapira, M., & Stiggelbout, A. (2014). Cultural targeting and tailoring of shared decision making technology: A theoretical framework for improving the effectiveness of patient decision aids in culturally diverse groups. Social Science & Medicine, 105, 1-8. Aliyu, Y. (2004). A report card for screening for sexually transmitted diseases: Bis dat qui cito dat. Southern Medical Journal, 97(7), 619-621. Altpeter, M., Earp, J. A. L., Bishop, C., & Eng, E. (1999). Lay health advisor activity levels: Definitions from the field. Health Education & Behavior, 26(4), 495-512. Amaro, H. (1995). Love, sex, and power: Considering women‘s realities in HIV prevention. American Psychologist. 50(6), 437-447 Amazigo, U., Silva, N., Kaufman, J., & Obikeze, D. (1997): Sexual activity and contraceptive knowledge and use among in-school adolescents in Nigeria. International Family Planning Perspectives, 23(1), 28-33. Amirkhanian, Y., Kelly, J., & Issaev, D. (2001). AIDS knowledge, attitudes, and behavior in Russia: Results of a population-based, random-digit telephone survey in St. Peters- burg. International Journal of STD and AIDS, 12, 50-57. Awusabo-Asare, K., Anarfi, J. K., & Agyeman, D. K. (1993). Women's control over their sexuality and the spread of STDs and HIV/AIDS in Ghana. Health Transition Review, 3, 1-14. Aronowitz, T., Rennells, R. E., & Todd, E. (2005). Heterosocial behaviors in early adolescent African American girls: The role of mother-daughter relationships. Journal of Family Nursing, 11(2), 122-139. Arowojolu, A. O., Ilesanmi, A. O., Roberts, O. A., & Okunlola, M. A. (2002). Sexuality, contraceptive choice and AIDS awareness among Nigerian undergraduates. African Journal of Reproductive Health, 6(2), 60-70. Awang, H., Wong, L. P., Jani, R., & Low, W. Y. (2014). Knowledge of sexually transmitted diseases and sexual behaviours among malaysian male youths. Journal of biosocial science, 46(02), 214-224. Ayankogbe, O.O., Omotola, B.D., Inem, V.A., Ahmed, O.A., Manafa, O.U. (2003). Knowledge,attitude, beliefs and behavioral practices for creating awareness about HIV/AIDS in Lagos State, Nigeria. Nigerian Medical Practitioners, 44(1), 7-10. Ayenigbara, G. O., Aina, S. I., & Famakin, T. D. (2013). Female Genital Mutilation: Types, Consequences and Constraints of Its Eradication in Nigeria. Journal of Dental and Medical Sciences, 3 (5), 7-10. Azuonwu, O., Obire, O., Putheti, R., & Ekene, N. M. (2010). Prevalence and risk factors of Human Immunodeficiency Virus (HIV) in Ndoki communities of Nigeria. Journal of Pharmacy Research, 3(7). Babalola, S., Brastington, A., Agbasimato, A., Helland, A., Nwanguma, E., & Onah, N. (2006). Impact of a communication programme on female genital cutting in Eastern Nigeria. Tropical Medical Int Health, 11(10): 1594-1603. Babbie, E. R. (2001). The practice of social research. California: Wadsworth. Babbie, E. R. (2007). The practice of social research. Belmont, CA: Wadsworth. Babbie, E. (2010). The practice of social research. Cengage Learning: Wadsworth. Baker, D. W., Gazmararian, J. A., Sudano, J., & Patterson, M. (2000). The association between age and health literacy among elderly persons. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 55(6), S368-S374. Baker, J. G., Rosenthal, S. L., Leonhardt, D., Kollar, L. M., Succop, P. A., Burklow, K. A., & Biro, F. M. (1999). Relationship between perceived parental monitoring and young adolescent girls’ sexual and substance use behaviours. Journal of Pediatrics and Adolescent Gynecology, 12, 17–22. Baker, T.L. (1999). Doing social research. Boston: McGraw Hill. Bandura, A. (1985). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall. Bandura, A. (1994). Social cognitive theory and exercise of control over HIV infection. In Preventing AIDS (pp. 25-59). Springer US. Barbour, R. (2007). Doing focus groups. London: Sage Publication. Basen-Engquist, K. (1992). Psychosocial predictors of safer sex behaviours in young adults. Evaluation Program Planning, 19, 120–135. Basen-Engquist, K., & Parcel, G. S. (1992). Attitudes, norms, and self-efficacy: A model of adolescents' HIV-related sexual risk behavior. Health Education & Behavior, 19(2), 263-277. Baumer, E. P., & Scott J. S. (2001). Community effects on youth sexual activity. Journal of Marriage Family, 63(2) 540 –554. Bauni, E. K., & Jarabi, B. O. (2000). Family planning and sexual behavior in the era of HIV/AIDS: The case of Nakuru District, Kenya. Studies in Family Planning, 31(1), 69-80. Baxter, L. A., & Babbie, E. (2004). The basics of communication research. Australia: Thomson Wadsworth. Bayer, R. (1994). AIDS prevention and cultural sensitivity: Are they compatible? American Journal of Public Health. 84 (6), 895-898. Bekalu, M. A., & Eggermont, S. (2012). Advancing HIV/AIDS combination prevention through mass media: A review of practices in sub-Saharan Africa. Information Development, 28(3), 189-198. Benda, B. B. & Corwyn, R. F. (1996). Testing a theoretical model of adolescent sexual behavior among rural families in poverty. Child and Adolescent Social Work. Journal, 13(6), 469–94. Benda, B. B. (2002). The effects of various aspects of religion and the family on adolescent sexual behaviour. Marriage and Family in Christ Journal, 5(3), 373–90. Bender, M. S., & Clark, M. J. (2011). Cultural adaptation for ethnic diversity: A review of obesity interventions for preschool children. Californian Journal of Health Promotion, 9, 40-60. Berger, C. (1991). Chautauqua: Why are there so few communication theories? Communication Monograph, 58, 101-113. Bertrand, J. T., & Anhang, R. (2006). The effectiveness of mass media in changing HIV/AIDS related behavior among young people in developing countries. World Health Organization Technical Report Series, 938, 205-41 Bessinger, R., Katende, C., & Gupta, N. (2004). Multi-media campaign exposure effects on knowledge and use of condoms for STI and HIV/AIDS prevention in Uganda. Evaluation and Program Planning, 27(4), 397-407 Bettinger, J. A., Celentano, D. D., Currieri, F. C., Adler, N. E., Millstein, S. G., & Ellen, J. M. (2004). Does parental involvement predict new sexually transmitted diseases in female adolescents? Archives of Paediatric and Adolescent Medicine, 158, 666-670. Bhattacharya, G., Cleland, C., & Holland, S. (2000). Knowledge about HIV/AIDS, the perceived risks of infection and sources of information of Asian-Indian adolescents born in the USA. Aids Care, 12(2), 203-209. Biddlecom, A., Gregory, R., Lloyd, C. B., & Mensch, B. S. (2008). Associations between premarital sex and leaving school in four sub‐Saharan African countries. Studies in Family Planning, 39(4), 337-350. Bird, J. A., Otero-Sabogal, R., Ha, N. T., & McPhee, S. J. (1996). Tailoring lay health worker interventions for diverse cultures: Lessons learned from Vietnamese and Latina communities. Health Education Quarterly, 23, S105-S122. Bloor, M., Frankland, J., Thomas, M., & Robson, K. (2001). Focus groups in social research. London: Sage. Blum, W. & Mmari, N. (2005). Risk and Protective Factors Affecting Adolescent Reproductive Health in Developing Countries, Geneva: World Health Organization. Boyce, C., & Neale, P. (2006). Conducting in-depth interviews: A guide for designing and conducting in-depth interviews for evaluation