'I thought if I marry the prophet I would not die': The significance of religious affiliation on marriage, HIV testing, and reproductive health practices among young married women in Zimbabwe.
'I thought if I marry the prophet I would not die': The significance of religious affiliation on marriage, HIV testing, and reproductive health practices among young married women in Zimbabwe.
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DOI：
10.1080/17290376.2016.1245627
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发表时间：
2016-12
期刊：
影响因子：
--
通讯作者：
Rusakaniko S
中科院分区：
文献类型：
--
作者：
Hallfors DD;Iritani BJ;Zhang L;Hartman S;Luseno WK;Mpofu E;Rusakaniko S
本研究考察了津巴布韦东部农村年轻妇女的宗教信仰与结婚原因、教会态度和寻求生殖健康行为（包括艾滋病毒检测）之间的关系。样本包括在2012年之前结婚的女性（N = 35），她们参加了一项更大的随机对照试验（RCT），以测试学校支持对艾滋病毒相关风险的影响。2007年确定的随机对照试验样本为津巴布韦东部25所农村小学的所有六年级女生，其父母一方或双方均已死亡（N = 328）。在我们之前的随机对照分析中，我们发现隶属于使徒教会的参与者结婚的可能性是非使徒教会参与者的四倍多，对照组参与者结婚的可能性是干预组参与者的两倍。其他研究发现，婚姻大大增加了青春期妇女感染艾滋病毒的几率。鉴于使徒关系与婚姻之间的联系，我们进行了半结构化访谈，以探讨婚姻的类型，结婚的原因，教会关系和态度，计划生育，艾滋病毒检测，学校教育和家庭生活。我们感兴趣的是，从我们的年轻已婚女性教友样本中可以看出，在使徒派和其他教派之间，她们对婚姻和寻求健康行为的态度存在差异。我们还对教会信仰对干预参与者结婚决定的影响感兴趣，因为他们得到了全面的学校支持，教育在津巴布韦受到高度重视，但成本高昂，往往超出经济能力。访谈于2012年10月至2013年11月进行；数据分析采用一般归纳方法。我们发现压力或感知欺骗性交或婚姻的报告只有干预参与者附属于使徒教派。其他结婚的原因在使徒和非使徒信徒之间是相似的，以及干预和控制条件。所有与会者都认为艾滋病毒检测很重要，但虽然所有非使徒教派都鼓励艾滋病毒检测和诊所/医院护理，但使徒教派之间的态度存在相当大的差异，极端保守教派最有可能禁止非宗教保健。我们得出的结论是，一些，但不是全部，使徒附属妇女提供自由裁量权，在他们的健康寻求行为。由于艾滋病毒筛查和治疗取决于能否获得诊所/医院护理，因此需要继续努力使使徒领袖参与公共卫生工作，同时监测在获取和结果方面的进展。
This study examines the association between religious affiliation and reasons for marriage, perceived church attitudes, and reproductive health-seeking behaviors, including HIV testing, among young women in eastern rural Zimbabwe. The sample comprised women (N = 35) who had married by 2012 while participating in a larger randomized controlled trial (RCT) to test the effects of school support on HIV-related risk. The RCT sample was identified in 2007 as all female sixth graders in 25 rural eastern Zimbabwe primary schools whose parents, one or both, had died (N = 328). In our previous RCT analyses, we found that participants who affiliated with an Apostolic church were more than four times more likely to marry than those from non-Apostolic churches and that control group participants were twice as likely to marry as those in the intervention group. Other studies had found that marriage greatly increased the odds of HIV infection among adolescent women. Given the link between Apostolic affiliation and marriage, we conducted semi-structured interviews to explore type of marriage, reasons for marrying, church affiliation and attitudes, family planning, HIV testing, schooling, and family life. We were interested in differences, as perceived by our sample of young married women congregants, among Apostolic sects and other denominations in their attitudes about marriage and health-seeking behaviors. We were also interested in the influence of church affiliation on intervention participants’ decision to marry, since they had comprehensive school support and education is highly valued in Zimbabwe, but costly and often out of financial reach. Interviews were conducted from October 2012 through November 2013; data were analyzed using a general inductive approach. We found that pressure or perceived deception for coitus or marriage was reported only by intervention participants affiliated with Apostolic denominations. Other reasons for marriage were similar between Apostolic and non-Apostolic adherents, as well as intervention and control conditions. All participants believed HIV testing was important, but while all non-Apostolic denominations encouraged HIV testing and clinic/hospital care, there was considerable heterogeneity in attitudes among Apostolics, with ultraconservative denominations most likely to proscribe non-religious health care. We conclude that some, but not all, Apostolic-affiliated women are afforded discretion in their health-seeking behaviors. Since HIV screening and treatment depend on access to clinic/hospital care, continued public health efforts to engage Apostolic leaders is needed, along with monitoring of progress in access and outcomes.
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影响因子：
3.9
作者：
Mpofu E;Hallfors DD;Mutepfa MM;Dune TM
通讯作者：
Dune TM
影响因子：
3.1
作者：
Mpofu E;Dune TM;Hallfors DD;Mapfumo J;Mutepfa MM;January J
通讯作者：
January J
影响因子：
3.8
作者：
Birdthistle, Isolde J.;Floyd, Sian;Glynn, Judith R.
通讯作者：
Glynn, Judith R.
影响因子：
1.2
作者：
Dilger, Hansjoerg;Burchardt, Marian;van Dijk, Rijk
通讯作者：
van Dijk, Rijk
影响因子：
12.7
作者：
Hallfors, Denise;Cho, Hyunsan;Halpern, Carolyn
通讯作者：
Halpern, Carolyn