WAR, FORCED MIGRATION, AND HIV/AIDS RISKS IN ANGOLA

描述（由研究者提供）：在越来越多的关于撒哈拉以南非洲艾滋病毒/艾滋病的文献中，关注受战争和其他形式政治暴力影响的人口的研究特别少。 然而，考虑到次大陆军事冲突的范围和普遍性及其人道主义和健康影响的程度，这一重点至关重要。 难民和国内流离失所者在社会和身体上的脆弱性可能会转化为艾滋病毒/艾滋病风险的增加，而这些增加的风险可能在敌对行动停止后长期存在。 拟议的试点研究将对居住在安哥拉最大城市地区的国内流离失所者的艾滋病毒/艾滋病相关知识、观念和风险进行初步评估。 这一初步评估将为随后在国家一级研究安哥拉的艾滋病毒/艾滋病情况奠定基础，稍后将要求提供资金。 除了目前正在拆除的少数国内流离失所者营地外，大多数国内流离失所者都定居在安哥拉城市周围的贫民窟，特别是其庞大的首都罗安达。 然而，虽然一些郊区社区是由于国内流离失所者的涌入而出现的，或在人口上由国内流离失所者占主导地位，但其他社区主要由在城市出生或因与战争没有直接关系的原因而移徙的长期居民组成。 这种定居模式提供了一种可能性，通过比较国内流离失所者占多数的社区和非国内流离失所者占多数的社区，以及这两类社区中的国内流离失所者和非国内流离失所者，可以探讨国内流离失所者对艾滋病毒/艾滋病的具体知识、看法和风险。 国内流离失所者本身的差异，特别是按性别界定的差异，可能影响到他们对艾滋病毒/艾滋病风险的看法和面临的风险。 拟议的项目将有以下具体目标：绘制国内流离失所者的移徙概况;审查国内流离失所者与非国内流离失所者融入城市社会的情况;比较国内流离失所者和非国内流离失所者对艾滋病毒/艾滋病风险的理解和认识、预防知识和接触艾滋病毒/艾滋病风险的情况;探讨社区环境对国内流离失所者对艾滋病毒/艾滋病风险的认识和接触可能产生的影响。 为了实现这些目标，将在罗安达的两个城市周边收集调查和定性数据，其中一个城市的人口主要是国内流离失所者，另一个城市的人口主要是非国内流离失所者。

DESCRIPTION (provided by investigator): In the growing body of literature on HIV/AIDS in sub-Saharan Africa studies focusing on populations affected by wars and other forms of political violence are notably few. Yet given the scope and pervasiveness of military conflicts in the sub-continent and the magnitude of their humanitarian and health impact, this focus is critically important. Social and physical vulnerability of refugees and internally displaced persons (IDPs) may translate into increased HIV/AIDS risks, and these increased risks may persist long after hostilities cease. The proposed pilot study will produce an initial assessment of HIV/AIDS-related knowledge, perceptions, and risks among IDPs residing in the largest urban area of Angola. This initial assessment will lay the groundwork for a subsequent national-level study of the HIV/AIDS situation in Angola for which funding will be requested later. Aside from the few IDPs camps that are presently being dismantled, most IDPs have settled in slums surrounding Angolan cities, especially its sprawling capital Luanda. However, while some suburban communities have emerged due to the influx of IDPs or have become demographically dominated by them, others are composed primarily of longer-term residents who were either born in the city or migrated for reasons not directly related to war. This pattern of settlement offers a possibility to explore the specifics of IDPs' HIV/AIDS-related knowledge, perceptions, and risks through a comparison between communities where IDPs predominate and those where they do not, and in turn, between IDPs and non-IDPs in each of the two types of communities. Differences among IDPs themselves, especially those defined by gender, may bear on their perceptions of and exposure to HIV/AIDS risks. The proposed project will have the following specific objectives: to draw a migration profile of IDPs; to examine IDPs' vs. non-IDPs' incorporation into urban society; to compare IDPs and non-IDPs with respect to understanding and awareness of HIV/AIDS risks, knowledge of prevention, and exposure to HIV/AIDS risks; and to explore possible influences of the community context on IDPs' awareness of and exposure to HIV/AIDS risks. To achieve these objectives survey and qualitative data will be collected in two peri-urban municipalities of Luanda--one populated mainly by IDPs and another populated mainly by non-IDPs.