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农村人口获取关于艾滋病毒/艾滋病信息来源的便利性与有效性。

Accessibility and effectiveness of sources of information about HIV/AIDS in a rural population.

作者信息

Hormes Julia M, Theall Katherine P

机构信息

From the Louisiana State University Health Sciences Center, and the School of Public Health and Tropical Medicine, Tulane University, New Orleans.

出版信息

South Med J. 2013 Nov;106(11):599-604. doi: 10.1097/SMJ.0000000000000011.

Abstract

OBJECTIVES

To determine the accessibility and effectiveness of different sources of information about human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in a rural population.

METHODS

A total of 152 (58.6% women, 76.2% nonwhite) respondents living in rural southeast Louisiana completed a questionnaire assessing demographics, exposure to information about HIV/AIDS, and prevalence of HIV-related risk and protective behaviors. Differences by number and type of information sources accessed in prevalence of these behaviors were assessed using regression and multivariate analyses of variance.

RESULTS

HIV-related information was widely accessible, with most respondents having obtained information from mass media and approximately half having been exposed to information from small media and interpersonal contacts. Small media and interpersonal source exposure was positively associated with greater likelihood of asking casual and steady partners about their HIV status. Although it was the most common factor, exposure to information from mass media was overall not significantly associated with the prevalence of risk or protective behaviors.

CONCLUSIONS

HIV-related information sources are being used by individuals living in rural regions. Unfortunately, exposure to such information was only weakly or not at all associated with the prevalence of most risk and protective factors. It can be concluded that HIV-related information, although accessible, has at best minimal effects on behaviors. More work is needed to increase the effectiveness of information about HIV/AIDS disseminated in rural regions.

摘要

目的

确定农村人口获取不同来源的人类免疫缺陷病毒/获得性免疫缺陷综合征(HIV/AIDS)信息的难易程度及信息的有效性。

方法

居住在路易斯安那州东南部农村地区的152名受访者(58.6%为女性,76.2%为非白人)完成了一份调查问卷,该问卷评估了人口统计学特征、对HIV/AIDS信息的接触情况以及HIV相关风险行为和保护行为的流行情况。通过回归分析和多变量方差分析评估了接触不同数量和类型信息源与这些行为流行率之间的差异。

结果

与HIV相关的信息广泛可得,大多数受访者从大众媒体获取信息,约一半受访者接触过来自小众媒体和人际接触的信息。接触小众媒体和人际信息源与询问临时和固定伴侣HIV感染状况的可能性增加呈正相关。虽然大众媒体信息是最常见的信息来源,但总体而言,接触大众媒体信息与风险行为或保护行为的流行率无显著关联。

结论

农村地区居民正在使用与HIV相关的信息来源。遗憾的是,接触此类信息与大多数风险因素和保护因素的流行率之间仅有微弱关联或根本没有关联。可以得出结论,与HIV相关的信息虽然可得,但对行为的影响至多微乎其微。需要开展更多工作以提高在农村地区传播的HIV/AIDS信息的有效性。

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