input. Watertown, MA: Pathfinder International. Brabin, L., Kemp, J., Obunge, O. K., Ikimalo, J., Dollimore, N., Odu, N. N., Hart, C. A., & Briggs, N. D. (1995) Reproductive tract infections and abortion among adolescent girls in rural Nigeria. The Lancet, 345, 300–304. Bresnahan, M., Lee, S. Y., Smith, S. W., Shearman, S., & Yoo, J. H. (2007).Reservations of the spirit: The development of a culturally sensitive spiritual beliefs scale about organ donation. Health Communication, 21(1), 45-54. Broman, C. L. (2007). Sexual risk behaviour among adolescents. Journal of African American Studies, 11, 180-188. Bronfenbrenner, U., & Bronfenbrenner, U. (1979). The ecology of human development: experiments by nature and design. U.S.A: Harvard university press Browning, C. R., Leventhal, T., & Brooks-Gunn, J. (2004). Neighborhood context and racial differences in early adolescent sexual activity. Demography, 41(4), 697-720. Bryce, J., el Arifeen, S., Pariyo, G., Lanata, C. F., Gwatkin, D., & Habicht, J. P. (2003). Reducing child mortality: can public health deliver?. The Lancet, 362(9378), 159-164. Bryman, A. (2001). Social research methods. UK: Oxford University Press. Bryman, A. (2012). Social research methods. UK: Oxford university press. Bull, F. C., Holt, C. L., Kreuter, M. W., Clark, E. M., & Scharff, D. (2001). Understanding the effects of printed health education materials: Which features lead to which outcomes? Journal of Health Communication, 6(3), 265-280. Buhi, E. R., & Goodson, P. (2007). Predictors of adolescent sexual behavior and intention: A theory-guided systematic review. Journal of Adolescent Health, 40(1), 4-21. Cates Jr, W., & Dallabetta, G. (1999). The staying power of sexually transmitted diseases. Lancet, 354, siv62. Calderón, J. L., & Beltran, B. (2005). Culture and linguistics: Neglected variables in the health communication equation. American Journal of Medical Quality, 20(4), 179-181. Caliendo, A. M., Jordan, J. A., Green, A. M., Ingersoll, J., Diclemente, R. J., & Wingood, G. M. (2005). Real-time PCR improves detection of Trichomonas vaginalis infection compared with culture using self-collected vaginal swabs. Infectious Diseases in Obstetrics and Gynecology, 13(3), 145-150. Campbell C. (2003). African Issues. Letting them die: why HIV/AIDS Prevention Programmes fail. Oxford: James Currey. Campbell, A., McNamara, O., & Gilroy, P. (2004). Practitioner research and professional development in education. London: Sage. Capaldi, D. M., Crosby, L., Stoolmiller, M. (1996). Predicting the timing of first sexual intercourse for at-risk adolescent males. Child Development, 67, 344–59. Caron, S. L., Knox, C. B., Rhoades, C., Aho, J., Tulman, K. K., & Volovk, M. (1993). Sexuality education in the workplace: Seminars for parents. Journal of Sex Education & Therapy. 19(3),200–211. Carter, M. W., Hock-Long, L., Kraft, J. M., Henry-Moss, D., Hatfield-Timajchy, K., & Singer, M. (2012). Strategies for managing the dual risk of sexually transmitted infections and unintended pregnancy among Puerto Rican and African American young adults. American Journal of Public Health, 102(3), 449-456. Chanakira, E., Alicia, O., Goyder, E. C., & Freeman, J. V. (2014). Factors perceived to influence risky sexual behaviours among university students in the United Kingdom: a qualitative telephone interview study. BMC public health, 14(1), 1055. Chassin, L., Presson, C.C., & Sherman, S.J. (1987). Application of social development to adolescent health behaviour. In N. Eisenberg (Ed.), Comtemporary topics in developmental Psychology (pp 353-376). New York: Wiley. Cooper, M.L. (1994). Motivations for alchohol use among adolescents: Development and validation of a four factor model. Psychological Assessment, 6, 117-128. Cooper, M.L., Shapiro, C.M., Powers, A.M. (1998). Motivations for sex and sexual behaviour among adolescents and young adults: A functional perspective. Journal of Personality and Social Psychology, 38, 668-678. Cherie, A., & Berhane, Y. (2012). Knowledge of Sexually Transmitted Infections and Barriers to Seeking Health Services among High School Adolescents in Addis Ababa, Ethiopia. Journal of AIDS & Clinical Research, 3(153), 1-6. Chimbutane, F. (2012). Language practices in radio programs on HIV/AIDS: A call forculturally-sanctioned ways of communication. Stellenbosch Papers in Linguistics Plus, 41, 25-40. Chinenye, S., & Ogbera, A. O. (2013). Socio-cultural aspects of diabetes mellitus in Nigeria. Journal of Social Health and Diabetes, 1(1), 15. Cochran, S. D., & Mays, V. M. (1993). Applying social psychological models to predicting HIV-related sexual risk behaviours among African Americans. Journal of Black Psychology, 2, 142-154. Cohen, L., & Manion, L. (1994). Research methods in applied linguistics. London: Routledge. Cole, G. A. (2004). Management: Theory and practice. Cengage Learning EMEA. Conway, A. (2012). Quality improvement learning collaboratives in public health: Findings from a multisite case study. Journal of Public Health Management and Practice, 18(1), 87-94. Conway, C. M. (2012). Sequential learning. In R.M. Seel (Ed.), Encyclopedia of the Sciences of Learning (pp. 3047-3050). New York: Springer Publications. Cowdery, J. E., Parker, S., & Thompson, A. (2012). Application of the PEN-3 model in a diabetes prevention intervention. Journal of Health Disparities Research and Practice, 4(1), 3. Coolican, H. (1994). Research methods and statistics in psychology. London: Hodder & Stoughton Crabtree, B.F., and Miller, W.L. (2004). "Research Methods: Qualitative." In Jones, R. (Ed). Oxford Textbook of Primary Medical Care. Oxford: Oxford University Press. Crawford, R. (1994). The boundaries of the self and unhealthy other: Reflection on health, culture and AIDS. Social Science and Medincine, 38, 1347-1356. Creatsas, G. (1997). Improving adolescent sexual behavior: A tool for better fertility outcome and safe motherhood. International Journal of Gynecology & Obstetrics, 58(1), 85-92 Creswell, J. W. (2012). Qualitative, quantitative and mixed methods approaches. Thousand Oaks, CA: Sage Publications. Crosby, R. A., & Danner, F. (2008). Adolescents’ sexually transmitted disease protective attitudes predict sexually transmitted disease acquisition in early adulthood. Journal of School Health, 78(6), 310–313. Crotty, M. (1998). The foundations of social research: Meaning and perspective in the research process. Sage Publications Limited. Darteh, E. K. M. (2011). Adolescents' exposure to mass media campaign messages on HIV/AIDS in Ghana. African Population Studies, 25(1), 132-150. de Anda, D. (2002). The GIG: An innovative intervention to prevent adolescent pregnancy and sexually transmitted infection in a Latino community. Journal of Ethnic and Cultural Diversity in Social Work, 11(3-4), 251-277. De Nooijer, J., Lechner, L., & de Vries, H. (2002). Tailored versus general information on early detection of cancer: a comparison of the reactions of Dutch adults and the impact on attitudes and behaviors. Health Education Research, 17(2), 239-252. De Nooijer, J., Lechner, L., & de Vries, H. (2003). Social psychological correlates of paying attention to cancer symptoms and seeking medical help. Social science & medicine, 56(5), 915-920. De Vroome, E. M., Paalman, M. E., Sandfort, T. G., Sleutjes, M., De