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Vaas J, Driessen PPJ, Giezen M, van Laerhoven F, Wassen MJ. Moving from Latent to Manifest Problem: Trajectories Across Scientific and Public Salience of Invasive Alien Species. ENVIRONMENTAL MANAGEMENT 2021; 67:901-919. [PMID: 33433666 PMCID: PMC8032613 DOI: 10.1007/s00267-020-01404-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Accepted: 11/20/2020] [Indexed: 06/12/2023]
Abstract
Who worries first about an invasive alien species: scientists or the general public, or do both become concerned simultaneously? Taking thirteen invasive alien species in the Netherlands, this article reconstructs the development of their public and scientific salience: the attention they attracted and the knowledge about them. Salience was assessed from the number of publications from 1997 onwards in the LexisNexis newspaper database and Scopus scientific database. Three trajectories were derived for a species to move from being a latent problem with low salience toward a manifest status with high public and scientific salience. In the most common trajectory, scientific salience increased first, followed by an increase in public salience. We probed the merit of this concept of trajectories by examining the action undertaken for a representative species of the trajectories. We assigned each of these three species a code for inertia and inaction based on the content of a hundred newspaper articles and all available government documents. Knowing the scientific and public salience of these species clarifies why the actions to deal with them differed even though from an ecological perspective they warranted similar attention. The typology of public and scientific salience and the problem trajectories developed in this article together offer a structured approach for understanding an invasive alien species and provide pointers for engaging a community in managing that species.
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Affiliation(s)
- J Vaas
- Copernicus Institute of Sustainable Development, Utrecht University, Utrecht, The Netherlands.
| | - P P J Driessen
- Copernicus Institute of Sustainable Development, Utrecht University, Utrecht, The Netherlands
| | - M Giezen
- Department of Human Geography, Planning, and International Development Studies, University of Amsterdam, Amsterdam, The Netherlands
| | - F van Laerhoven
- Copernicus Institute of Sustainable Development, Utrecht University, Utrecht, The Netherlands
| | - M J Wassen
- Copernicus Institute of Sustainable Development, Utrecht University, Utrecht, The Netherlands
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Thomas R, Skovdal M, Galizzi MM, Schaefer R, Moorhouse L, Nyamukapa C, Maswera R, Mandizvidza P, Hallett TB, Gregson S. Improving risk perception and uptake of voluntary medical male circumcision with peer-education sessions and incentives, in Manicaland, East Zimbabwe: study protocol for a pilot randomised trial. Trials 2020; 21:108. [PMID: 31973744 PMCID: PMC6979356 DOI: 10.1186/s13063-020-4048-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Accepted: 01/06/2020] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Voluntary medical male circumcision (VMMC) is a key component of combination HIV-prevention programmes. Several high-HIV-prevalence countries in sub-Saharan Africa, including Zimbabwe, are looking to scale up VMMC activities. There is limited evidence on how a combination of social learning from peer education by a role model with different behavioural incentives influences demand for VMMC in such settings. METHODS/DESIGN This matched-cluster randomised controlled trial with 1740 participants will compare two behavioural incentives against a control with no intervention. In the intervention clusters, participants will participate in an education session delivered by a circumcised young male ("role model") on the risks of HIV infection and the benefits from medical male circumcision. All participants will receive contributions towards transport costs to access medical male circumcision at participating clinics. Via blocked randomisation, in the intervention clusters participants will be randomly assigned to receive one of two types of incentives - fixed cash payment or lottery payment - both conditional on undergoing surgical VMMC. In two sites, a community-led intervention will also be implemented to address social obstacles and to increase support from peers, families and social structures. Baseline measures of endpoints will be gathered in surveys. Follow-up assessment at 6 months will include self-reported uptake of VMMC triangulated with clinic data. DISCUSSION This is the first trial to pilot-test social learning to improve risk perception and self-efficacy and to address the fear of pain associated with VMMC and possible present-biased preferences with front-loaded compensations as well as fixed or lottery-based cash payments. This study will generate important knowledge to inform HIV-prevention policies about the effectiveness of behavioural interventions and incentives, which could be easily scaled-up. TRIAL REGISTRATION This trial has been registered on ClinicalTrials.gov (identifier: NCT03565588). Registered on 21 June 2018.
