Essomba Noel Emmanuel, Adiogo Dieudonné, Koum Danielle Kedy, Ndonnang Carine, Ngo Ngwe Madeleine Irma, Njock Ayuck Léo, Lehman Leopold, Coppieters Yves
Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
J Infect Dev Ctries. 2015 Aug 29;9(8):849-56. doi: 10.3855/jidc.6635.
The vulnerable health status of Pygmies is the result of their continual exposure to the modern world. The purpose of this study was to determine the prevalence of HIV and the attitudes and practices of Baka populations towards HIV infection.
A descriptive and cross-sectional study was conducted over a five-month period in 12 Pygmy camps. A questionnaire was completed to collect information, and anonymous screenings were held. For screening, whole blood was collected. The Determine HIV-1/2 test was used as the rapid test, and the SD Bioline HIV-1/2 test was used as the second test. Associations between variables were checked.
A total of 560 Baka were recruited. The sex ratio was 0.92. Among the means of transmission, sexual intercourse was the most frequently cited (37.6%). A minority (28.5%) knew where to undergo an HIV test, 24.2% did not know that there exists treatment enabling patients to have a higher quality of life, and 75.7% had never used a condom. A total of 86.9% had never been tested for HIV. Subjects who had sex with the Bantu were three times more likely to be infected (p = 0.02), as well as those who had had more than three sexual partners.
The changes affecting contemporary societies are inevitably influenced by the dominant factors of modernity, particularly progress, development, and social dynamics in all their aspects. Baka knowledge about HIV/AIDS is limited. Educational efforts, increased awareness, and guidance are needed.
俾格米人脆弱的健康状况是他们持续接触现代世界的结果。本研究的目的是确定巴卡人群中艾滋病毒的流行情况以及他们对艾滋病毒感染的态度和行为。
在12个俾格米人营地进行了为期五个月的描述性横断面研究。通过填写问卷收集信息，并进行匿名筛查。筛查时采集全血。采用Determine HIV-1/2检测作为快速检测，SD Bioline HIV-1/2检测作为二次检测。检查变量之间的关联。
共招募了560名巴卡人。性别比为0.92。在传播途径中，性交是最常被提及的（37.6%）。少数人（28.5%）知道在哪里进行艾滋病毒检测，24.2%不知道存在能使患者生活质量更高的治疗方法，75.7%从未使用过避孕套。共有86.9%的人从未接受过艾滋病毒检测。与班图人发生性行为的人感染几率高出三倍（p = 0.02），有三个以上性伴侣的人也是如此。
影响当代社会的变革不可避免地受到现代性主导因素的影响，特别是进步、发展以及社会各方面的动态变化。巴卡人对艾滋病毒/艾滋病的了解有限。需要开展教育工作、提高认识并给予指导。
