Community factors shaping HIV-related stigma among young people in three African countries.
Community factors shaping HIV-related stigma among young people in three African countries.
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DOI：
10.1080/09540120802290365
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发表时间：
2009-04
期刊：
影响因子：
1.7
通讯作者：
Stephenson R
中科院分区：
文献类型：
--
作者：
Stephenson R
尽管许多撒哈拉以南非洲国家的艾滋病毒/艾滋病流行率很高，但人们对这些环境中艾滋病毒相关污名的流行率和背景知之甚少。本文试图了解在三个文化差异不同的非洲国家：布基纳法索、加纳和赞比亚，与艾滋病毒相关耻辱相关的社区因素。这项分析使用了布基纳法索、加纳和赞比亚具有全国代表性的年轻人(15-24岁)的数据，考察了社区环境的经济、人口和行为层面，这些因素在年轻人中形成了与艾滋病毒相关的耻辱。结果表明，社区环境对在年轻人中形成与艾滋病毒相关的污名有明显的影响。社区中与艾滋病毒相关污名显著相关的因素是社区环境的经济和行为方面，没有证据表明人口结构与艾滋病毒相关污名之间存在关系。行为改变干预措施必须解决与艾滋病毒有关的耻辱问题，以鼓励行为改变，并必须考虑到年轻人所处的社会、经济和文化环境。
Despite the high prevalence of HIV/AIDS that exists in many sub-Saharan African countries, very little is known of the prevalence and context of HIV-related stigma in these settings. This paper seeks to understand the community-level factors associated with HIV-related stigma among young people in three culturally contrasting African countries: Burkina Faso, Ghana and Zambia. Using nationally representative data on young people (15–24) from Burkina Faso, Ghana and Zambia, the analysis examines the economic, demographic and behavioral dimensions of community environments that shape HIV-related stigma among young people. The results demonstrate a clear influence of the community environment on shaping HIV-related stigma among young people. The elements of the community that were significantly associated with HIV-related stigma were the economic and behavioral aspects of the community environment, and there was no evidence of relationships between demographic patterns and HIV-related stigma. Behavioral change interventions must address HIV-related stigma in order to encourage behavior change, and must take into account the social, economic and cultural environments in which young people exist.