Local Perceptions of the Forms, Timing and Causes of Behavior Change in Response to the AIDS Epidemic in Zimbabwe
Local Perceptions of the Forms, Timing and Causes of Behavior Change in Response to the AIDS Epidemic in Zimbabwe
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DOI：
10.1007/s10461-010-9783-z
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发表时间：
2011-02-01
影响因子：
4.4
通讯作者：
Halperin, Daniel
中科院分区：
文献类型：
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作者：
Muchini, Backson;Benedikt, Clemens;Halperin, Daniel
定量研究表明，自1990年代后期以来，津巴布韦的艾滋病毒发病率有所下降，部分原因是行为改变。这项定性研究涉及200名女性和男性的焦点小组讨论，24名关键信息提供者的访谈，以及艾滋病毒预防计划的历史地图，发现接触亲属和亲密朋友死于艾滋病，导致感知的艾滋病毒风险增加，是行为改变的主要解释。人们普遍认为，日益严重的贫穷降低了男子负担多个伴侣的能力，也是导致随意性行为、商业性行为和婚外性行为减少的原因。其次提到艾滋病毒预防方案和服务作出了贡献，但没有一致指出具体的活动，尽管一些流行文化的影响似乎是关键的。这一定性研究发现，行为改变主要是由于增加人际沟通有关艾滋病毒，由于高个人暴露于艾滋病死亡率和艾滋病毒性传播的正确理解，由于相对较高的教育水平，也可能是艾滋病毒方案提供的信息。
Quantitative studies indicate that HIV incidence in Zimbabwe declined since the late 1990s, due in part to behavior change. This qualitative study, involving focus group discussions with 200 women and men, two dozen key informant interviews, and historical mapping of HIV prevention programs, found that exposure to relatives and close friends dying of AIDS, leading to increased perceived HIV risk, was the principal explanation for behavior change. Growing poverty, which reduced men's ability to afford multiple partners, was also commonly cited as contributing to reductions in casual, commercial and extra-marital sex. HIV prevention programs and services were secondarily mentioned as having contributed but no specific activities were consistently indicated, although some popular culture influences appear pivotal. This qualitative study found that behavior change resulted primarily from increased interpersonal communication about HIV due to high personal exposure to AIDS mortality and a correct understanding of sexual HIV transmission, due to relatively high education levels and probably also to information provided by HIV programs.