Stephenson Rob
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, USA.
AIDS Care. 2009 Mar;21(3):378-83. doi: 10.1080/09540120802241889.
Individual, household and community-level influences on young people's (15-24) knowledge of HIV/AIDS in three African countries (Burkina Faso, Ghana and Zambia) are explored. The focus of the analysis is on the roles of demographic, economic and behavioral dimensions of the community environment in shaping knowledge of HIV/AIDS. Data from Demographic and Health Surveys, collected independently for males and females in each of the countries, are analyzed. There are clear pathways through which the community environment shapes knowledge, and the community influences on knowledge vary greatly by country and gender. For young women, residences in communities with demographic and behavioral patterns that are indicative of greater opportunities are associated with increased knowledge of HIV/AIDS. The results highlight community-level factors that can be harnessed in the development of community-based interventions to improve knowledge of HIV/AIDS among young people, and reinforce the need to focus on the community environment in designing behavioral change interventions.
本研究探讨了个体、家庭和社区层面因素对布基纳法索、加纳和赞比亚这三个非洲国家15至24岁年轻人艾滋病知识的影响。分析重点在于社区环境的人口、经济和行为维度在塑造艾滋病知识方面所起的作用。研究分析了各国独立收集的男性和女性人口与健康调查数据。社区环境塑造知识存在明确路径，且社区对知识的影响因国家和性别差异很大。对于年轻女性而言，居住在具有更多机会特征的人口和行为模式的社区与艾滋病知识增加相关。研究结果凸显了在制定基于社区的干预措施以提高年轻人艾滋病知识时可利用的社区层面因素，并强化了在设计行为改变干预措施时关注社区环境的必要性。
