Hubert Department of Global Health, Rollins School of Public Health, Emory University, USA.
Cult Health Sex. 2011 Sep;13(8):945-59. doi: 10.1080/13691058.2011.591431.
Despite the prominence of abstinence promotion in HIV prevention for young Africans, there is little documentation concerning its reception and interpretation. With the purpose of informing programmatic practice, we examined how young Africans from six countries with contrasting HIV prevalence rates make sense of abstinence. 'Scenarios from Africa' scriptwriting contests invite young people to contribute ideas for short films about HIV. Using thematic narrative-based approaches, we analyzed a stratified random sample of these narratives written in 2005 by young women and men aged 10-24 years from Senegal, Burkina Faso, South-East Nigeria, Kenya, Namibia and Swaziland. Abstinence was considerably more prominent as a theme in the samples from SE Nigeria, Kenya and Swaziland. It was articulated in relation to conservative Christian sexual morality and in opposition to condom use with particular intensity in SE Nigeria, with stigmatising implications for non-abstainers. However, cross-national commonalities were more striking than differences. Examples of non-stigmatising pro-abstinence messaging highlighted the appeal of discourses of romantic love and future plans across countries and demographic characteristics. The analysis yielded contextual understanding, youth-driven ideas and recommendations to inform comprehensive HIV-prevention efforts.
尽管禁欲宣传在非洲年轻人的艾滋病预防中占有重要地位,但关于其接受和解释的文献却很少。为了为项目实践提供信息,我们研究了来自六个艾滋病感染率不同的非洲国家的年轻人如何理解禁欲。“非洲情景”剧本创作比赛邀请年轻人为关于艾滋病的短片贡献创意。我们采用基于主题的叙事方法,对塞内加尔、布基纳法索、尼日利亚东南部、肯尼亚、纳米比亚和斯威士兰的 10 至 24 岁的年轻人于 2005 年撰写的这些剧本进行了分层随机抽样分析。在来自尼日利亚东南部、肯尼亚和斯威士兰的样本中,禁欲作为一个主题更加突出。它与保守的基督教性道德有关,并与避孕套的使用形成鲜明对比,在尼日利亚东南部具有强烈的污名化意味,对非禁欲者产生了影响。然而,跨国界的共性比差异更为显著。一些非污名化的支持禁欲的信息突出了浪漫爱情和未来计划的吸引力,这些信息跨越了国家和人口特征。该分析产生了对背景的理解、以青年为导向的想法和建议,以告知全面的艾滋病预防工作。
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