Risk Denial and Socio-Economic Factors Related to High HIV Transmission in a Fishing Community in Rakai, Uganda: A Qualitative Study
Risk Denial and Socio-Economic Factors Related to High HIV Transmission in a Fishing Community in Rakai, Uganda: A Qualitative Study
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DOI：
10.1371/journal.pone.0132740
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发表时间：
2015-08-26
期刊：
影响因子：
3.7
通讯作者：
Reynolds, Steven James
中科院分区：
文献类型：
--
作者：
Lubega, Muhamadi;Nakyaanjo, Neema;Reynolds, Steven James
在乌干达第一例记录在案的艾滋病毒感染者的家乡卡森塞罗渔业社区，艾滋病毒传播仍然很高，女性和男性的发病率分别为每100人年4.3和3.1人，艾滋病毒感染率为44%，女性性工作者高达74%。从渔民和其他社区成员的角度探讨了卡森塞罗高艾滋病毒传播的驱动因素，以告知未来的政策和预防干预措施。方法20个深入访谈，包括艾滋病毒阳性和阴性的受访者，和12个焦点小组讨论，共涉及92名受访者从卡森塞罗渔业社区在2014年4月至9月进行。内容分析，以确定经常性的themes.ResultsThe社会经济风险因素高艾滋病毒传播的卡森塞罗渔业社区引用是多个和跨领域的，并分为以下主题：金钱的力量，风险否认，环境触发器和易患病的生活方式和酗酒和药物滥用。其他人是：同侪压力，住房差，并寻求财政支持的男子和妇女，使他们容易受到艾滋病毒的暴露和/或风险behavior.ConclusionsThere是一个特定的背景下组合预防干预措施，包括渔民民间和其他有影响力的社区领导人在卡森塞罗的需要。这些群体可以获得知识和社会动员技能，以打击使社区面临艾滋病毒高传播风险的消极和危险行为、看法、信念、误解和听天由命的态度。政府/合作伙伴还需要确保有效执行政策，为所有渔民提供救生衣，改善社区简陋的住房，以减少社区的过度拥挤和其他与住房有关的艾滋病毒高感染率倾向。工作场所艾滋病能力团队已成功用于解决类似环境中艾滋病毒高传播问题。
BackgroundIn Kasensero fishing community, home of the first recorded case of HIV in Uganda, HIV transmission is still very high with an incidence of 4.3 and 3.1 per 100 person-years in women and men, respectively, and an HIV prevalence of 44%, reaching up to 74% among female sex workers. We explored drivers for the high HIV transmission at Kasensero from the perspective of fishermen and other community members to inform future policy and preventive interventions.Methods20 in-depth interviews including both HIV positive and HIV negative respondents, and 12 focus-group discussions involving a total of 92 respondents from the Kasensero fishing community were conducted during April-September 2014. Content analysis was performed to identify recurrent themes.ResultsThe socio-economic risk factors for high HIV transmission in Kasensero fishing community cited were multiple and cross-cutting and categorized into the following themes: power of money, risk denial, environmental triggers and a predisposing lifestyle and alcoholism and drug abuse. Others were: peer pressure, poor housing and the search for financial support for both the men and women which made them vulnerable to HIV exposure and or risk behavior.ConclusionsThere is a need for context specific combination prevention interventions in Kasensero that includes the fisher folk and other influential community leaders. Such groups could be empowered with the knowledge and social mobilization skills to fight the negative and risky behaviors, perceptions, beliefs, misconceptions and submission attitudes to fate that exposes the community to high HIV transmission. There is also need for government/partners to ensure effective policy implementation, life jackets for all fishermen, improve the poor housing at the community so as to reduce overcrowding and other housing related predispositions to high HIV rates at the community. Work place AIDS-competence teams have been successfully used to address high HIV transmission in similar settings.