Preventing HIV by providing support for orphan girls to stay in school: does religion matter?
Preventing HIV by providing support for orphan girls to stay in school: does religion matter?
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DOI：
10.1080/13557858.2012.694068
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发表时间：
2013-02-01
影响因子：
3.1
通讯作者：
January, James
中科院分区：
文献类型：
--
作者：
Hallfors, Denise D.;Cho, Hyunsan;January, James
客观的。本文探讨了宗教对津巴布韦农村少女的态度、行为和艾滋病毒感染的影响。设计。我们分析了 2007 年至 2010 年在津巴布韦东部农村进行的一项随机对照试验的数据，该试验旨在测试学校支持是否可以预防农村青少年孤女的艾滋病毒危险行为和相关态度；还分析了 2006 年津巴布韦人口和健康调查 (ZDHS) 的补充数据。目前的研究设计主要是横断面的，利用临床试验中最新的调查数据来检查宗教信仰和宗教信仰与辍学、婚姻和相关态度之间的关系，并控制干预条件、年龄和孤儿类型。 ZDHS 数据研究了宗教信仰对年轻农村妇女婚姻和艾滋病毒感染状况的影响，并控制了年龄。结果。与参考卫理公会的归属相比，使徒教会的归属大大增加了早婚的可能性（优势比 = 4.5）。更大的宗教信仰独立地降低了辍学的可能性，增加了性别平等态度和对过早性行为的分歧，并略微减少了早婚。与新教徒相比，ZDHS 中年轻的农村使徒妇女在青少年时期结婚的可能性几乎是新教徒的四倍，而婚姻使艾滋病毒感染的可能性增加了一倍。结论。研究结果与早期的一项开创性研究相矛盾，该研究认为与其他基督教教派相比，使徒教会相对免受艾滋病毒感染。年轻的使徒女性因早婚而感染艾滋病毒的风险增加。使徒教会是撒哈拉以南非洲地区一个庞大且不断增长的教派，许多使徒教派不鼓励医学检查和治疗，转而支持信仰治疗。由于这会增加高流行地区年轻已婚妇女及其婴儿感染未确诊艾滋病毒的风险，因此迫切需要进一步研究来证实这一新出现的公共卫生问题，特别是在孤女中。尽管经验证据表明，让孤女留在学校可以减少艾滋病毒危险因素，但仍需要进一步研究宗教背景及其对预防的影响。
Objective. The paper examines the influence of religion on attitudes, behaviors, and HIV infection among rural adolescent women in Zimbabwe. Design. We analyzed data from a 2007 to 2010 randomized controlled trial in rural eastern Zimbabwe testing whether school support can prevent HIV risk behaviors and related attitudes among rural adolescent orphan girls; supplementary data from the 2006 Zimbabwe Demographic and Health Survey (ZDHS) were also analyzed. The present study design is largely cross-sectional, using the most recent available survey data from the clinical trial to examine the association between religious affiliation and religiosity on school dropout, marriage, and related attitudes, controlling for intervention condition, age and orphan type. The ZDHS data examined the effect of religious denomination on marriage and HIV status among young rural women, controlling for age. Results. Apostolic Church affiliation greatly increased the likelihood of early marriage compared to reference Methodist Church affiliation (odds ratio = 4.5). Greater religiosity independently reduced the likelihood of school dropout, increased gender equity attitudes and disagreement with early sex, and marginally reduced early marriage. Young rural Apostolic women in the ZDHS were nearly four times as likely to marry as teenagers compared to Protestants, and marriage doubled the likelihood of HIV infection. Conclusions. Findings contradict an earlier seminal study that Apostolics are relatively protected from HIV compared to other Christian denominations. Young Apostolic women are at increased risk of HIV infection through early marriage. The Apostolic Church is a large and growing denomination in sub-Saharan Africa and many Apostolic sects discourage medical testing and treatment in favor of faith healing. Since this can increase the risk of undiagnosed HIV infection for young married women and their infants in high prevalence areas, further study is urgently needed to confirm this emerging public health problem, particularly among orphan girls. Although empirical evidence suggests that keeping orphan girls in school can reduce HIV risk factors, further study of the religious context and the implications for prevention are needed.