Knowledge, attitude, and practice (KAP) of HIV prevention and HIV infection risks among Congolese refugees in Tanzania
Knowledge, attitude, and practice (KAP) of HIV prevention and HIV infection risks among Congolese refugees in Tanzania
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DOI：
10.1016/j.healthplace.2007.07.005
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发表时间：
2008-09-01
期刊：
影响因子：
4.8
通讯作者：
Wakai, Susumu
中科院分区：
文献类型：
--
作者：
Tanaka, Yasuo;Kunii, Osamu;Wakai, Susumu
人们对生活在非洲资源匮乏的紧急情况后阶段难民营中的难民的艾滋病毒感染风险和风险行为知之甚少。我们在坦桑尼亚Nya ugusu难民营进行的研究，系统地选择了难民(n=1140)和艾滋病毒/艾滋病难民(PLWHA)(n=182)，研究表明，有系统地选择的难民在流离失所后艾滋病毒风险水平增加，特别是考虑到有钱或礼物的交易性行为的人数，而广播信息被认为促进了难民社区的风险意识基础。虽然避孕套在难民营中尚未广泛使用，但一些有交易性行为的难民在同行难民卫生工作者，特别是卫生信息小组(HIT)成员的影响下，倾向于采取自己的健康倡议，如使用避孕套。然而，与HIV阴性组相比，PLWHA对一个伴侣的忠诚度较低，并且有更多的非常规性伴侣。我们的研究表明，难民卫生工作者以社区为基础的外展有助于在紧急营地后的环境中预防危险行为。建议增加对“无线电广播信息”和“HIT”的最佳利用，这两种信息可以作为接触更广泛人群的媒介，并加强对妇女解放运动更安全的性教育的重点；其目的是为感染和不感染艾滋病毒/艾滋病的难民实现双重降低风险。(C)2007爱思唯尔有限公司。保留所有权利。
Little is known about HIV infection risks and risk behaviours of refugees living in resource-scarce post-emergency phase camps in Africa. Our study at Nyarugusu Camp in Tanzania, covering systematically selected refugees (n = 1140) and refugees living with HIV/AIDS (PLWHA) (n = 182), revealed that the level of HIV risk of systematically selected refugees increased after displacement, particularly regarding the number having transactional sex for money or gifts, while radio broadcast messages are perceived to promote a base of risk awareness within the refugee community. While condoms are yet to be widely used in the camp, some refugees having transactional sex tended to undertake their own health initiatives such as using a condom, under the influence of peer refugee health workers, particularly health information team (HIT) members. Nevertheless, PLWHA were less faithful to one partner and had more non-regular sexual partners than the HIV-negative group. Our study revealed that community-based outreach by refugee health workers is conducive to risk behaviour prevention in the post-emergency camp setting. It is recommended to increase the optimal use of "radio broadcast messages" and "HIT," which can act as agents to reach out to wider populations, and to strengthen the focus on safer sex education for PLWHA; the aim being to achieve dual risk reduction for both refugees living with and without HIV/AIDS. (c) 2007 Elsevier Ltd. All rights reserved.