Are HIV/AIDS conspiracy beliefs a barrier to HIV prevention among African Americans?
Are HIV/AIDS conspiracy beliefs a barrier to HIV prevention among African Americans?
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DOI：
10.1097/00126334-200502010-00014
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发表时间：
2005-02-01
影响因子：
3.6
通讯作者：
Thorburn, S
中科院分区：
文献类型：
--
作者：
Bogart, LM;Thorburn, S
目的：本研究探讨赞同艾滋病毒/艾滋病阴谋的信念和他们的关系，以一贯的避孕套使用和避孕套的态度African American.Methods：我们进行了一项电话调查，随机抽样500名非洲裔美国人，年龄在15至44岁，生活在连续的UnitedStates.Results：一个显着比例的受访者赞同艾滋病毒/艾滋病阴谋的信念。在男性中，较强的阴谋信念显着相关的更消极的安全套的态度和不一致的安全套使用独立的选定的社会人口特征，合作伙伴的变量，性传播疾病的历史，感知的风险，和心理社会因素。在二次随访分析中，男性对安全套使用的态度部分介导的艾滋病毒/艾滋病阴谋信念对安全套使用behavior.Conclusions的影响：艾滋病毒/艾滋病阴谋信念是一个障碍，艾滋病毒预防非洲裔美国人，并可能代表一个方面的黑人男性对安全套的负面态度。为了对抗这种信念，政府和公共卫生实体需要努力通过解决医疗保健系统中当前的歧视以及承认历史歧视背景下阴谋信念的起源来获得黑人社区的信任。
Objectives: This study examined endorsement of HIV/AIDS conspiracy beliefs and their relations to consistent condom use and condom attitudes among African Americans.Methods: We conducted a telephone survey with a random sample of 500 African Americans aged 15 to 44 years and living in the contiguous United States.Results: A significant proportion of respondents endorsed HIV/AIDS conspiracy beliefs. Among men, stronger conspiracy beliefs were significantly associated with more negative condom attitudes and inconsistent condom use independent of selected sociodemographic characteristics, partner variables, sexually transmitted disease history, perceived risk, and psychosocial factors. In secondary follow-up analyses, men's attitudes about condom use partially mediated the effects of HIV/AIDS conspiracy beliefs on condom use behavior.Conclusions: HIV/AIDS conspiracy beliefs are a barrier to HIV prevention among African Americans and may represent a facet of negative attitudes about condoms among black men. To counter such beliefs, government and public health entities need to work toward obtaining the trust of black communities by addressing current discrimination within the health care system as well as by acknowledging the origin of conspiracy beliefs in the context of historical discrimination.