Ssali Sarah, Wagner Glenn, Tumwine Christopher, Nannungi Annette, Green Harold
Department of Women and Gender Studies, Makerere University, Kampala, Uganda.
AIDS Res Treat. 2012;2012:815823. doi: 10.1155/2012/815823. Epub 2012 May 15.
HIV prevention efforts to date have not explored the potential for persons living with HIV to act as change agents for prevention behaviour in their social networks. Using egocentric social network analysis, this study examined the prevalence and social network correlates of prevention advocacy behaviours (discussing HIV in general; encouraging abstinence or condom use, HIV testing, and seeking HIV care) enacted by 39 HIV clients in Uganda. Participants engaged in each prevention advocacy behaviour with roughly 50-70% of the members in their network. The strongest determinant of engaging in prevention advocacy with more of one's network members was having a greater proportion of network members who knew one's HIV seropositive status, as this was associated with three of the four advocacy behaviours. These findings highlight the potential for PLHA to be key change agents for HIV prevention within their networks and the importance of HIV disclosure in facilitating prevention advocacy.
迄今为止，艾滋病病毒预防工作尚未探讨艾滋病病毒感染者在其社交网络中充当预防行为变革推动者的潜力。本研究采用自我中心社会网络分析方法，调查了乌干达39名艾滋病病毒感染者实施的预防宣传行为（总体讨论艾滋病病毒；鼓励禁欲或使用避孕套、进行艾滋病病毒检测以及寻求艾滋病病毒治疗）的流行情况及其社会网络关联因素。参与者与网络中约50%-70%的成员进行了各项预防宣传行为。与更多网络成员进行预防宣传的最有力决定因素是，知道自己艾滋病病毒血清阳性状态的网络成员比例更高，因为这与四项宣传行为中的三项相关。这些发现凸显了艾滋病病毒感染者在其社交网络中成为艾滋病病毒预防关键变革推动者的潜力，以及披露艾滋病病毒感染情况在促进预防宣传方面的重要性。
