Dixon Anjejo


The study was aimed at determining if cultural beliefs are salient factors contributing to the spread of HIV/AIDS among African born adolescents aged 15 to 19 years living in southern California. We used a cross-sectional design and collected data in two phases. The first phase was qualitative and data were collected from 25 participants in focus groups. The second phase utilized a questionnaire which was developed from the results of the focus group, using the theory of planned behavior. One hundred and thirty-five black African born teenagers between the ages of 15-19 years living in southern California completed the questionnaire. Of those participating in the study, 62% were male and 38% female. The majority (75%) indicated that they were attending high school.

Multiple regressions were done using versions 13 and 14 of Statistical Package for the Social Sciences (SPSS) software as follows; behavior was regressed on intention and perceived control. Intentions to have sex and use condom when having sex were regressed against attitude, subjective norm, and perceived control, and attitudes on outcome beliefs. Subjective norm was also regressed on normative beliefs and perceivedbehavioral control on control beliefs. The strongest predictor of intention to have sexual intercourse was attitude, followed by subjective norm. Perceived control played a relatively less significant role. The responses of enjoying sex, “wanting to be a parent” and to “keep sexual partners” predicted the adolescents’ attitudes.


School of Public Health

First Advisor

Naomi N. Modeste

Second Advisor

Jerry W. Lee

Third Advisor

Colwick M. Wilson

Degree Name

Doctor of Public Health (DrPH)

Degree Level


Year Degree Awarded


Date (Title Page)




Library of Congress/MESH Subject Headings

Acquired Immunodeficiency Syndrome -- prevention and control; Risk Factors; Acquired Immunodeficiency Syndrome -- epidemiology; Acquired Immunodeficiency Syndrome -- transmission; Sex Behavior -- California; Adolescent Behavior; African Americans.



Page Count

xi; 129

Digital Format


Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.


Loma Linda University Electronic Theses and Dissertations

Collection Website


Loma Linda University. Del E. Webb Memorial Library. University Archives