Is experience of the HIV/AIDS epidemic associated with responses to COVID-19? Evidence from the Rural Malawi.
Is experience of the HIV/AIDS epidemic associated with responses to COVID-19? Evidence from the Rural Malawi.
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DOI：
10.1371/journal.pone.0292378
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
自二零一九年底开始，导致Covid-19疾病的冠状病毒“SARS-CoV-2”迅速广泛传播。尽管许多人推测，先前与艾滋病毒/艾滋病、埃博拉病毒或SARS等传染病的经验可以让撒哈拉以南非洲的人口更好地为COVID-19做好准备，但这一点尚未得到正式验证，主要是由于数据有限。我们使用来自马拉维家庭与健康纵向研究（MLSFH，2006年，2008年和2020年）的纵向面板数据来研究暴露于艾滋病毒/艾滋病流行病与对COVID-19大流行病的看法和行为反应之间的关联。我们通过社区中艾滋病毒/艾滋病的流行程度、对艾滋病毒感染的担忧、艾滋病毒感染的可能性和实际艾滋病毒感染状况来衡量艾滋病毒感染的风险;通过社区和大家庭中死于艾滋病的知情成员的自我报告来衡量艾滋病毒/艾滋病相关死亡率的经验（2006年或2008年测量）。我们的结果指标为二零二零年通过电话访谈收集的社区对COVID-19存在的看法、个人对COVID-19脆弱性的看法以及避免COVID-19的预防策略。基于我们使用多变量回归模型进行的数据分析，我们发现艾滋病毒相关死亡率的经历与社区对COVID-19患病率的看法和COVID-19的预防行为呈正相关。然而，在COVID-19大流行前10年，对艾滋病毒-艾滋病感染的感知脆弱性和实际艾滋病毒阳性状态通常与COVID-19的感知和行为无关。我们的研究结果表明，与COVID-19相关的行为更多地受到艾滋病死亡率的影响，而不是艾滋病毒/艾滋病风险认知的影响，并且个人可能正确地将艾滋病毒/艾滋病和COVID-19传播视为不同的疾病过程。
Starting in late 2019, the coronavirus “SARS-CoV-2”, which causes the disease Covid-19, spread rapidly and extensively. Although many have speculated that prior experience with infectious diseases like HIV/AIDS, Ebola, or SARS would better prepare populations in sub-Saharan Africa for COVID-19, this has not been formally tested, primarily due to data limitations. We use longitudinal panel data from the Malawi Longitudinal Study of Families and Health (MLSFH, waves 2006, 2008, and 2020) to examine the association between exposure to the HIV/AIDS epidemic and perceptions of, and behavioral response to, the COVID-19 pandemic. We measured exposure to HIV infection through perceived prevalence of HIV/AIDS in the community, worry about HIV infection, perceived likelihood of HIV infection, and actual HIV status; and the experience of HIV/AIDS-related mortality through self-reports of knowing members of the community and extended family who died from AIDS (measured in 2006 or 2008). Our outcome measures were perceptions of COVID-19 presence in the community, perceptions of individual vulnerability to COVID-19, and prevention strategies to avoid COVID-19 collected through phone-interviews in 2020. Based on our data analysis using multivariable regression models, we found that the experience of HIV-related mortality was positively associated with perceptions of COVID-19 prevalence in the community and preventive behaviors for COVID-19. However, perceived vulnerability to HIV-AIDS infection and actual HIV positive status 10-years prior to the COVID-19 pandemic are generally not associated with COVID-19 perceptions and behaviors. Our results suggest that COVID-19-related behaviors are impacted more by experience of AIDS mortality instead of HIV/AIDS risk perceptions, and that individuals may be correctly viewing HIV/AIDS and COVID-19 transmission as distinct disease processes.
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影响因子：
8.1
作者：
Mzumara GW;Chawani M;Sakala M;Mwandira L;Phiri E;Milanzi E;Phiri MD;Kazanga I;O'Byrne T;Zulu EM;Mitambo C;Divala T;Squire B;Iroh Tam PY
通讯作者：
Iroh Tam PY
影响因子：
34.3
作者：
Cabore, Joseph Waogodo;Karamagi, Humphrey Cyprian;Kipruto, Hillary Kipchumba;Mungatu, Joseph Kyalo;Asamani, James Avoka;Droti, Benson;Titi-Ofei, Regina;Seydi, Aminata Binetou Wahebine;Kidane, Solyana Ngusbrhan;Balde, Thierno;Gueye, Abdou Salam;Makubalo, Lindiwe;Moeti, Matshidiso R.
通讯作者：
Moeti, Matshidiso R.
DOI：
10.4314/mmj.v32i4.8
发表时间：
2020-12
期刊：
Malawi medical journal : the journal of Medical Association of Malawi
影响因子：
--
作者：
Banda NP;Hara W;Cocker D;Musasa S;Burke RM;Brown C;Nyasulu V;Mandalo J;Tembo D;Kachingwe M;Cornick J;Jambo K;Morton B
通讯作者：
Morton B
影响因子：
3.5
作者：
Kohler, Hans-Peter;Behrman, Jere R.;Watkins, Susan C.
通讯作者：
Watkins, Susan C.
影响因子：
2.1
作者：
Banda, Jethro;Dube, Albert N.;Helleringer, Stephane
通讯作者：
Helleringer, Stephane