Communicating with the people about HIV infection risk as a basis for planning interventions: lessons from the Kagera Region of Tanzania.
Communicating with the people about HIV infection risk as a basis for planning interventions: lessons from the Kagera Region of Tanzania.
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与人们沟通艾滋病毒感染风险，作为规划干预措施的基础：坦桑尼亚卡盖拉地区的经验教训。
DOI：
10.1016/s0277-9536(96)00347-4
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发表时间：
1997
影响因子：
5.4
通讯作者：
Stig Wall
中科院分区：
文献类型：
--
作者：
J. Killewo;A. Sandström;L. Dahlgren;Stig Wall
为了加深对坦桑尼亚卡盖拉地区与艾滋病毒感染有关的危险因素的了解，并调查在规划干预措施时与人民交流的潜力，1989年在布科巴城市、布科巴农村和穆莱巴地区进行了两项研究。根据1987年早些时候进行的流行率研究，这些地区的艾滋病毒流行率在4.5%至24.2%之间。这些研究一方面让社区参加病房会议，另一方面以前研究个人。这些研究的目的是向人们传达以前进行的一项研究的结果，并使用定量和定性相结合的方法收集新的数据，以便更好地了解相关的风险因素，无论是感知的还是真实的，以及社区可以为减少该地区的艾滋病毒传播提出什么建议。从最初的研究中，人们发现对艾滋病的认识是普遍的。性伴改变和梅毒感染是HIV-1感染的主要危险因素。从病房会议上，人们提出了各种干预措施的解决方案，我们将其归类为“硬”或“软”。“硬”的解决办法包括隔离、监禁、阉割和杀害艾滋病患者等建议，而“软”的解决办法包括同情地处理病人，并教育人们有关传播方式和如何最好地预防感染。低艾滋病毒流行率的农村社区比艾滋病毒高流行率的城市社区更倾向于建议“硬”解决方案，城市社区倾向于建议“软”解决方案。然而，随着该区域艾滋病毒感染的动态向农村地区更高的艾滋病毒流行率转变，“软”解决方案很可能会被接受，并被整个区域的干预措施所采用。从这些研究中获得的信息提供了可用于合理咨询以及指导实施针对干预的独立专家委员会活动的经验教训。还建议进一步研究在预防工作中可能至关重要的新战略或其组合，如社区参与、赋予妇女权力和艾滋病干预工作中的团结。
In order to deepen the understanding of risk factors associated with HIV infection in the Kagera region of Tanzania and to investigate the potentials of communicating with the people in planning for interventions, two studies were performed in the districts of Bukoba Urban, Bukoba Rural and Muleba in 1989. The HIV prevalence of these areas ranged between 4.5% and 24.2% according to the prevalence study performed earlier in 1987. The studies involved the community in ward meetings on the one hand, and previously studied individuals on the other hand. The studies aimed both at conveying to the people the results of a previously performed study and at collecting new data using a combination of quantitative and qualitative methods in order to better understand the associated risk factors, perceived or real, and what suggestions the community could offer for reducing HIV transmission in the region. From the initial study, awareness about AIDS was found to be universal. Change of sexual partners and infection with syphilis were found to be the major risk factors for HIV-1 infection. From the ward meetings people suggested a variety of solutions for interventions which we have categorized as either “hard” or “soft”. The “hard” solutions involved suggestions such as isolation, imprisonment, castration and killing of AIDS victims, while the “soft” solutions involved sympathetic handling of the sick and educating the people about the modes of transmission and how best to prevent infection. There was a greater tendency for the low HIV prevalence rural communities to suggest the “hard” solutions than the high HIV prevalence urban ones which tended to suggest the “soft” solutions. However, with the changing dynamics of HIV infection in the region towards higher HIV prevalence in rural areas, it is likely that the “soft” solutions will gain acceptance and become adopted for interventions throughout the region. The information obtained from these studies has provided lessons that can be used for rational counselling as well as for guiding the implementation of IEC activities geared at interventions. It is also suggested that there should be further research into new strategies or their combinations which could be crucial in prevention such as those of community participation, empowerment of women and solidarity in AIDS intervention work.
社区团体对帮助人们减少艾滋病毒感染风险行为的影响。
影响因子：
1.7
作者：
Kelly,JA;StLawrence,JS
通讯作者：
StLawrence,JS
青少年对艾滋病毒感染风险的看法：对未来研究的影响。
DOI：
10.1016/0277-9536(91)90063-i
发表时间：
1991
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Strunin,L
通讯作者：
Strunin,L
坦桑尼亚巴加莫约和达累斯萨拉姆中学生对艾滋病的了解。
DOI：
10.1097/00002030-199103000-00014
发表时间：
1991
期刊：
AIDS (London, England)
影响因子：
--
作者：
Kapiga,SH;Nachtigal,G;Hunter,DJ
通讯作者：
Hunter,DJ