Concern and practice among men about HIV/AIDS in low socioeconomic income areas of Lilongwe, Malawi
Concern and practice among men about HIV/AIDS in low socioeconomic income areas of Lilongwe, Malawi
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DOI：
10.1016/j.socscimed.2006.10.013
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发表时间：
2007-03-01
影响因子：
5.4
通讯作者：
Ghosh, Jayati
中科院分区：
文献类型：
--
作者：
Kalipeni, Ezekiel;Ghosh, Jayati
马拉维的艾滋病毒感染率目前估计为15%，是世界上最高的国家之一。人们越来越认识到，为了了解根本原因并制定更有效的预防战略，应将重点放在经济、政治、社会和文化力量以及对艾滋病毒/艾滋病个人风险的认识上。2003年期间，我们在马拉维首都利隆圭开展了实地工作，通过与来自利隆圭五个地区的男子进行结构化访谈和焦点小组讨论，检查人们对其感染艾滋病毒风险的看法。本文的讨论集中在我们采访的低社会经济收入地区男性中对艾滋病毒感染风险的认知。我们的发现表明，尽管人们对艾滋病毒/艾滋病以及保护自己免受艾滋病毒感染的最佳方式的了解非常高，但人们继续从事危险行为，而没有采取必要的保护措施。我们样本中的许多男性表示，他们确实有感染艾滋病毒的风险。尽管如此，在结构化采访和焦点小组讨论中，一些受访者指出，一些人已经开始采取措施保护自己，比如与非正规伴侣使用避孕套，女性在明显有欺骗行为的地方离开丈夫，以及对于男性，减少婚外性关系的数量。(C)2006爱思唯尔有限公司。保留所有权利。
The HIV prevalence rate in Malawi, currently estimated to be 15%, is among the highest in the world. There is a growing realization that in order to understand the underlying causes and devise more effective prevention strategies focus should be placed on economic, political, social, and cultural forces as well as perceptions of individual risk to HIV/AIDS. During 2003 we conducted field work in Lilongwe, the capital city of Malawi, to examine perceptions of individuals as to their risk to HIV infection using the structured interviews and the focus group discussions with men from five areas of Lilongwe. The discussion in this paper focuses on the perception of risk to HIV infection among men in low socioeconomic income areas that we interviewed. Our findings indicate that while knowledge about HIV/AIDS and the best ways in which one can protect oneself from getting HIV is very high, people continue to engage in at-risk behaviors without using the necessary protection. Many of the men in our sample indicated that they were indeed at risk of getting infected with HIV. In spite of this, some of the respondents in both the structured interviews and the focus group discussions pointed out that some people had began taking measures to protect themselves, such as using condoms with nonregular partners, women leaving their husbands where cheating was obvious, and, for men, reducing the number of extra-marital sexual relations. (c) 2006 Elsevier Ltd. All rights reserved.