Vries, K. J., & Tielman, R. A. (1990). AIDS in the Netherlands: The effects of several years of campaigning. International Journal of STD & AIDS, 1(4), 268-274. Dehne, K. L., & Riedner, G. (2001). Sexually transmitted infections among adolescents: the need for adequate health services. Reproductive Health Matters, 9(17), 170-183. Deighton, J, Romer, D., & McQueen, J. (1989) Using drama to persuade. Journal of Consumer Research, 16, 335–43. Denzin, N. K., & Lincoln, Y. (2003). Collecting and interpreting qualitative materials. Thousand Oaks: Sage. DiCicco‐Bloom, B., & Crabtree, B. F. (2006). The qualitative research interview. Medical education, 40(4), 314-321. DiClemente, R. J., Crosby, R. A., Wingood, G. M., Salazar, L. F., Rose, E., Levine, D.,... & Silver, B. J. (2004). Associations between sexually transmitted disease diagnosis and subsequent sexual risk and sexually transmitted disease incidence among adolescents. Sexually transmitted diseases, 31(4), 205-208. DiClemente, R. J., & Peterson, J. L. (1994). Preventing AIDS: Theories and methods of Behavioral Interventions. New York: Plenum. DiClemente, R. J., Salazar, L. F., & Crosby, R. A. (2007). A review of STD/HIV preventive interventions for adolescents: Sustaining effects using an ecological approach. Journal of Pediatric Psychology, 32(8), 888-906. DiClemente, R. J., Wingood, G. M., Crosby, R., Sionean, C., Cobb, B. K., Harrington, K., ... & Oh, M. K. (2001). Parental monitoring: Association with adolescents' risk behaviors. Pediatrics, 107(6), 1363-1368. Dixon-Mueller, R. (2009). Starting young: Sexual initiation and HIV prevention in early adolescence. AIDS and Behavior, 13(1), 100-109. Dougherty, M.R. (2001). Integration of the ecological and error models of overconfidence using a multiple-trace memory model. Journal of Experimental Psychology, 130 (4), 579-599. Feldman, D. A., O'Hara, P., Baboo, K. S., Chitalu, N. W., & Lu, Y. (1997). HIV prevention among Zambian adolescents: developing a value utilization/norm change model. Social Science & Medicine, 44(4), 455-468. Dutta, M. J. & Basu, A. (2007). Health among men in rural Bengal: Exploring meanings through a culture-centered approach. Qualitative Health Research, 17(1), 38–48. Dubois,W.E.B. (1969) . The souls of black folk: Essays and sketches. Greenwich, Conn.: Crest Book. Drysdale, R. (2004). Franco-Australian Pacific Regional HIV/AIDS and STI Initiative. D'Souza, C. M., & Shrier, L. A. (1999). Prevention and intervention of sexually transmitted diseases in adolescents. Current Opinion in Pediatrics, 11(4), 283-291. Dube, L., & Ocholla, D. N. (2005). Insight into the management and diffusion strategies of HIV/AIDS Information in institutions of higher education in South Africa. South African Journal of Libraries and Information Science, 71(2), 187-198. Dutta, M. (2007). Communication about culture and health: Theorizing culture-centred and cultural-sensitivity approaches. Communication Theory, 17, 304-328. Dutta, M. (2008). Communicating health: A culture-centred approach. Cambridge, England: Polity. Ebire, S., & Ola, G. T. (2014). Waning Cultural Values and Adolescent Chastity: A Study of Arugba in Nigeria. Developing Country Studies, 4(4), 45-51. Ebisi, N.T. (2012). The impacts of culture on the transmission of infectious diseases in Nigeria: The case of Akwa South, Anambra State. African Journal of Social Sciences, 2(4), 173-190. Edem, C. U., & Harvey, S. M. (1995). Use of health belief model to predict condom use among university students in Nigeria. International Journal of Community Health Education, 15, 3-14. Erinosho, O., Isiugo-Abanihe, U., Joseph, R., & Dike, N. (2012). Persistence of risky sexual behaviours and HIV/AIDS: Evidence from qualitative data in three Nigerian communities. African Journal of Reproductive Health, 16(1),113-123. Erulkar, A., & Bello, M. V. (2007). The experience of married adolescent girls in northern Nigeria. Nigeria: National Population Council. Esiet, U.E., Bello, M.V., Adebayo, C.O. Booth, R. et al (2001). Sexuality in Nigeria. The International Encyclopaedia of Sexuality, Accessed online on 10/28/2012 at http:/www2.hu-berlin.de/sexology. Ezenyeaku, C.C., Okeke, T.C., Chigbu, C.O.& Ikeako, L.C.(2011). Survey of women’s opinions on Female Genital Mutilation (FGM) in Southeast Nigeria: Study of Patients Attending Antenatal Clinic. Annals of Medical and Health Sciences Research, 1(1),15-20. Ezumah, N. N. (2003). Gender issues in the prevention and control of STIs and HIV/AIDS: Lessons from Awka and Agulu, Anambra state, Nigeria. Journal of African Reproductive Health, 7 (2), 89–99. Fawole, A. O., & Adegoke, G. S. (2011). Sexual behaviour and perception of HIV/AIDS in Nigerian tertiary institutions: University of Ilorin, a Case Study. Global Journal of Human Social Science Research, 11(1), 64-72. Federal Ministry of Health. (2010). National HIV Sero-prevalence Sentinel Survey Among Pregnant Women Attending Antenatal Clinics in Nigeria. Abuja, Nigeria : Federal Ministry of Health. Feldman, D. A., O'Hara, P., Baboo, K. S., Chitalu, N. W., & Lu, Y. (1997). HIV prevention among Zambian adolescents: Developing a value utilization/norm change model. Social Science & Medicine, 44(4), 455-468. Fishbein, M., & Yzer, M. C. (2003). Using theory to design effective health behaviour interventions. Communication Theory, 13(2), 164–183. Fishbein, M., Hennessy, M., Kamb, M., Bolan, G. A., Hoxworth, T., Iatesta, M., ... & Zenilman, J. M. (2001). Using Intervention Theory to Model Factors Influencing Behavior Change Project Respect. Evaluation & the health professions, 24(4), 363-384. Fishbein, M. (2000). The role of theory in HIV prevention. AIDS care, 12(3), 273-278. Fishbein, M & Yzer, M.C. (2003). Using theory to design effective health behaviour interventions. Communication Theory. 13(2), 164-183. Ford, N., Odallo, D., & Chorlton, R. (2003). Communication from a human rights perspective: Responding to the HIV/AIDS pandemic in Eastern and Southern Africa. Journal of Health Communication. 8, 599-612. Foster, P. M., Belgrave, F. Z., Randolf, S. M., & Braithwaite, N. (1993). An africentric model for AIDS education, prevention, and psychological services within the African-American community. Journal of Black Psychology. 19(2), 123-141. Fraenkel J. R. & Wallen, N. E. (2000). How to design and evaluate in education. Boston: Mcgraw Hill. Freimuth, V. S., Edgar, T., & Fitzpatrick, M. A. (1993). The role of communication in health promotion. Communication Research, 20(4), 509-516. Freimuth,V.S.