HIV/AIDS Communication Inequalities and Associated Cognitive and Affective Outcomes: A Call for a Socioecological Approach to AIDS Communication in Sub-Saharan Africa
HIV/AIDS Communication Inequalities and Associated Cognitive and Affective Outcomes: A Call for a Socioecological Approach to AIDS Communication in Sub-Saharan Africa
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DOI：
10.1080/10410236.2016.1167999
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发表时间：
2017-06-01
影响因子：
3.9
通讯作者：
Viswanath, K.
中科院分区：
文献类型：
--
作者：
Bekalu, Mesfin Awoke;Eggermont, Steven;Viswanath, K.
35年过去了，艾滋病毒的治愈方法或疫苗尚未出现，因此有效的行为改变沟通（BCC）成为关键的预防策略。尽管取得了相当大的成功，但艾滋病毒/艾滋病BCC的努力长期以来一直受到批评，因为它们主要关注个人层面的影响领域，借鉴了个人层面因果关系的简化论观点。有鉴于此，我们进行了一系列的研究，采用入户调查，现场实验，文本内容分析，并探讨艾滋病毒/艾滋病相关的媒体和信息对艾滋病毒/艾滋病的认知和情感结果在埃塞俄比亚的宏观社会层面的影响。在流行病和社会生态差异的背景下，城市与农村居住地已成为影响与艾滋病毒/艾滋病有关的媒体和信息消费过程及相关结果的一个重要社区因素。贯穿本文六项研究的中心线索表明，艾滋病毒高流行率环境中的城市和农村人口对艾滋病毒/艾滋病、艾滋病毒/艾滋病相关媒体使用、艾滋病毒/艾滋病相关认知和情感结果的关注和信息需求不同，对不同设计/框架的艾滋病毒预防信息的反应也不同。本文提出，艾滋病预防媒体和信息的影响，在高流行情况下，应考虑从更大的社区层面的角度来看，并呼吁社会生态的方法来艾滋病传播在重灾区撒哈拉以南非洲。随着一些具体的建议，目前和未来的艾滋病毒/艾滋病BCC在该地区的努力，研究加入了一个新兴的健康传播文献和理论，这表明需要考虑媒体和信息的影响，从宏观社会的角度。
Three-and-a-half decades on, no cure or vaccine is yet on the horizon for HIV, making effective behavior change communication (BCC) the key preventive strategy. Despite considerable success, HIV/AIDS BCC efforts have long been criticized for their primary focus on the individual-level field of influence, drawing on the more reductionist view of causation at the individual level. In view of this, we conducted a series of studies that employed a household survey, field experiment, and textual content analysis, and explored the macro-social-level effects of HIV/AIDS-related media and messages on HIV/AIDS cognitive and affective outcomes in Ethiopia. Against a backdrop of epidemiological and socioecological differences, urban versus rural residence has emerged as an important community-level factor that impacts HIV/AIDS-related media and message consumption processes and associated outcomes. The central thread crossing through the six studies included in this paper demonstrates that urban and rural people in high HIV prevalence contexts differ in their concern about and information needs on HIV/AIDS, HIV/AIDS-related media use, and HIV/AIDS-related cognitive and affective outcomes, as well as in their reaction to differently designed/framed HIV prevention messages. This paper proposes that HIV prevention media and message effects in high epidemic situations should be considered from a larger community-level perspective and calls for a socioecological approach to AIDS communication in the hard-hit sub-Saharan Africa. With a number of concrete recommendations to current and future HIV/AIDS BCC efforts in the region, the study joins an emerging body of health communication literature and theorizing that suggests the need to consider media and message effects from a macro-social perspective.