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Social venues that protect against and promote HIV risk for young men in Dar es Salaam,Tanzania
Authors:Thespina J. Yamanis  Suzanne Maman  Jessie K. Mbwambo  Jo Anne E. Earp  Lusajo J. Kajula
Affiliation:1. Duke University Global Health Institute, Trent Hall, Room 113, Duke University Medical Center Box 90519, Durham, NC 27708, USA;2. Department of Health Behavior and Health Education, University of North Carolina at Chapel Hill, NC, USA;3. Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
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 15–19 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.
Keywords:Tanzania   Sub-Saharan Africa   Youth   HIV   Therapeutic landscapes   Collective efficacy   Place   Health behavior   Men
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