Institute for Educational Research, University of Oslo, Norway.
Cult Health Sex. 2009 Nov;11(8):751-65. doi: 10.1080/13691050903362632.
Developing interpersonal communication skills is a key component in HIV prevention. Understanding the contexts and content of communication about HIV and AIDS among young people is important for the development of effective programmes and interventions. The aim of this paper is to build on study findings suggesting that significant differences exist between young people in- and out-of-school in exposure to AIDS-related information and communication in Kilimanjaro. In-depth interviews were conducted with young people between the ages of 13 and 18. Data were analyzed using a thematic and comparative approach to explore similarities and differences. A trinity of factors including access, agency and ambiguity emerged as influencing communication about HIV and AIDS. The role of social networks in structuring differences in communication is examined. Findings reveal a discourse laden with fear and mistrust. Coupled with low levels of health literacy, young people regardless of school attendance demonstrate an inability to critically appraise modes of transmission and prevention. An increased emphasis should be placed on the development of critical health literacy and open dialogue. Accessible, unambiguous and culturally relevant interventions built on an understanding of barriers to open communication, which link with community-based initiatives to stimulate dialogue and debate, are needed.
培养人际沟通技巧是预防艾滋病的关键组成部分。了解年轻人之间关于艾滋病和艾滋病的沟通的背景和内容，对于制定有效的方案和干预措施至关重要。本文旨在基于研究结果，这些结果表明，在乞力马扎罗地区，在校内外年轻人接触艾滋病相关信息和沟通方面存在显著差异。对 13 至 18 岁的年轻人进行了深入访谈。使用主题和比较方法对数据进行分析，以探索相似点和不同点。包括获取途径、代理和歧义在内的三重因素被认为会影响艾滋病和艾滋病的沟通。还研究了社交网络在塑造沟通差异方面的作用。研究结果揭示了一种充满恐惧和不信任的话语。由于健康素养水平较低，无论是否上学，年轻人都无法批判性地评估传播和预防模式。应该更加重视发展批判性健康素养和开展公开对话。需要基于对开放沟通障碍的理解，制定具有可及性、明确性和文化相关性的干预措施，并将其与社区为基础的举措联系起来，以激发对话和辩论。
