HIV Clients as Agents for Prevention: A Social Network Solution.
HIV Clients as Agents for Prevention: A Social Network Solution.
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DOI：
10.1155/2012/815823
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发表时间：
2012
影响因子：
1.7
通讯作者：
Green H
中科院分区：
文献类型：
--
作者：
Ssali S;Wagner G;Tumwine C;Nannungi A;Green H
迄今为止，艾滋病毒预防工作尚未探索艾滋病毒感染者在其社交网络中充当预防行为变革推动者的潜力。本研究利用以自我为中心的社交网络分析，考察了乌干达 39 名艾滋病毒感染者实施的预防宣传行为（一般性讨论艾滋病毒；鼓励禁欲或使用安全套、艾滋病毒检测和寻求艾滋病毒护理）的流行率和社交网络相关性。参与者参与了每种预防宣传行为，其网络中大约有 50-70% 的成员。让更多网络成员参与预防宣传的最重要决定因素是有更大比例的网络成员知道自己的艾滋病毒血清阳性状况，因为这与四种宣传行为中的三种有关。这些发现凸显了艾滋病毒携带者在其网络内成为艾滋病毒预防关键变革推动者的潜力，以及艾滋病毒披露在促进预防宣传方面的重要性。
HIV prevention efforts to date have not explored the potential for persons living with HIV to act as change agents for prevention behaviour in their social networks. Using egocentric social network analysis, this study examined the prevalence and social network correlates of prevention advocacy behaviours (discussing HIV in general; encouraging abstinence or condom use, HIV testing, and seeking HIV care) enacted by 39 HIV clients in Uganda. Participants engaged in each prevention advocacy behaviour with roughly 50–70% of the members in their network. The strongest determinant of engaging in prevention advocacy with more of one's network members was having a greater proportion of network members who knew one's HIV seropositive status, as this was associated with three of the four advocacy behaviours. These findings highlight the potential for PLHA to be key change agents for HIV prevention within their networks and the importance of HIV disclosure in facilitating prevention advocacy.