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Global Journal of Humanities and Social Sciences

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Perceptions Of Health Risk, Sexual Behaviour, And Behaviour Change Communication In Low- And Middle-Income Contexts: An Integrative Public Health Analysis

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Dr. Samuel K. Moyo 1 ,
4 Department of Public Health and Social Sciences, University of Botswana, Gaborone, Botswana

Abstract

Health risk perception and individual behaviour remain central determinants of public health outcomes, particularly in low- and middle-income countries where structural constraints intersect with cultural, social, and psychological factors. This article presents an integrative, theoretically grounded analysis of health-related risk perception, sexual behaviour, and behaviour change communication, drawing strictly and comprehensively on the provided body of literature. Anchored in public health, behavioural science, and qualitative research traditions, the study synthesizes evidence on HIV/AIDS risk perception, sexual behaviour among adolescents and university students, chronic disease risk awareness, and the role of communication strategies in shaping health-related decisions. The analysis situates individual behaviour within broader socio-cultural, institutional, and policy environments, highlighting how misconceptions, stigma, gender norms, power relations, and access to information influence health outcomes. Methodologically, the article adopts an interpretive, qualitative meta-synthesis approach informed by grounded theory, content analysis, and naturalistic inquiry to examine patterns across diverse empirical contexts in Africa and other low- and middle-income settings. Findings indicate persistent gaps between knowledge and behaviour, the resilience of myths and misconceptions despite awareness campaigns, and the critical importance of culturally embedded communication strategies that move beyond information provision toward empowerment and sustained behaviour change. The discussion elaborates theoretical implications for health behaviour models, critically examines limitations within existing research, and proposes future directions for integrated, ethically grounded interventions. By offering an extensive conceptual elaboration, this article contributes to advancing scholarly understanding of health behaviour dynamics and provides a robust foundation for policy, practice, and future research in global public health.

Keywords

Health risk perception, sexual behaviour, behaviour change communication

References

📄 Ahmed, A., Rahman, M., & Hasan, R. (2014). Hypertension and associated risk factors in some selected rural areas of Bangladesh. International Journal of Research in Medical Sciences, 2(3), 925–931.
📄 Adefuye, A. S., Abiona, T. C., Balogun, J. A., & Lukobo-Durrell, M. (2009). HIV sexual risk behaviours and perception of risk among college students: Implications for planning interventions. BMC Public Health, 9, 281.
📄 American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). American Psychiatric Publishing.
📄 Bassett, M. T., McFarland, W. C., Ray, S., Mbizvo, M. T., Machekano, R., Van de Wijgert, H. H., & Katzenstein, D. (1996). Risk factors for HIV infection at enrolment in an urban male factory cohort in Harare, Zimbabwe. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 13(3), 293–298.
📄 Centres for Disease Control and Prevention. (2005). Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings. Morbidity and Mortality Weekly Report, 54(RR17).
📄 Chan, M. (2010). Factors affecting nursing staff in practising spiritual care. Journal of Clinical Nursing, 19(15–16), 2128–2136.
📄 Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Sage Publications.
📄 Charmaz, K. (2010). Discovering chronic illness: Using grounded theory. Social Science and Medicine, 30, 1161–1172.
📄 Creswell, J. W. (2016). Qualitative inquiry and research design: Choosing among five approaches. Sage Publications.
📄 Denzin, N. K., & Lincoln, Y. S. (1994). Introduction: Entering the field of qualitative research. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research. Sage Publications.
📄 Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62, 107–115.
📄 Free, C., Phillips, G., Felix, L., Galli, L., Patel, V., & Edwards, P. (2010). The effectiveness of mHealth technologies for improving health and health services: A systematic review protocol. BMC Research Notes, 3, 250.
📄 Gondo, M. T., & Mtemeri, J. (2022). Muted but not silent: Factors influencing sexual abuse disclosure among adolescents in Gutu district, Zimbabwe. Global Journal of Guidance and Counseling in Schools, 12(1), 68–87.
📄 Govender, R., & Schlebusch, L. (2012). Suicidal ideation in seropositive patients seen at a South African HIV voluntary counselling and testing clinic. African Journal of Psychiatry, 15, 94–98.
📄 Kapiga, S. H., Shao, J. F., Lwihula, G. K., & Hunter, D. J. (1994). Risk factors for HIV infection among women in Dar-es-Salaam, Tanzania. Journal of Acquired Immune Deficiency Syndromes, 3, 301–309.
📄 Lamstein, S. T., Stillman, P., Koniz-Booher, A., Aakesson, B., Collaiezzi, T., Williams, L. J., Gunn, L., Car, J., Felix, L., Knowles, S., Head, R., & Riboli-Sasco, E. (2013). Effects of behaviour change communication strategies embedded in social marketing programmes on health behaviours and related health and welfare outcomes in low and middle income countries. The Campbell Collaboration.
📄 Lincoln, Y. S., & Guba, E. G. (2015). Naturalistic inquiry. Sage Publications.
📄 Maziz, M. N. H., Fazlul, M., & Deepthi, S. (2018). A study of comparison on knowledge and misconceptions about HIV/AIDS among students in a private university in Malaysia. Malaysian Journal of Public Health Medicine, 19(1), 134–142.
📄 Mavedzenge, S. N., Doyle, A. M., & Ross, D. A. (2010). The sexual behaviour of adolescents in sub-Saharan Africa. International Journal of Epidemiology.
📄 Mosavel, M., & Thomas, T. (2009). Daughter-initiated health advice to mothers. Health Care for Women International, 24, 799–810.
📄 National AIDS Council of Zimbabwe. (2018). Zimbabwe National HIV and AIDS Strategic Plan 2018–2023.
📄 Nkomazana, N., & Maharaj, P. (2014). Perception of risk of HIV infections and sexual behaviour of sexually active university students in Zimbabwe. SAHARA-J, 11(1), 42–50.
📄 Odberg-Pettersson, K., & Per-Olof, O. (2011). Experience of sexual coercion and risky sexual behaviour among Ugandan university students. BMC Public Health, 11, 527.
📄 Oswald, H., & Pforr, P. (1992). Sexuality and AIDS: Attitudes and behaviours of adolescents in East and West Berlin. Journal of Adolescence, 15, 373–391.
📄 Sano, Y., Antabe, R., & Atuoye, K. N. (2016). Persistent misconceptions about HIV transmission among males and females in Malawi. BMC International Health and Human Rights, 16(1), 16.
📄 Sieber, J. E., & Tolich, M. (2013). Planning ethically responsible research. Sage Publications.
📄 Talwar, P. (2015). Assessment of HIV knowledge among university students using the HIV-Q-18 scale. South East Asia Journal of Public Health, 5(1), 33–38.
📄 Tenkorang, E. Y. (2013). Myths and misconceptions about HIV transmission in Ghana. Culture, Health & Sexuality, 15(3), 296–310.
📄 UNAIDS & AIDSinfo. (2021). Global facts sheet. UNAIDS.
📄 United Nation Fund for Population Activities. (2005). State of world populations: Adolescents fact sheet.
📄 Werner, D. (2008). Empowerment and health. Contact Christian Medical Commission.
📄 World Health Organisation. (2007). Maternal mortality in 2005.
📄 World Health Organisation. (2015). Trends in maternal mortality: 1990 to 2015.

How to Cite

Perceptions Of Health Risk, Sexual Behaviour, And Behaviour Change Communication In Low- And Middle-Income Contexts: An Integrative Public Health Analysis. (2026). Global Journal of Humanities and Social Sciences, 5(01), 1-7. https://www.grpublishing.org/journals/index.php/gjhss/article/view/261

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