Religious teachings and influences on the ABCs of HIV prevention in Malawi
Religious teachings and influences on the ABCs of HIV prevention in Malawi
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DOI：
10.1016/j.socscimed.2009.04.018
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发表时间：
2009-07-01
影响因子：
5.4
通讯作者：
Trinitapoli, Jenny
中科院分区：
文献类型：
--
作者：
Trinitapoli, Jenny
这项研究考察了马拉维农村地区宗教与艾滋病毒危险行为之间的关系，特别关注宗教集会的作用，宗教集会是非洲农村人最直接接触的组织。它使用了2004年在3个区(N=3386)进行的家庭调查数据，以及2005年从调查中以前确定的187个宗教会众领袖那里收集的定量和定性数据。第一个目标是描述性的--根据疫情，确定马拉维农村宗教领袖关于艾滋病毒和性行为传授的总体模式和变化。第二个目标是评估宗教组织如何影响个人成员的行为。我考察了与艾滋病毒预防的ABC相对应的三个结果：禁欲(对于从未结婚的人)、忠诚(对于已婚的人)和避孕套的使用(在性行为活跃的人中)。多层次模型显示，宗教归属和参与与会众成员的性行为无关，但关于适当的性行为和特定会众特征的信念与对A、B和C的坚持有关。属于神职人员领导的会众的个人1)经常传递有关艾滋病毒的正式信息，2)监测成员的性行为，3)私下鼓励使用避孕套报告更多地遵守艾滋病毒预防的ABC，这表明宗教会众与成员的性行为相关，并有助于更好地了解在非洲艾滋病流行的背景下塑造个人行为的力量。(C)2009爱思唯尔有限公司。保留所有权利。
This study examines the relationship between religion and HIV risk behaviors in rural Malawi, giving special attention to the role of religious congregations, the organizations with which rural Africans have most immediate contact. It draws on 2004 data from a household survey in 3 districts (N = 3386), and quantitative and qualitative data collected in 2005 from 187 leaders of religious congregations previously identified in the survey. The first aim is descriptive - to identify overall patterns and variations in what religious leaders in rural Malawi teach about HIV and about sexual behavior in light of the epidemic. The second aim is to assess how religious organizations impact the behavior of individual members. I examine three outcomes that correspond with the ABCs of HIV prevention: abstinence (for never married persons), fidelity (for married persons), and condom use (among sexually active persons). Multi-level models reveal that religious affiliation and involvement are not correlated with the sexual behavior of congregation members, but that beliefs about appropriate sexual behavior and particular congregational characteristics are associated with adherence to A, B, and C. Individuals belonging to congregations led by clergy who 1) frequently deliver formal messages about HIV, 2) monitor the sexual behavior of members, and 3) privately encourage condom use report greater adherence to the ABCs of HIV prevention, suggesting that religious congregations are relevant for the sexual behavior of members and for better understanding the forces shaping individual behavior in the context of the African AIDS epidemic. (C) 2009 Elsevier Ltd. All rights reserved.