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构建南非艾滋病毒/艾滋病流行情况的背景决定因素模型以指导政策制定。

Modeling contextual determinants of HIV/AIDS prevalence in South Africa to inform policy.

作者信息

Bouare Oumar

机构信息

AEM, 2, rue de la Convention, 75015 Paris, France.

出版信息

Afr J Reprod Health. 2009 Sep;13(3):53-69.

Abstract

There is a voluminous literature on HIV/AIDS and South Africa. However, no study focuses on the modeling of contextual factors concerning HIV/AIDS prevalence in South Africa. In this paper, two models of contextual behavioral risk factors of HIV/AIDS prevalence were developed so that policy makers can be alerted to the key variables in order to help curb the spread of the disease. It was found that fearlessness/low-perception, poverty and hopelessness risks are determinants of an active risk factor. While the latter and passive risk factor (i.e. gender dependency) are the determinants of HIV/AIDS prevalence. As a result, it was argued to go beyond the KABP determinant studies to focus on contextual behavioral risk factors and pointed out that further research is needed on the limit of contextuality of risk factors. In conclusion, policies were suggested to help curb the spread of HIV/AIDS.

摘要

关于艾滋病毒/艾滋病与南非的文献浩如烟海。然而,尚无研究聚焦于南非艾滋病毒/艾滋病流行情况的背景因素建模。本文构建了两个关于艾滋病毒/艾滋病流行情况的背景行为风险因素模型,以便政策制定者能留意关键变量,从而助力遏制该疾病的传播。研究发现,无畏/低认知、贫困和绝望风险是主动风险因素的决定因素。而后两者以及被动风险因素(即性别依赖)是艾滋病毒/艾滋病流行情况的决定因素。因此,有人主张超越“知识、态度和行为”决定因素研究,转而关注背景行为风险因素,并指出需要对风险因素背景性的限度开展进一步研究。总之,文中提出了有助于遏制艾滋病毒/艾滋病传播的政策建议。

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