Social capital and women's reduced vulnerability to HIV infection in rural Zimbabwe.
Social capital and women's reduced vulnerability to HIV infection in rural Zimbabwe.
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DOI：
10.1111/j.1728-4457.2011.00413.x
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发表时间：
2011
影响因子：
2.5
通讯作者：
Campbell C
中科院分区：
文献类型：
--
作者：
Gregson S;Mushati P;Grusin H;Nhamo M;Schumacher C;Skovdal M;Nyamukapa C;Campbell C
社会资本-特别是通过其“网络”层面（高度参与当地社区团体）-被认为是许多情况下健康的一个重要决定因素。我们调查其对艾滋病毒预防的影响，使用的前瞻性数据，从一般人群队列在津巴布韦东部跨越一个广泛的行为改变的时期（1998-2003年）。在接受访谈的最初未受感染的妇女中，几乎有一半是至少一个社区团体的成员。在对88个社区进行的生态分析中，社区群体参与程度较高的社区新感染艾滋病毒的发生率较低，更多的社区采取了更安全的行为，尽管这些影响主要是由于社会人口组成的差异。即使在控制了混杂因素之后，社区群体中的妇女艾滋病毒感染率也较低，行为变化更广泛。社区团体成员身份与男子艾滋病毒发病率较低无关，这可能反映了男子倾向于参加使他们能够发展和展示其男性身份的团体-往往以牺牲他们的健康为代价。在艾滋病毒大规模流行的国家，支持妇女社区团体可能是一项有效的艾滋病毒预防战略。
Social capital - especially through its ‘network’ dimension (high levels of participation in local community groups) - is thought to be an important determinant of health in many contexts. We investigate its effect on HIV prevention, using prospective data from a general population cohort in eastern Zimbabwe spanning a period of extensive behaviour change (1998-2003). Almost half of the initially uninfected women interviewed were members of at least one community group. In an ecological analysis of 88 communities, those with higher levels of community group participation had lower incidence of new HIV infections and more had adopted safer behaviours, although these effects were largely accounted for by differences in socio-demographic composition. Individual women in community groups had lower HIV incidence and more extensive behaviour change, even after controlling for confounding factors. Community group membership was not associated with lower HIV incidence in men, possibly reflecting a propensity amongst men to participate in groups that allow them to develop and demonstrate their masculine identities – often at the expense of their health. Support for women’s community groups could be an effective HIV prevention strategy in countries with large-scale HIV epidemics.
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影响因子：
3.1
作者：
Campbell, Catherine;Nair, Yugi;Maimane, Sbongile
通讯作者：
Maimane, Sbongile
影响因子：
5.4
作者：
Campbell, C;MacPhail, C
通讯作者：
MacPhail, C
影响因子：
1.8
作者：
Chiu, Jessica;Grobbelaar, Janice;Kershaw, Trace
通讯作者：
Kershaw, Trace
影响因子：
3.6
作者：
Gregson, S;Mushati, P;Nyamukapa, C
通讯作者：
Nyamukapa, C
社会资本在非洲成功遵守抗逆转录病毒疗法方面的作用。
影响因子：
15.8
作者：
Binagwaho A;Ratnayake N
通讯作者：
Ratnayake N