(2004).Commentary: The health information national trends survey (HINTS). Journal of Health Communication, 9,483–484 French, D. C., & Dishion, T. J. (2003). Predictors of early initiation of sexual intercourse among high-risk adolescents. Journal of Early Adolescence 23(3): 295–315. Friedman, D.B., Laditka, J,N., Hunter, R., Ivey, S.L., Wu, B., Laditka, S.B., Tseng, W., Corwin, S.J., Liu, R., Mathews, A.E. (2009). Getting the message out about cognitive health: A cross cultural comparison of older adults’ media awareness and communication needs on how to maintain a healthy brain. The Gerontologist, 49, S50–S60 García, P. J., Chavez, S., Feringa, B., Chiappe, M., Weili, L., Jansen, K. U.,... & Holmes, K. K. (2004). Reproductive tract infections in rural women from the highlands, jungle, and coastal regions of Peru. Bulletin of the World Health Organization, 82(7), 483-492. Garcia-Retamero, R., & Cokely, E. T. (2011). Effective communication of risks to young adults: using message framing and visual aids to increase condom use and STD screening. Journal of Experimental Psychology Applied, 17(3), 270. Gausset, Q. (2001). AIDS and cultural practices in Africa: The case of the Tonga (Zambia). Social Science & Medicine, 52(4), 509-518. Geist-Martin, P., Ray, E. B., & Sharf, B. F. (2003). Communicating health: Personal, cultural, and political complexities. Belmont, CA: Wadsworth/Thomson Learning. Gerend, M. A., & Magloire, Z. F. (2008). Awareness, knowledge, and beliefs about human papillomavirus in a racially diverse sample of young adults. Journal of Adolescent Health, 42(3), 237-242. Gilbert, S. S. (2008). The influence of Islam on AIDS prevention among Senegalese university students. AIDS Education & Prevention, 20 (5), 399-407. Gisselquist, D., Potterat, J.J., Body, S. & Vachon, F. (2003). Let it be sexual: How health care transmission of AIDS in Africa was ignored. International Journal of STD and AIDS, 14, 148-161. Glanz, K., Rimer, B.K., & Lewis, F.M. (2002). Health Behavior and Health Education: Theory Research and Practice. San Francisco: Jossey-Bass Gold, J., Lim, M. S., Hocking, J. S., Keogh, L. A., Spelman, T., & Hellard, M. E. (2011). Determining the impact of text messaging for sexual health promotion to young people. Sexually Transmitted Diseases, 38(4), 247-252. Goldenberg, S., Shoveller, J., Ostry, A., & Koehoorn, M. (2008). Youth sexual behaviour in a boomtown: Implications for the control of sexually transmitted infections. Sexually Transmitted Infections, 84(3), 220-223. Gomez, C. A., & Marin, B. V. (1996). Gender, culture and power: barriers to HIVprevention strategies for women. The Journal of Sex Research. 33 (4), 355-362. Gould, G. S., Watt, K., Stevenson, L., McEwen, A., Cadet-James, Y., & Clough, A. R. (2014). Developing anti-tobacco messages for Australian Aboriginal and Torres Strait Islander peoples: evidence from a national cross-sectional survey. BMC public health, 14(1), 250. Green, L. W., & Kreuter, M. W. (1999). Health promotion planning: An educational and ecological approach. Mountain View. California: Mayfield Publishing Co. Green, L., Richard, L., & Potvin, L. (1996). Ecological foundations for health promotion. American Journal of Health Promotion, 10, 270–281. Grier, S. A., & Brumbaugh, A. M. (1999). Noticing cultural differences: Ad meanings created by target and non-target markets. Journal of Advertising, 28(1), 79-93. Grier, S. A., & Deshpandé, R. (2001). Social dimensions of consumer distinctiveness: The influence of social status on group identity and advertising persuasion. Journal of Marketing Research, 216-224. Gubriumm, J.F. & Holstein, J.A. (2002). Handbook of Interview Research: Context & Method, Michigan: Sage Publication. Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18(1), 59-82. Guse, K., Levine, D., Martins, S., Lira, A., Gaarde, J., Westmorland, W., & Gilliam, M. (2012). Interventions using new digital media to improve adolescent sexual health: a systematic review. Journal of Adolescent Health, 51(6), 535-543. Gyimah, S. O., Tenkorang, E. Y., Takyi, B. K., Adjei, J., & Fosu, G. (2010). Religion, HIV/AIDS and sexual risk-taking among men in Ghana. Journal of Biosocial Science, 42(4), 531. Hackl, K. L., Somlai, A. M., Kelly, J. A., & Kalichman, S. C. (1997). Women living with HIV/AIDS: The dual challenge of being a patient and caregiver. Health & Social Work, 22(1), 53-62. Haider, M. (2005). Global public health communication: Challenges, perspectives, and strategies. Jones & Bartlett Learning. Hamilton, J. B., Agarwal, M., Song, L., Moore, M. A., & Best, N. (2012). Are psychosocial interventions targeting older African American cancer survivors culturally appropriate?: A review of the literature. Cancer Nursing, 35(2), E12-E23. Hansen, E. C. (2006). Successful qualitative health research. England: McGraw-Hill Education. Hanson, C., West, J., Neiger, B., Thackeray, R., Barnes, M., & McIntyre, E. (2011). Use and acceptance of social media among health educators. American Journal of Health Education, 42(4), 197-204. Harding, A., Anadu, E., Gray, L., & Champeau, D. (1999). Nigerian university students' knowledge, perceptions, and behaviours about HIV/AIDS: Are these students at risk? The Journal of the Royal Society for the Promotion of Health. 119(1) 23-31. Hausser, D., & Michaud, P. A. (1994). Does a condom promoting strategy (the Swiss STOP-AIDS campaign) modify sexual behavior among adolescents? Pediatrics, 93(4), 580–585. HEAIDS (2010). HIV prevalence and related factors: Higher Education sector study, 2008‐2009. Pretoria: HEAIDS. Heise, L. L., & Elias, C. (1995). Transforming AIDS prevention to meet women's needs: A focus on developing countries. Social Science & Medicine, 40(7), 931-943. Helman, C. G. (1996). The body image in health and disease: Exploring patients' maps of body and self. Patient Education and Counseling, 26(1), 169-175. Higgs, M. (2001). Is there a relationship between the Myers-Briggs type indicator and emotional intelligence? Journal of Managerial Psychology, 16, (7), 509-533. Hogan, T. P., & Palmer, C. L. (2005). Information preferences and practices among people living with HIV/AIDS: results from a nationwide survey. Journal of the Medical Library Association, 93(4), 431. Holt, C. L., Lewellyn, L. A., & Rathweg, M. J. (2005). Exploring religion-health mediators among African American parishioners. Journal of Health Psychology, 10(4), 511-527. Huebner, A. J. & Laurie, W. Howell. (2003). Examining the relationship between adolescent sexual risk-taking and perceptions of monitoring, communication, and parenting styles. Journal of Adolescent Health, 33, 71–80. Ihekweazu, C (2014). The passing of the HIV and AIDS anti-stigma and discrimination bill. Retrived on May 22, 2014 from http://nigeriahealthwatch.com/the-passing-ofthe- hiv-and-aids-anti-stigma-and-discrimination-bill/ Ikimalo, J., Brabin, L., Kemp, J., Dollimore, N., Obunge, O. K., Briggs, N. D., ..& Hart, C. A. (1995). Reproductive tract infections and abortion among adolescent girls in rural Nigeria. The Lancet, 345(8945), 300-304. Imaledo, J. A., Peter-Kio, O. B., & Asuquo, E. O. (2013). Pattern of risky sexual behavior and associated factors among undergraduate students of the University of Port Harcourt, Rivers State, Nigeria. Pan African Medical Journal, 12(1). Ityavyar, D. (2010). HIV prevention and cultural challenges for women in Nigeria. Retrieved April 30, 2012 from the Inter-gender development website: http://intergender.org/ index.php/sample-sites/parks/11repport Iwelunmor, J., Newsome, V., & Airhihenbuwa, C. O. (2014). Framing the impact of culture on health: a systematic review of the PEN-3 cultural model and its application in public health research and interventions. Ethnicity & health, 19(1), 20-46. Iyayi, F., Igbinomwanhia, R. O., Bardi, A., & Iyayi, O. O. (2012). The control of Nigerian women over their sexuality in an era of HIV/AIDS: A study of women in Edo State in Nigeria. International NGO Journal, 6(5), 113-121. Izugbara, C. O. (2004). Patriarchal ideology and discourses of sexuality in Nigeria. In Understanding human sexuality seminar series, (pp. 1-34). Lagos: Africa Regional Sexuality Resource Centre. Izugbara, C.O. (2001). Tasting the forbidden fruits: The social context of debut sexual encounters among young persons in a rural Nigerian community. The African Anthropologist 8 (1) 96-107. Izugbara, C. O. (2008). Masculinity scripts and abstinence-related beliefs of rural Nigerian male youth. Journal of Sex Research, 45(3), 262-276. Jackson, N., & Waters, E. (2005). Criteria for the systematic review of health promotion and public health interventions. Health Promotion International, 20 (4), 367-374. Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: A decade later. Health Education Quarterly. 11(1): 1-47. Janz, N. K., Champion, V.L., Strecher, V.J. (2002). The Health Belief Model. In K. Glanz, B.K. Rimer, F.M. Lewis (Eds). Health Behavior and Health Education: Theory, Research, and Practice, (pp. 41–59). San Francisco: Jossey-Bass Publishers. Jappah, J. V. (2013). The convergence of American and Nigerian religious conservatism in a biopolitical shaping of Nigeria's HIV/AIDS prevention programmes. Global Public Health, 8(3), 312-325. Jessor, R. (1991) Risk behaviour in adolescence: A psychosocial framework for understanding and action, Journal of Adolescent Health, 12, 597-605. Johnson, E. M., & Delgado, J. L. (1989). Reaching Hispanics with messages to prevent alcohol and other drug abuse. Public Health Reports, 104(6), 588-567. Johnson, D. J., Jaeger, E., Randolph, S. M., Cauce, A. M., & Ward, J. & the NICHD Early Child Care Research Network (2003). Studying the effects of early child care experiences on the development of children of color in the United States: Towards a more inclusive research agenda. Child Development, 74(5), 1227-1244. Johnson-Mallard, V., Thomas, T. L., Kostas-Polston, E. A., Barta, M., Lengacher, C. A., & Rivers, D. (2012). The nurse's role in preventing cervical cancer: A cultural framework. American Nurse Today, 7(7). Jones, R. K., & Biddlecom, A. E. (2011). Is the internet filling the sexual health information gap for teens? An exploratory study. Journal of Health Communication, 16(2), 112-123. Jones, N. R., & Haynes, R. (2006). The association between young people's knowledge of sexually transmitted diseases and their behaviour: A mixed methods study. Health, Risk & Society, 8(3), 293-303. Kadiri, K. K., Ahmad, M. K., & Mustaffa, C. S. (2015). Sexual Abstinence and Usage of Contraceptions among Young People in Nigeria. Journal of Biology, Agriculture and Healthcare, 4(16), 53-59. Kagimu, M., Guwatudde, D., Rwabukwali, C., Kaye, S., Walakira, Y., & Ainomugisha, D. (2011). Inter-religious Cooperation for HIV Prevention in Uganda: A Study among Muslim and Christian Youth in Wakiso District. Religions, 2(4), 707-728. Kagimu, M., Guwatudde, D., Rwabukwali, C., Kaye, S., Walakira, Y., Ainomugisha, D. (2012). Religiosity for HIV prevention in Uganda: a case study among Muslim youth in Wakiso district. African Health Sciences, 12(3): 282 – 290 Kalichman, S. C., & ;Hospers, H. J. (1997). Efficacy of behavioral-skills enhancement HIV risk-reduction interventions in community settings. AIDS (London, England), 11, S191. Kalichman, S. C., Simbayi, L. C., Cloete, A., Mthembu, P. P., Mkhonta, R. N., & Ginindza, T. (2009). Measuring AIDS stigmas in people living with HIV/AIDS: The Internalized AIDS-Related Stigma Scale. AIDS care, 21(1), 87-93. Kandula, N. R., Khurana, N. R., Makoul, G., Glass, S., & Baker, D. W. (2012). A community and culture-centered approach to developing effective cardiovascular health messages. Journal of General Internal Medicine, 27(10), 1308–1316. Karlyn, A. S. (2001). The impact of a targeted radio campaign to prevent STIs and HIV/AIDS in Mozambique. AIDS Education and Prevention, 13(5), 438-451. Katz, B. P., Fortenberry, J. D., Zimet, G. D., Blythe, M. J., & Orr, D. P. (2000). Partnerspecific relationship characteristics and condom use among young people with sexually transmitted diseases. Journal of Sex Research, 37(1), 69-75 Keating, J., Meekers, D., & Adewuyi, A. (2006). Assessing effects of a media campaign on HIV/AIDS awareness and prevention in Nigeria: Results from the VISION Project. BMC Public Health, 6(1), 123. Keller, S. N., & Brown, J. D. (2002). Media interventions to promote responsible sexual behavior. Journal of Sex Research, 39(1), 67-72. Kendall, E., & Barnett, L. (2014). Principles for the development of Aboriginal health interventions: culturally appropriate methods through systemic empathy. Ethnicity & health, (ahead-of-print), 1-16. Kennedy, M. G., Mizuno, Y., Hoffman, R., Baume, C., & Strand, J. (2000). The effect of tailoring a model HIV prevention program for local adolescent target audiences. AIDS education and prevention.. Official publication of the International Society for AIDS Education, 12(3), 225. Kennedy, M. G., Mizuno, Y., Seals, B. F., Myllyluoma, J., & Weeks-Norton, K. (2000). Increasing condom use among adolescents with coalition-based social marketing. Aids, 14(12), 1809-1818. Kinney, A. Y., Gammon, A., Coxworth, J., Simonsen, S. E., & Arce-Laretta, M. (2010). Exploring attitudes, beliefs, and communication preferences of Latino community members regarding BRCA1/2 mutation testing and preventive strategies. Genetics in Medicine, 12(2), 105-115. Kiragu, K. & Zabin, L. S. (1995). Contraceptive use among high school students in Kenya. International Family Planning Perspectives, 21(3):108-13 Kitause, R. H., & Achunike, H. C. (2013). Religion in Nigeria from 1900-2013. Research on Humanities and Social Sciences, 3(18), 45-56. Kitzinger, J. (1994). The methodology of focus groups: The importance of interaction between research participants. Sociology of Health and Illness, 16 (1), 103-121 Kitzinger, J., & Barbour, R. S. (1999). Introduction: The challenge and promise of focus groups. In R. S. Barbour & J. Kitzinger (Eds.). Developing focus group research: Politics, theory and practice (pp. 1-20). London: Sage Kline, K. N. (2007). Cultural sensitivity and health promotion: Assessing breast cancer education pamphlets designed for African American women. Health Communication, 21(1), 85-96. Koch, T., & Harrington, A. (1998). Reconceptualizing rigour: The case for reflexivity. Journal of Advanced Nursing, 28(4), 882-890. Koo, F. K., Kwok, C., White, K., D'Abrew, N., & Roydhouse, J. K. (2012). Strategies for piloting a breast health promotion program in the Chinese-Australian population. Preventing Chronic Disease, 9. Korda, H., & Itani, Z. (2013). Harnessing social media for health promotion and behavior change. Health Promotion Practice, 14(1), 15-23. Kreps, G. L. (2006). Communication and racial inequities in health care. American Behavioral Scientist, 49(6), 1-15. Kreuter, M. W., & McClure, S. M. (2004). The role of culture in health communication. Annual. Review Public Health, 25, 439-455. Kreuter, M. W., Lukwago, S. N., Bucholtz, D. C., Clark, E. M., & Sanders-Thompson, V. (2003). Achieving cultural appropriateness in health promotion programs: Targeted and tailored approaches. Health Education and Behavior, 30 (2), 133-146. Kreuter, M. W., Oswald, D. L., Bull, F. C., & Clark, E. M. (2000). Are tailored health