Fatalism and HIV/AIDS beliefs in rural Mali, West Africa
Fatalism and HIV/AIDS beliefs in rural Mali, West Africa
复制标题
DOI：
10.1111/j.1547-5069.2007.00155.x
复制
发表时间：
2007-01-01
影响因子：
3.4
通讯作者：
McKinney, Dawn
中科院分区：
文献类型：
--
作者：
Hess, Rosanna F.;McKinney, Dawn
目的：探讨马里农村人对艾滋病的信念，并衡量他们在艾滋病和预防行为背景下的宿命论水平。设计：描述性、相关性。方法：对西非马里东南部3个保健中心妇产诊所84名妇女进行艾滋病知识与信念调查和power宿命论量表（PFI -HIV/AIDS版本）。结果：样本的HIV/AIDS宿命论均值为9.2（15分制），内部一致性为0.89。卫生工作者和受教育程度较高的参与者的宿命论得分明显较低。宿命论也因性别和种族的不同而不同。认为艾滋病不是真的，是上帝的惩罚，是西方捏造的，是一种诅咒，认为谈论艾滋病是禁忌的人有更高的宿命论手段。所有预防指标与宿命论得分均无显著相关。结论：马里农村人口总体宿命论均值较高，基于传统文化的艾滋病观念可能影响预防行为。宿命论对预防行为的影响有待进一步研究。
Purpose: To examine beliefs about HIV/AIDS of rural Malians and to measure their level of fatalism in context of HIV/AIDS and prevention behaviors.Design: Descriptive, correlational.Methods: An AIDS Knowledge and Beliefs survey and the Powe Fatalism Inventory (PFI)-HIV/AIDS version were administered to a convenience sample of 84 people at three health center maternity clinics in southeastern Mali, West Africa.Findings: The sample's HIV/AIDS fatalism mean was 9.2 on a 15-point scale, with an internal consistency of .89. Health workers and more educated participants had significantly lower fatalism scores. Fatalism also varied by the combination of gender and ethnicity. People who believed that AIDS was not real, was a punishment from God, was fabricated by the West, was a curse, and that it was taboo to talk about AIDS had higher fatalism means. None of the prevention indicators were significantly related to fatalism scores.Conclusions: These rural Malians had a high overall fatalism mean and their beliefs about AIDS based on traditional culture may affect prevention behaviors. More research is needed to understand the influence of fatalism on prevention behaviors.