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Affiliation(s)
- Ranjeeta Thomas
- Department of Health Policy, London School of Economics and Political Science, Cowdray House, London, WC2 2AE UK
| | - Morten Skovdal
- Section of Health Services Research, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5 opg, B, Postb 15, Building: 15.0.17, 1014 København K, Denmark
| | - Matteo M. Galizzi
- Department of Psychological and Behavioural Science, London School of Economics and Political Science, London, WC2 2AE UK
| | - Robin Schaefer
- Department of Infectious Disease Epidemiology, Imperial College London, St Mary’s Campus Norfolk Place, London, W2 1PG UK
| | - Louisa Moorhouse
- Department of Infectious Disease Epidemiology, Imperial College London, St Mary’s Campus Norfolk Place, London, W2 1PG UK
| | - Constance Nyamukapa
- Department of Infectious Disease Epidemiology, Imperial College London, St Mary’s Campus Norfolk Place, London, W2 1PG UK
- Biomedical Research and Training Institute, 10 Seagrave, Avondale, Harare, Zimbabwe
| | - Rufurwokuda Maswera
- Biomedical Research and Training Institute, 10 Seagrave, Avondale, Harare, Zimbabwe
| | - Phyllis Mandizvidza
- Biomedical Research and Training Institute, 10 Seagrave, Avondale, Harare, Zimbabwe
| | - Timothy B. Hallett
- Department of Infectious Disease Epidemiology, Imperial College London, St Mary’s Campus Norfolk Place, London, W2 1PG UK
| | - Simon Gregson
- Department of Infectious Disease Epidemiology, Imperial College London, St Mary’s Campus Norfolk Place, London, W2 1PG UK
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Patel EU, Kaufman MR, Dam KH, Van Lith LM, Hatzold K, Marcell AV, Mavhu W, Kahabuka C, Mahlasela L, Njeuhmeli E, Seifert Ahanda K, Ncube G, Lija G, Bonnecwe C, Tobian AAR. Age Differences in Perceptions of and Motivations for Voluntary Medical Male Circumcision Among Adolescents in South Africa, Tanzania, and Zimbabwe. Clin Infect Dis 2018; 66:S173-S182. [PMID: 29617775 PMCID: PMC5888947 DOI: 10.1093/cid/cix951] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Background The World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS (UNAIDS) have set a Fast-Track goal to achieve 90% coverage of voluntary medical male circumcision (VMMC) among boys and men aged 10-29 years in priority settings by 2021. We aimed to identify age-specific facilitators of VMMC uptake among adolescents. Methods Younger (aged 10-14 years; n = 967) and older (aged 15-19 years; n = 559) male adolescents completed structured interviews about perceptions of and motivations for VMMC before receiving VMMC counseling at 14 service provision sites across South Africa, Tanzania, and Zimbabwe. Adjusted prevalence ratios (aPRs) were estimated using multivariable modified Poisson regression models with generalized estimating equations and robust standard errors. Results The majority of adolescents reported a strong desire for VMMC. Compared with older adolescents, younger adolescents were less likely to cite protection against human immunodeficiency virus (HIV) or other sexually transmitted infections (aPR, 0.77; 95% confidence interval [CI], .66-.91) and hygienic reasons (aPR, 0.55; 95% CI, .39-.77) as their motivation to undergo VMMC but were more likely to report being motivated by advice from others (aPR, 1.88; 95% CI, 1.54-2.29). Although most adolescents believed that undergoing VMMC was a normative behavior, younger adolescents were less likely to perceive higher descriptive norms (aPR, 0.79; .71-.89), injunctive norms (aPR, 0.86; 95% CI, .73-1.00), or anticipated stigma for being uncircumcised (aPR, 0.79; 95% CI, .68-.90). Younger adolescents were also less likely than older adolescents to correctly cite that VMMC offers men and boys partial HIV protection (aPR, 0.73; 95% CI, .65-.82). Irrespective of age, adolescents' main concern about undergoing VMMC was pain (aPR, 0.95; 95% CI, .87-1.04). Among younger adolescents, fear of pain was negatively associated with desire for VMMC (aPR, 0.89; 95% CI, .83-.96). Conclusions Age-specific strategies are important to consider to generate sustainable demand for VMMC. Programmatic efforts should consider building on the social norms surrounding VMMC and aim to alleviate fears about pain.
