Wade A S, Enel C, Lagarde E
Conseil National de Lutte contre le SIDA, Dakar, Sénégal.
AIDS Care. 2006 Jul;18(5):514-9. doi: 10.1080/09540120600569465.
Recent changes in knowledge and attitudes towards AIDS in a rural population of Senegal were assessed comparing two cross-sectional studies conducted six years apart (1997 and 2003). Random samples of 866 and 709 adults aged 15-59 were included. Sociodemographic characteristics of the two population samples were very similar. The proportion of those who estimated their personal risk of being infected by HIV as high or very high fell from 49.1% in 1997 to 17.2% in 2003. The proportion of those who reported having already changed their behaviour to protect themselves from AIDS fell from 56.3% to 24.9%. Methods cited as protection against HIV changed over the period. Fidelity and/or partner selection was cited by 93% of respondents in 1997 and 58% in 2003 when suspicion of potentially soiled materials appeared. Finally, attitudes towards persons living with HIV or AIDS (PLWHA) in 2003 were ambivalent: while 73.9% thought that a PLWHA should not be allowed to mix with other villagers, 65.1% would be ready to provide care to a PLWHA. Drastic changes in attitudes towards the AIDS threat could be identified over the period. AIDS preventive attitudes measured in 1997 were not sustained in 2003, while stigmatization of PLWHA was very widespread.
通过比较相隔六年（1997年和2003年）进行的两项横断面研究，评估了塞内加尔农村人口对艾滋病的认知和态度的近期变化。纳入了866名和709名年龄在15 - 59岁之间的成年人随机样本。这两个人口样本的社会人口学特征非常相似。估计自己感染艾滋病毒的个人风险为高或非常高的比例从1997年的49.1%降至2003年的17.2%。报告已经改变行为以保护自己免受艾滋病感染的比例从56.3%降至24.9%。在此期间，被提及作为预防艾滋病毒的方法发生了变化。当怀疑有潜在污染材料时，1997年93%的受访者提到忠诚和/或伴侣选择，2003年这一比例为58%。最后，2003年对艾滋病毒感染者或艾滋病患者（PLWHA）的态度矛盾：虽然73.9%的人认为不应允许艾滋病患者与其他村民交往，但65.1%的人愿意为艾滋病患者提供护理。在此期间，可以确定对艾滋病威胁的态度发生了巨大变化。1997年衡量的艾滋病预防态度在2003年没有持续，而对艾滋病患者的污名化非常普遍。
