Understanding men's networks and perceptions of leadership to promote HIV testing and treatment in Agincourt, South Africa
Understanding men's networks and perceptions of leadership to promote HIV testing and treatment in Agincourt, South Africa
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DOI：
10.1080/17441692.2017.1414283
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发表时间：
2018-01-01
影响因子：
3.3
通讯作者：
Maman, Suzanne
中科院分区：
文献类型：
--
作者：
Hill, Lauren M.;Gottert, Ann;Maman, Suzanne
了解艾滋病毒高流行率环境中的非正式领导，对于民意领袖和其他旨在利用这些领导人影响力的艾滋病毒检测和治疗推广战略的成功至关重要。我们在南非普马兰加省进行了一项研究，目的是：（1）描述男性的个人网络和主要社会关系;（2）描述男性认为是领导者的个人类型。我们对45名男性（15名艾滋病毒阳性和30名艾滋病毒阴性）进行了结构化问卷调查，其中男性列举并描述了他们与之分享个人事务的个人的特征，以及他们认为是领导者的人。我们进一步对其中25名男性进行了深入访谈，以更好地了解男性在社区中对领导力的概念化。家庭成员在男子的个人网络和他们提名的领导人中占有突出地位。男性艾滋病毒感染者更有可能认识其他艾滋病毒感染者，并根据艾滋病毒治疗的共同经验描述友谊。未来旨在促进南非农村男子艾滋病毒检测和护理的POL干预措施应考虑家庭在社区领导中的重要性，并寻求利用感染艾滋病毒的男子之间的联系的影响。
Understanding informal leadership in high HIV prevalence settings is important for the success of popular opinion leader (POL) and other HIV testing and treatment promotion strategies which aim to leverage the influence of these leaders. We conducted a study in Mpumalanga province, South Africa, in which we aimed to: (1) describe men's personal networks and key social relationships; and (2) describe the types of individuals men identify as leaders. We administered a structured questionnaire with 45 men (15 HIV-positive and 30 HIV-negative) in which men enumerated and described characteristics of individuals they share personal matters with, and people they considered as leaders. We further conducted in-depth interviews with 25 of these men to better understand men's conceptualisation of leadership in their community. Family members were prominent in men's personal networks and among the leaders they nominated. Men living with HIV were much more likely to know others living with HIV, and described friendships on the basis of the shared experience of HIV treatment. Future POL interventions aiming to promote HIV testing and care among men in rural South Africa should consider the importance of family in community leadership, and seek to leverage the influence of connections between men living with HIV.