“I Stopped to Prove them Wrong:” Reasons for Discontinuing Daily Oral HIV Pre-exposure Prophylaxis Among Women at High Risk of HIV in Tanzania-A Convergent Mixed Methods Study.
Key Social Norms Take-aways: Social norms and social pressure were important drivers of discontinuing daily oral pre-exposure prophylaxis among female sex workers. Women described a common community belief that people taking pills resembling antiretroviral treatment are living with HIV, leading to stigma, rumors, negative reactions, and pressure from partners, family, friends, peers, and clients to […]
What drives adolescent girls and young women’s decisions to persist on PrEP? Results of a comparative qualitative study from a DREAMS program in western Kenya.
Key Social Norms Take-aways: Social support and perceived norms strongly shaped whether adolescent girls and young women persisted with pre-exposure prophylaxis. The discussion emphasizes that pervasive community stigma—particularly the misconception that pre-exposure prophylaxis users have HIV—can undermine persistence, while support from family and friends can counteract stigma and even compensate for unsupportive romantic partners. Programs […]
Condom literacy, self-efficacy, and HIV-risk behaviors: a cross-sectional analysis of adolescent girls in northwestern Botswana
Key Social Norms Take-aways: Although gender and relationship norms were not independently associated with girls’ perceived ability to insist on condom use after adjustment, the discussion emphasizes that patriarchal beliefs about male power in sexual relationships may still impede girls’ ability to translate condom-use intentions into behavior. A notable minority of girls endorsed beliefs that […]
Unsafe sexual practice and associated factors among adolescents in secondary schools in Gambella town, Ethiopia: a health belief model.
Key Social Norms Take-aways: Adolescents’ perceptions of what is socially acceptable around abstinence and condom use were significantly associated with unsafe sexual practices. In particular, low perceived social support for consistent condom use was associated with greater likelihood of unsafe sexual behavior, underscoring the importance of strengthening social environments that support condom use. The discussion […]
Shifting social influences on HIV prevention behavior among adolescents in Bandung, Indonesia: the mediating role of emotional information sources.
Key Social Norms Take-aways: Adolescents’ HIV prevention behaviors are embedded within social and normative environments rather than driven by knowledge or information exposure alone. The discussion highlights peers as important normative reference points who can influence perceived acceptability, social modeling, and prevention decisions. In Indonesia, norms surrounding sexuality, modesty, authority, and propriety may constrain open […]
Discriminatory attitudes toward people living with HIV/AIDS in East Africa: a multilevel analysis of socioeconomic and behavioral determinants using DHS 2019-2023 data.
Key Social Norms Take-aways: Discriminatory attitudes toward people living with HIV remain widespread in East Africa and appear to be shaped by broader socioeconomic and social contexts. Nearly half of the variation in discriminatory attitudes occurred between communities, underscoring that stigma is not solely an individual attitude but is embedded within social environments. The discussion […]
“When the self-test kit comes with the woman, it will be like she is overpowering you”: A qualitative study of men’s and women’s perspectives on HIV self-testing kits in South Africa.
Key Social Norms Take-aways: Gender norms and unequal power within intimate relationships can substantially shape whether HIV self-testing is acceptable and safely implemented. In particular, norms positioning men as household decision-makers may make woman-delivered self-test kits appear to challenge male authority, potentially provoking mistrust, conflict, blame, or violence. The authors argue that programs should assess […]
Sexual behaviors, HIV self-testing awareness, and uptake among Young People (YP) attending a Ghanaian high school.
Key Social Norms Take-aways: Social and gender norms may be important barriers to HIV self-testing among young people. The discussion highlights conservative community expectations around adolescent sexuality, stigma surrounding sexual health discussions, and fear of judgment as factors that may discourage young people from requesting or being seen using HIV self-testing kits. The authors also […]
She Is a Guest in My House: Exploring the Barriers to Asset Development and Decision-Making Autonomy Among Young Women in Southern Uganda
Key Social Norms Takeaways: Deeply entrenched patriarchal social norms in Southern Uganda—reinforced through family systems, cultural expectations, and institutional practices—systematically restrict young women’s access to assets and decision-making power. Norms positioning women as dependent “guests” in their husbands’ homes and prioritizing men as providers and decision-makers shape both structural opportunities and individual agency. Critically, the […]
Impact of a multilevel HIV prevention programme on adolescent girls and young women’s empowerment for risk reduction: A mixed methods evaluation in Kenya
Key Social Norms Take-aways: The study shows that gender norms are central to HIV risk and to the DREAMS theory of change, particularly norms around male authority, female submissiveness, stigma toward girls’ sexual and reproductive health (SRH) service use, and acceptance of violence. While DREAMS contributed to changes in girls’ confidence, aspirations, and peer support, […]