Religion and protective behaviours towards AIDS in rural Senegal
Religion and protective behaviours towards AIDS in rural Senegal
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DOI：
10.1097/00002030-200009080-00019
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发表时间：
2000-09-08
期刊：
影响因子：
3.8
通讯作者：
Mboup, S
中科院分区：
文献类型：
--
作者：
Lagarde, E;Enel, C;Mboup, S
目的：描述一个国家宗教与性传播疾病(STD)/艾滋病相关因素之间的关系，在这个国家，宗教领袖早期参与了预防工作。设计：在塞内加尔中部农村地区进行的横断面研究。方法：从15-59岁的普通人群中随机抽取858名成年人进行问卷调查，并对4名宗教领袖和50名个人进行深度访谈。结果：76%的受访者是穆斯林，24%是天主教徒，1%是万物有灵论者，0.2%是新教徒。总共有86%的男性和87%的女性表示宗教对他们非常重要。重要的预防相关变量与宗教的重要性呈负相关。认为宗教信仰非常重要的男性不太可能将艾滋病视为主要的健康问题[比值比（OR） 0.4, P- 0.008]，也不太可能感到有感染艾滋病毒的风险（OR 0.5, P = 0.0005）。认为宗教信仰非常重要的妇女不太可能报告有意改变以保护自己免受艾滋病（OR 0.2， P= 0.0001），不太可能报告与他人讨论艾滋病（OR 0.4， P= 0.01），更可能感到有感染艾滋病毒的风险（OR 9.3， P= 10(-4)）。认为宗教非常重要的人不太可能报告有意或实际上已经成为信徒来保护自己免受艾滋病的侵害。结论：这些发现强调了在地方层面加强宗教当局参与艾滋病毒/性病预防的必要性，(C) 2000 Lippincott Williams & Wilkins。
Objectives: To describe the association between religion and factors related to sexually transmitted diseases (STD)/AIDS in a country where religious leaders were involved early in prevention.Design: A cross-sectional study conducted in a rural area in central Senegal.Methods: Questionnaire-based interviews of a random sample of 858 adults from the general population aged 15-59 years and in-depth interviews of Four religious leaders and 50 people.Results: Seventy-six per cent of the respondents were Muslim, 24% Catholic, 1% Animist and 0.2% Protestant. A total of 86% of men and 87% of women reported religion to be very important to them. Important prevention-related variables were inversely associated with the importance of religion. Men who considered religion to be very important were less likely to cite AIDS as a major health problem [odds ratio (OR) 0.4, P- 0.008] and were less likely to feel at risk of getting HIV (OR 0.5, P = 0.0005). Women who considered religion to be very important were less likely to report an intention to change to protect themselves from AIDS (OR 0.2, P= 0.0001), less likely to report having discussed AIDS with others (OR 0.4, P= 0.01) and much more likely to feel at risk of getting HIV (OR 9.3, P= 10(-4)). Individuals who considered religion to be very important were not more likely to report intending to or actually having become faithful to protect themselves from AIDS.Conclusion: These findings stress the need to intensify the involvement of religious authorities in HIV/STD prevention at the local level, (C) 2000 Lippincott Williams & Wilkins.