Community group participation: Can it help young women to avoid HIV? An exploratory study of social capital and school education in rural Zimbabwe
Community group participation: Can it help young women to avoid HIV? An exploratory study of social capital and school education in rural Zimbabwe
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DOI：
10.1016/j.socscimed.2003.09.001
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发表时间：
2004-06-01
影响因子：
5.4
通讯作者：
Campbell, C
中科院分区：
文献类型：
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作者：
Gregson, S;Terceira, N;Campbell, C
在南部非洲的许多农村和城市地区，终生感染艾滋病毒的风险目前高达三分之二。对妇女来说，尽管她们对艾滋病毒/艾滋病的知识水平很高，但这种风险在很小的时候就迅速增加。因此，更具参与性并针对结构和社区层面的基本因素的方案似乎至关重要。我们使用的横断面数据，从大规模的，以人口为基础的调查在津巴布韦东部农村地区，以描述不同形式的社区团体和年轻妇女的机会，避免艾滋病毒的成员之间的关系。我们的研究结果表明，参与当地社区团体往往与成功避免艾滋病毒，这反过来又与安全行为的心理社会决定因素呈正相关。然而，这些关系是否成立取决于一系列因素，包括小组的运作情况，小组的目的以及个人参与者的教育水平。我们确定的因素，可能会影响社会资本价值的社区团体在个人，团体和社区层面的艾滋病毒预防。受过中等教育的年轻妇女过多地参加运作良好的社区团体，而且在参加时更有可能避免感染艾滋病毒。需要进行纵向研究：（i）确定社区团体成员资格是否支持发展更安全的生活方式，或者仅仅对已经倾向于这种生活方式的个人有更大的吸引力，以及（ii）确定假设的中介因素之间的因果关系方向。需要深入研究社区团体的具体素质，以加强其对艾滋病毒控制的贡献。然而，我们的研究结果表明，社区团体之间的促进和组织发展和培训可能是一种有效的艾滋病毒控制策略。(C)2003 Elsevier Ltd.保留所有权利。
The lifetime risk of acquiring HIV infection in many rural as well as urban areas of southern Africa is currently as high as two-in-three. For women, much of this risk still accrues rapidly at young ages despite high levels of knowledge about HIV/AIDS. Thus, programmes that are more participatory and address underlying structural and community-level factors appear to be essential. We use cross-sectional data from a large-scale, population-based survey in rural eastern Zimbabwe to describe the relationships between membership of different forms of community group and young women's chances of avoiding HIV. Our results show that participation in local community groups is often positively associated with successful avoidance of HIV, which, in turn, is positively associated with psychosocial determinants of safer behaviour. However, whether or not these relationships hold depends on a range of factors that include how well the group functions, the purpose of the group, and the education level of the individual participant. We identify factors that may influence the social capital value of community groups in relation to HIV prevention at the individual, group, and community levels. Young women with secondary education participate disproportionately in well-functioning community groups and are more likely to avoid HIV when they do participate. Longitudinal studies are needed: (i) to establish whether community group membership supports the development of safer lifestyles or merely has greater appeal to individuals already predisposed towards such lifestyles, and (ii) to pinpoint directions of causality between hypothesised mediating factors. In-depth research is needed on the specific qualities of community groups that enhance their contribution to HIV control. However, our findings suggest that promotion of and organisational development and training among community groups could well be an effective HIV control strategy. (C) 2003 Elsevier Ltd. All rights reserved.