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Affiliation(s)
- Eshan U Patel
- Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | | | - Kim H Dam
- Johns Hopkins University Center for Communication Programs, Baltimore, Maryland
| | - Lynn M Van Lith
- Johns Hopkins University Center for Communication Programs, Baltimore, Maryland
| | | | - Arik V Marcell
- Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Webster Mavhu
- Centre for Sexual Health & HIV/AIDS Research, Harare, Zimbabwe
| | | | | | - Emmanuel Njeuhmeli
- Office of HIV/AIDS, Global Health Bureau, United States Agency for International Development, Washington, District of Columbia
| | - Kim Seifert Ahanda
- Office of HIV/AIDS, Global Health Bureau, United States Agency for International Development, Washington, District of Columbia
| | | | - Gissenge Lija
- Ministry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania
| | | | - Aaron A R Tobian
- Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland
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Montaño DE, Tshimanga M, Hamilton DT, Gorn G, Kasprzyk D. Evidence-Based Identification of Key Beliefs Explaining Infant Male Circumcision Motivation Among Expectant Parents in Zimbabwe: Targets for Behavior Change Messaging. AIDS Behav 2018; 22:479-496. [PMID: 28528464 PMCID: PMC5696117 DOI: 10.1007/s10461-017-1796-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Slow adult male circumcision uptake is one factor leading some to recommend increased priority for infant male circumcision (IMC) in sub-Saharan African countries. This research, guided by the integrated behavioral model (IBM), was carried out to identify key beliefs that best explain Zimbabwean parents' motivation to have their infant sons circumcised. A quantitative survey, designed from qualitative elicitation study results, was administered to independent representative samples of 800 expectant mothers and 795 expectant fathers in two urban and two rural areas in Zimbabwe. Multiple regression analyses found IMC motivation among fathers was explained by instrumental attitude, descriptive norm and self-efficacy; while motivation among mothers was explained by instrumental attitude, injunctive norm, descriptive norm, self-efficacy, and perceived control. Regression analyses of beliefs underlying IBM constructs found some overlap but many differences in key beliefs explaining IMC motivation among mothers and fathers. We found differences in key beliefs among urban and rural parents. Urban fathers' IMC motivation was explained best by behavioral beliefs, while rural fathers' motivation was explained by both behavioral and efficacy beliefs. Urban mothers' IMC motivation was explained primarily by behavioral and normative beliefs, while rural mothers' motivation was explained mostly by behavioral beliefs. The key beliefs we identified should serve as targets for developing messages to improve demand and maximize parent uptake as IMC programs are rolled out. These targets need to be different among urban and rural expectant mothers and fathers.
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Affiliation(s)
- Daniel E Montaño
- Department of Family and Child Nursing, School of Nursing, University of Washington, Box 357262, Seattle, WA, 98195-7920, USA.
- Department of Global Health, University of Washington, Seattle, WA, USA.
- Center for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA.
| | - Mufuta Tshimanga
- Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe
| | - Deven T Hamilton
- Center for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA
| | - Gerald Gorn
- Department of Management and Marketing, The Hong Kong Polytechnic University, King's Park, Hong Kong
| | - Danuta Kasprzyk
- Department of Family and Child Nursing, School of Nursing, University of Washington, Box 357262, Seattle, WA, 98195-7920, USA
- Department of Global Health, University of Washington, Seattle, WA, USA
- Center for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA
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