Communication Factors that Influence High School Students in their Response to being Faithfulness Message for HIV/AIDS Prevention in Hossana Town,Ethiopia: A Cross Sectional Study

Background: Despite the massive resources and intensified interventions, desired decline in HIV/AIDS epidemics has not been achieved. This study was aimed to evaluate how students are reacting being faithfulness message for HIV/AIDS prevention using Extended Parallel Process Model (EPPM). Method: Cross sectional study was conducted using quantitative and qualitative methods of data collection. Structured self-administered questionnaires were used to collect data. Simple random sampling was used to select respondents. Quantitative data were analyzed using SPSS version 16.0. Qualitative data were analyzed using OpenCode software. Results: 61.5% (251/408) of the respondents were in danger control response whereas 38.5% (157/408) of the respondents were in fear control response. As independent predictors, self efficacy [AOR (95%CI)=0.32 (0.37 to 0.72)], response efficacy [AOR (95%CI)=0.82 (0.59 to 0.98)] of HIV/AIDS, religion (catholic) [AOR (95%CI)=0.33 (0.65 to 0.69)] and age (20-24) [AOR (95%CI)=0.13 (0.43 to 0.73)] were positively associated with danger control response where as fathers’ occupation [AOR (95%CI)=3.31 (5.55 to 19.08)], perceived susceptibility to [AOR (95%CI)=4.42 (2.44 to 8.61)], perceived severity of [AOR (95%CI)=5.33 (3.21 to 14.74)] HIV/AIDS and not hearing faithfulness message [AOR (95%CI)=5.11 (6.91 to 17.08)] were negatively associated with danger control response. The EPPM Model explained 59.04% of variance in this study. Conclusion: Despite higher numbers of students were in danger control psychological responses, intolerable numbers are in fear control responses. Therefore, due attention should be given to fill the gap of perception of risk in both self-efficacy to be fixed with one sexual partner and response efficacy to be stayed with that one sexual partner tailoring the message in the context of their religion, age and their income.