Mpofu Elias, Nkomazana Fidelis, Muchado Jabulani A, Togarasei Lovemore, Bingenheimer Jeffrey Bart
University of Sydney, Sydney, Australia.
BMC Public Health. 2014 Mar 5;14:225. doi: 10.1186/1471-2458-14-225.
There is a huge interest by faith-based organizations (FBOs) in sub-Saharan Africa and elsewhere in HIV prevention interventions that build on the religious aspects of being. Successful partnerships between the public health services and FBOs will require a better understanding of the conceptual framing of HIV prevention by FBOS to access for prevention intervention, those concepts the churches of various denominations and their members would support or endorse. This study investigated the conceptual framing of HIV prevention among church youths in Botswana;--a country with one of the highest HIV prevalence in the world.
Participants were 213 Pentecostal church members (67% female; age range 12 to 23 years; median age=19 years). We engaged the participants in a mixed-method inductive process to collect data on their implicit framing of HIV prevention concepts, taking into account the centrality of religion concepts to them and the moderating influences of age, gender and sexual experience. After, we analysed the data using multi-dimensional scaling (MDS) and hierarchical cluster analysis (HCA) to map the ways the church youths framed HIV prevention.
The findings suggest the church youth to conceptually frame their HIV prevention from both faith-oriented and secular-oriented perspectives, while prioritizing the faith-oriented concepts based on biblical teachings and future focus. In their secular-oriented framing of HIV prevention, the church youths endorsed the importance to learn the facts about HIV and AIDS, understanding of community norms that increased risk for HIV and prevention education. However, components of secular-oriented framing of HIV prevention concepts were comparatively less was well differentiated among the youths than with faith-oriented framing, suggesting latent influences of the church knowledge environment to undervalue secular oriented concepts. Older and sexually experienced church youths in their framing of HIV prevention valued future focus and prevention education less than contrasting peer cohorts, suggesting their greater relative risk for HIV infection.
A prospective HIV prevention intervention with the Pentecostal church youths would combine both faith and secular informed concepts. It also would need to take into account the ways in which these youth interpret secular-oriented health concepts in the context of their religious beliefs.
撒哈拉以南非洲及其他地区的宗教组织（FBOs）对基于宗教存在层面的艾滋病毒预防干预措施有着浓厚兴趣。公共卫生服务机构与宗教组织之间成功的伙伴关系需要更好地理解宗教组织对艾滋病毒预防的概念框架，以便开展预防干预，了解不同教派的教会及其成员会支持或认可哪些概念。本研究调查了博茨瓦纳教会青年中艾滋病毒预防的概念框架；博茨瓦纳是世界上艾滋病毒感染率最高的国家之一。
参与者为213名五旬节派教会成员（67%为女性；年龄范围12至23岁；中位年龄 = 19岁）。我们让参与者参与一个混合方法归纳过程，以收集他们对艾滋病毒预防概念的隐性框架数据，同时考虑宗教概念对他们的核心地位以及年龄、性别和性经历的调节影响。之后，我们使用多维尺度分析（MDS）和层次聚类分析（HCA）对数据进行分析，以描绘教会青年构建艾滋病毒预防的方式。
研究结果表明，教会青年在概念上从以信仰为导向和以世俗为导向的角度构建他们的艾滋病毒预防框架，同时根据圣经教义和对未来的关注优先考虑以信仰为导向的概念。在以世俗为导向的艾滋病毒预防框架中，教会青年认可了解艾滋病毒和艾滋病事实、理解增加艾滋病毒风险的社区规范以及预防教育的重要性。然而，与以信仰为导向的框架相比，教会青年中以世俗为导向的艾滋病毒预防概念框架的组成部分差异较小，这表明教会知识环境存在潜在影响，导致对以世俗为导向的概念重视不足。年龄较大且有性经历的教会青年在构建艾滋病毒预防框架时，对未来关注和预防教育的重视程度低于同龄对照组，这表明他们感染艾滋病毒的相对风险更高。
针对五旬节派教会青年的前瞻性艾滋病毒预防干预措施应结合基于信仰和基于世俗的概念。还需要考虑这些青年在其宗教信仰背景下解释以世俗为导向的健康概念的方式。