education materials always more effective than non-tailored materials? Health Education Research, 15(3), 305-315. Kreuter, M. W., Skinner, C. S., Steger-May, K., Holt, C. L., Bucholtz, D. C., Clark, E. M., & Haire-Joshu, D. (2004). Responses to behaviorally vs culturally tailored cancer communication among African American women. American Journal of Health Behavior, 28(3), 195-207. Kreuter, M. W., Sugg-Skinner, C., Holt, C. L., Clark, E. M., Haire-Joshu, D., Fu, Q., & Bucholtz, D. (2005). Cultural tailoring for mammography and fruit and vegetable intake among low-income African-American women in urban public health centers. Preventive medicine, 41(1), 53. Krippendorff, K. (2004). Content analysis: An introduction to its methodology. Thousand Oaks: Sage. Kulukulualani, M., Braun, K. L., & Tsark, J. U. (2008). Using a participatory four-step protocol to develop culturally targeted cancer education brochures. Health Promotion Practice, 9(4), 344-355. Lau, J. T. F., & Tsui, H. Y. (2005). Discriminatory attitudes towards people living with HIV/AIDS and associated factors: a population based study in the Chinese general population. Sexually Transmitted Infections, 81(2), 113-119. Lauby, J.L., Smith, P.J., Stark, M., Person, B., & Adams J. (2000). A community-level prevention intervention for inner-city women: results of the women and infants demonstration trial. American Journal of Public Health, 90, 216–222. Lagarde, E., Enel, C., Seck, K., Gueye-Ndiaye, A., Piau, J. P., Pison, G., ... & Mboup, S. (2000). Religion and protective behaviours towards AIDS in rural Senegal. Aids, 14(13), 2027-2033 Lee, H. R., Ebesu Hubbard, A. S., O'Riordan, C. K., & Kim, M. S. (2006). Incorporating culture into the theory of planned behavior: Predicting smoking cessation intentions among college students. Asian Journal of Communication, 16(3), 315-332. Lengwe, J. (2010). Listening and talking as HIV prevention: A New Approach to HIV and AIDS campaigns at the three Universities in KwaZulu- Natal‟, Unpublished Doctoral Dissertation submitted to the University of KwaZulu-Natal, Durban. Levine, D. (2011). Using technology, new media, and mobile for sexual and reproductive health. Sexuality Research and Social Policy, 8(1), 18-26. Lesotho, S. A. (2008). Exploring the cultural context of HIV/AIDS pandemic in a Nigerian community: Implication for culture specific prevention programmes. Anthropologist, 10(4), 269-276. Leutscher, P. D., Behets, F., Rousset, D., Ramarokoto, C. E., Siddiqi, O., Ravaoalimalala, E. V., ... & Migliani, R. (2003). Sexual behavior and sexually transmitted infections in men living in rural Madagascar: implications for HIV transmission. Sexually Transmitted Diseases, 30(3), 262-265. Lezin, N. A., Kreuter, M. W., & Green, L. W. (2003). Community health promotion ideas that work. Jones and Bartlett. Li, C., Pentz, M. A., Tunner, G., & Fan, A. (1999). Predictive utility of the health belief model for smoking cessation among adolescents. Paper presented at: Fifth Annual Meeting of The Society for Research on Nicotine and Tobacco, San Diego, California. Li, X., Stanton, B., & Feigelman. S. (2000). Impact of perceived parental monitoring on adolescent risk behaviour over 4 years. Journal of Adolescent Health, 27(l): 49-56. Lindolf, T.R., & Taylor, B.C.(2011).Qualitative communication research methods (3rd ed.). Thousand Oaks, CA: Sage Little, L., & Kantor, G. K. (2002). Using ecological theory to understand intimate partner violence and child maltreatment. Journal of Community Health Nursing, 119 (3), 133-145 Liu, S & Chen, G. (2010). Communicating Health: People, Culture and Context. China Media Research, 6 (4), 1-2. Livingston, I. L. (1992). AIDS/HIV Crisis in developing countries: The need for greater understanding and innovative health promotion approaches. Journal of National Medical Association, 84(9), 755-770. Lu, M., Moritz, S., Lorenzetti, D., Sykes, L., Straus, S & Quan, H. (2010). A systematic review of interventions to increase breast and cervical cancer screening uptake among Asian women. BMC Public Health, 12, 413. Lupton, D. (1994). Toward the development of critical health communication praxis. Health Communication, 6(1), 55-67. Longmore, M. A., Manning, W. D., & Giordano, P. C. (2001). Preadolescent parenting strategies and teens' dating and sexual initiation: A longitudinal analysis. Journal of Marriage and Family, 63(2), 322-335. Macdowall, W., & Mitchell, K. (2006). Sexual health communication. In I.Roger & P. Aggleton (Eds.), Promoting Young People's Sexual Health. International Perspectives (pp174-191). London: Taylor and Francis MacPhail, C., & Campbell, C. (2001). I think condoms are good but, aai, I hate those things: Condom use among adolescents and young people in a Southern African township. Social Science Med, 52, 1613-1627. Macro, O. R. C. (2004). Demographic and Health Survey. ORC Macro. http://www.measuredhs.com. Maibach, E., & Parrot, R.L. (1995). Designing health messages: Approaches from communication theory and public health practice. Thousand Oaks, CA: Sage. Maibach, E., Flora, J. A., & Nass, C. (1991). Changes in self-efficacy and health behaviour in response to a minimal contact community health campaign. Health Communication, 3(1), 1-15. Makinwa-Adebusoye, P. (1992). Sexual behaviour, reproductive knowledge and contraceptive use among young urban Nigerians. International Family Planning Perspective, 18, 66–70. Makoul, G. (1991). Communication in the health‐care context: A review essay. Communication Education, 40(4), 407-41 Makwe, C. C., Anorlu, R. I., & Odeyemi, K. A. (2012). Human papillomavirus (HPV) infection and vaccines: Knowledge, attitude and perception among female students at the University of Lagos, Lagos, Nigeria. Journal of Epidemiology and Global Health. 2(4), 199–206. Mandara, M. U. (2004). Female genital mutilation in Nigeria. International Journal of Gynecology & Obstetrics, 84(3), 291-298. Marshall, C., & Rossman, G. B. (1995). Designing qualitative research. London: Sage. Marston, C., & King, E. (2006). Factors that shape young people's sexual behaviour: A systematic review. The Lancet, 368, (9547), 1581-1586. Marum, E., G. Morgan, A. Hightower, C. Ngare and M. Taegtmeyer. 2008. Using mass media campaigns to promote voluntary counseling and HIV-testing services in Kenya. AIDS, 22, 2019-2024 Marvasti, A. (2003). Qualitative research in sociology. SAGE Publications Limited. Mason, J. (2006). Mixing methods in a qualitatively driven way. Qualitative Research, 6 (1), 9-25. Mason, J. (2002). Qualitative researching. (2nd ed). London: Sage. Mathews, C., Guttmacher, S. J., Coetzee, N., Magwaza, S., Stein, J., Lombard, C., ... & Coetzee, D. (2002). Evaluation of a video based health education strategy to transmitted disease partner notification in South Africa. Sexually Transmitted Infections, 78(1), 53-57. May, J. F. (2012). Population policies in developing countries. In World Population Policies (pp. 129-169). Springer: Netherlands. Mazrui, A. A. A. (1986). The Africans: A triple heritage. London: BBC Publications. Mbakwem-Aniebo, C., Ezekoye, C. C., & Okonko, I. O.(2012). Knowledge about HIV/AIDS and reported risk behaviours among freshmen of the University of Port Harcourt, Port-Harcourt, Southern Nigeria. World Applied Sciences Journal, 16(8), 1093-1103 McCombie, S., Hornik, R. C., & Anarfi, J. (2002). Effects of a mass media campaign to prevent AIDS among young people in Ghana. In R.Hornik (Ed.), Public health communication: Evidence for behaviour change (pp 147-62). UK: Taylor & Francis. McCracken, G. (1988). The long interview. Newbury Park, CA: Sage. McCree, D. H., Wingood, G. M., DiClemente, R., Davies, S., & Harrington, K. F. (2003). Religiosity and risky sexual behavior in African-American adolescent females. Journal of Adolescent Health, 33(1), 2-8. McGrath, J. W., Rwabukwali, C. B., Schumann, D. A., Pearson-Marks, J., Nakayiwa, S., Namande, B., ... & Mukasa, R. (1993). Anthropology and AIDS: the cultural context of sexual risk behavior among urban Baganda women in Kampala, Uganda. Social Science & Medicine, 36(4), 429-439. McKee, N., Bertrand, J. T., & Becker-Benton, A. (2004). Strategic communication in the HIV/AIDS epidemic. New Delhi: Sage. McKoy, S.S. (2001). When whites riot: Writing race and violence in American and South African cultures. Madison: University of Wisconsin Press. McManus, A., & Dhar, L. (2008). Study of knowledge, perception and attitude of adolescent girls towards STIs/HIV, safer sex and sex education: A cross sectional survey of urban adolescent school girls in South Delhi, India. BMC Women's Health, 8(1), 12-23. Merriam, S. B. (2014). Qualitative research: A guide to design and implementation. John Wiley & Sons. Michal-Johnson, P., & Bowen, S. P. (1992). The place of culture in HIV education. In T. Edgar, M.A. Fitzpatrick, & V.S. Freimuth (Eds). AIDS: A communication perspective (pp. 147-172). Hillsdale, NJ: Erlbaum. Mill, J. E., & Anarfi, J. K. (2002). HIV risk environment for Ghanaian women: Challenges to prevention. Social Science & Medicine, 54(3), 325-337. Miller, K. S., Forehand, R., & Kotchick, B. A. (1999). Adolescent sexual behavior in two ethnic minority samples: The role of family variables. Journal of Marriage and the Family, 61, 85-98. Miller, K. S., Forehand, R., & Kotchick, B. A. (2000). Adolescent sexual behavior in two ethnic minority groups: A multisystem perspective. Adolescence, 35, 313-333 Mimiaga, M.J., Reisner, S.L., Goldhammer, H., Tetu, A.M., Belanoff, C., & Mayer, K.H. (2010). Sources of human immunodeficiency virus and sexually transmitted disease information and responses to prevention messages among Massachusetts men who have sex with men. American Journal of Health Promotion, 24(3):170 7. Minkler, M. (1999). Personal responsibility for health: A review of the arguments and the evidence at century’s end. Health Education and Behavior, 26, 121–140. Mmari, K. N., Oseni, O., Fatusi, A.O. (2010). STIs Treatment Seeking Behaviours among youth in Nigeria: Are there gender differences? International Perspective Sex Reproductive Health, 36, 72-79. Momoh, S. O., Moses, A. I., & Ugiomoh, M. M. (2013). Women and the HIV/AIDS epidemic: The issue of school age girls’ awareness in Nigeria. Journal of International Women's Studies, 8(1), 212-218. Montano, D. E., & Kasprzyk, D. (2002). The theory of reasoned action and the theory of planned behavior. In K. Glanz, B. Rimer, & F. Lewis (Eds). Health behaviour and health education: theory, research, and practice (pp. 132-187). San Francisco: Jossey-Bass. Montano, D. E., & Kasprzyk, D. (2008). Theory of reasoned action, theory of planned behavior, and the integrated behavioral model. Health behavior and health education: Theory, research, and practice, 4, 67-95. Moodley, E. (2007). An assessment of students‟ sexual practices at the University of KwaZulu-Natal: towards student participation HIV/AIDS message design, Unpublished Masters thesis submitted to the University of KwaZulu-Natal, Durban. Morgan, D. L. (2004). Focus groups. Thousand Oaks, CA: Sage. Morgan, D. L., & Krueger, R. A. (1993). When to use focus groups and why. In D. L. Morgan (Ed.), Successful focus groups: Advancing the state of the art (pp. 3-19). Newbury Park, CA: Sage Morgan, L., & Wabie, J. L. (2012). Aboriginal Women’s Access and Acceptance of Reproductive Health Care. Pimatisiwin, 10 (3), 313. Morrinson, M. J. (1998). Parents’ and young people’s attitudes towards bedwetting and their influence on behaviour, including readiness to engage in and persist with treatment. British Journal of Urology, 81(s3), 56-66. Mullen, P. D., Ramirez, G., Strouse, D., Hedges, L. V., & Sogolow, E. (2002). Meta analysis of the effects of behavioral HIV prevention interventions on the sexual risk behavior of sexually experienced adolescents in controlled studies in the United States. Journal of Acquired Immune Deficiency Syndromes, 30,S94-S105. Mulwo, A. (2010) An Analysis of Students' Responses to ABC and VCT Messages at three Universities in KwaZulu-Natal Province, Unpublished Doctoral Dissertation submitted to the University of KwaZulu-Natal, Durban. Muturi, N. (2008). Faith-Based Initiatives in HIV/AIDS Communication: The Jamaican Situation. International Journal of Communication, 2, 24. Muturi, N. W. (2005). Communication for HIV/AIDS prevention in Kenya: Social cultural considerations. Journal of Health Communication, 10(1), 77-98. Mwambete, K. D., & Mtaturu, Z. (2006). Knowledge of sexually transmitted diseases among secondary school students in Dar es Salaam, Tanzania. African Health Sciences, 6(3), 165-169. Myrick, R. (1998). In search of cultural sensitivity and inclusiveness: Communication strategies used in rural HIV prevention campaigns designed for African Americans. Health Communication, 10 (1), 65-85. National Agency for Control of AIDS (2012). Global AIDS response: Country progress report. Abuja, Nigeria: Federal Republic of Nigeria. National AIDS/STI Control Programme, Kenya. (2009). 2007 Kenya AIDS indicator survey. (KAIS) Final Report. Nairobi: NASCOP. National Cancer Institute. (2007). Theory at a glance. Retrieve on July, 2013 from URL: http://www.cancer.gov/PDF/481f5d53-63df-41bc- faf5aa4 8ee1da4d/TAAG3.pdf. Neiger, B. L., Thackeray, R., Van Wagenen, S. A., Hanson, C. L., West, J. H., Barnes, M. D., & Fagen, M. C. (2012). Use of social media in health promotion purposes, key performance indicators, and evaluation metrics. Health promotion practice, 13(2), 159-164. Neuhauser, L., & Kreps, G. L. (2003). Rethinking communication in the e-health era. Journal of Health Psychology, 8 (1), 7-23. Neuhauser, L., Kreps, G.L. (2008). Online cancer communication: Meeting the literacy, cultural, and linguistic needs of diverse audiences. Patient Education and Counseling, 71, 365–377. Neuhauser, L., Sparks, L., Villagran, M.M., Kreps, G. (2008). The power of communitybased health communication interventions to promote cancer prevention and control for at-risk populations. Patient Education and Counseling, 71, 315–318. Neuman, W. (1997). Social science methods: Qualitative and quantitative approaches. Boston: Allyn &Bacon. Niang, C. I., Tapsoba, P., Weiss, E., Diagne, M., Niang, Y., Moreau, A. M., ... & Castle, C. (2003). ‘It's raining stones’: stigma, violence and HIV vulnerability among men who have sex with men in Dakar, Senegal. Culture, Health & Sexuality, 5(6), 499-512. Nieuwenhuis, J., & Smit, B. (2012). Qualitative Research. In C. Wanger, B. Kawulich, & M.Garner (Eds). Doing social research: A global context (pp.124-139). New York, NY: McGraw-Hill. Nigeria Federal Ministry of Health. (2004). Technical report on the 2003 National HIV/Syphilis Sentinel Survey among pregnant women attending antenatal clinics in Nigeria. Abuja, Nigeria: Federal Ministry of Health: April 2004. Nigerian Demographic and Health Surveys (2003). National Population Commission, Abuja/Nigeria and ORC Macro 2004: Nigerian Demographic and Health Survey 2003. Njikam née Savage, O. M. (2005). Risky sexual behaviour, sexually transmitted infections, HIV/AIDS and health promotion among students in the University of Douala. African Population Studies; 20, 1-13 Noar, S. M. (2006). A 10 years retrospective of research in health mass media campaign: Where do we go from here? Journal of Health Communication. 11(1), 21-42. Noar, S. M., Palmgreen, P., Chabot, M., Dobransky, N., & Zimmerman, R. S. (2009). A 10-year systematic review of HIV/AIDS mass communication campaigns: Have we made progress? Journal of Health Communication, 14(1), 15-42. Noden, B. H., Gomes, A., & Ferreira, A. (2010). Influence of religious affiliation and education on HIV knowledge and HIV-related sexual behaviours among unmarried youth in rural central Mozambique. AIDS care, 22(10), 1285 1294. Nwagwu, W. E. (2007). The Internet as a source of reproductive health information among adolescent girls in an urban city in Nigeria. BMC Public Health, 7(1), 354. Nwokoji, U. A., & Ajuwon, A. J. (2004). Knowledge of AIDS and HIV risk-related sexual behavior among Nigerian naval personnel. BMC Public Health, 4(1), 24-34. Nzioka, C. (1996). Lay perceptions of risk of HIV infection and construction of safer sex: Some experiences from Kenya. AIDS Care, 8(5) 565-579. Obidoa, C. A., M'Lan, C. E., & Schensul, S. L. (2012). Factors associated with HIV/AIDS sexual risk among young women aged 15-24 years in Nigeria. Journal of Public Health in Africa, 3(1), e15 Obiechina, N.J., Nwosu, O.B., Okafor, C.I.,& Ikpeze, O.C. (2001). Knowledge, awareness and perception of sexually transmitted diseases (STDs) among antenatal patients at Nnewi, Nigeria. Journal of Obsteteric and Gynaecology, 21(3): 292-4. Obioha, E. E. (2008). Exploring the cultural context of HIV/AIDS pandemic in a Nigerian community: Implication for culture specific prevention programmes. Anthropologist, 10(4), 269-276. Obregon, C. O. (2000). A critical assessment of theories/models used in health communication for HIV/AIDS. Journal of Health Communication, 5(1), 5-15. Ocholla-Ayoyo, A. B. C., & Schwarz, R. A. (1991). Report on Sex Practices and the Spread of STDs and AIDS in Kenya. University of Nairobi, Nairobi. Odusanya, O. K., & Bankole, O. M. (2006). A survey of information sources used by secondary school students in Ogun State, Nigeria for knowledge and attitudes towards HIV/AIDS. African Journal of Library, Archives and Information Science, 16(1), 53-63. Ogundipe, S. (2013). Nigeria’s HIV reduction rate slowest in the World. The Vanguard. Retrieved from http://www.vanguardngr.com/2013/ 07/nigerias-hiv-reduction-rateslowest-in-the- world/ on the 3rd of July, 2013. Oguntuyi A.(1979). History of Ekiti. Ibadan: Bisi Books, p. 28–29. Okaka, W. (2009). Assessing Uganda’s public communications campaigns strategy for effective national health policy awareness. Journal of Media and Communication Studies, 1(4), 073-078. Okereke, C. I. (2010). Unmet reproductive health needs and health-seeking behaviour of adolescents in Owerri, Nigeria. African Journal of Reproductive Health, 14(1), 43-54. Okonko, I. O., Akinpelu, A. O., & Okerentugba, P. O. (2012). Prevalence of sexually transmitted infections (STIs) among attendees of AFRH Centre in Ibadan, Southwestern Nigeria. Middle-East Journal of Scientific Research, 11(1), 24-31. Okonofua, F. E. (1992). Influence of socio-economic factors on treatment and prevention of malaria in pregnant and non-pregnant adolescent girls in Nigeria. Journal of Tropical Medicine and Hygiene, 95(5), 309-315 Okonofua, F. E. (1999). Assessment of health services for the treatment of sexually transmitted infections among Nigerian adolescents. Sexually Transmitted Diseases; 26, 184-190. Oladepo, O., & Fayemi, M. M.(2011). Perceptions about sexual abstinence and knowledge of HIV/AIDS prevention among in-school adolescents in a western Nigerian city. BMC Public Health, 11(1), 304-312. Olakolu, S. S., Abioye-Kuteyi, E. A., & Oyegbade, O. O. (2011). Sexually transmitted infections among patients attending the General Practice Clinic, Wesley Guild Hospital, Ilesa, Nigeria. South African Family Practice, 53(1). Olaseha, I. O. Ajuwon A. J, & Onyejekwe O. C. (2004). Reproductive health knowledge and use of contraceptives among adolescent mothers in a sub-urban community of Oyo State, Nigeria. African Journal of Medicine and Medical Science, 33(2), 139-143 Olasode, O. A. (2007). Sexual behaviour in adolescents and young people attending a sexually transmitted disease clinic in Ile Ife, Nigeria. Indian Journal of Sexually Transmitted Diseases and AIDS, 28(2), 83. Omadjohwoefe, O. S. (2011). Gender role differentiation and social mobility of women in Nigeria. Journal of Social Science, 27(1), 67-74. Omorodion, F.I. (2007). Rural women's experiences of micro-credit schemes in Nigeria: case study of Esan women. Journal Asian Africa studies, 42, 479-494. Oncel, S., Kulakac, O., Akcan, A., Eravsar, K., & Dedeoglu, N. (2012). Apprentices’ knowledges and attitudes about sexually transmitted disease. Sexuality and Disability, 30(1), 53-66. Onoh, H. E., Mbah, A. U., Chukwuka, J. C. & Ikeme, A. C. (2004). HIVAIDS awareness and sexual practices among undergraduates in Enugu, Nigeria. Nigerian Postgraduate Medical Journal. 11 (2), 121-125 Onuh, S. O., Igberase, G. O., Umeora, J. O., Okogbenin, S. A., Otoide, V. O., & Gharoro, E. P. (2006). Female genital mutilation: knowledge, attitude and practice among nurses. Journal of the National Medical Association, 98(3), 409-418. Onwuliri, V. A., & Jolayemi, O. M. (2006). Reaching vulnerable and high-risk groups in Nigeria. AIDS in Nigeria: A nation on the threshold. Havard Centre for Population and Development Studies, USA, 310-311. Onyeonoro, U. U., Oshi, D. C., Ndimele, E. C., Chuku, N. C., Onyemuchara, I. L., Ezekwere, S. C., ... & Emelumadu, O. F. (2011). Sources of sex information and its effects on sexual practices among in-school female adolescents in Osisioma Ngwa LGA, South East Nigeria. Journal of Pediatric and Adolescent Gynecology, 24(5), 294-299. Ortega, J., Huang, S., & Prado, G. (2012). Applying Ecodevelopmental Theory and the Theory of Reasoned Action to Understand HIV Risk Behaviors Among Hispanic Adolescents. Hispanic health care international: the official journal of the National Association of Hispanic Nurses, 10(1), 42. Osei, J. (2006). The value of African taboos for biodiversity and sustainable development. Journal of Sustainable Development in Africa, 8(3), 42-61. Otoide, V. A., Orosanye, F., & Okonofua, F. E. (2001). Why Nigerian adolescents use induced abortion rather than contraception: Evidence from focus group discussions. International Family Planning Perspectives; 27, 77-81 Owuamanam, D. O., & Bankole, M. O. (2013). Family type and attitude to sexual promiscuity of adolescent students in Ekiti State, Nigeria. European Scientific Journal, 9(17).