重新聚焦艾滋病病毒预防信息：乌干达农村地区的一项定性研究
Re-focusing HIV prevention messages: a qualitative study in rural Uganda.
作者信息
Mathur Sanyukta, Romo Dina, Rasmussen Mariko, Nakyanjo Neema, Nalugoda Fred, Santelli John S
机构信息
Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia of University, New York City, 10032 USA.
Division of Child and Adolescent Health, Columbia University Medical Center, New York City, 10032 USA.
出版信息
AIDS Res Ther. 2016 Nov 11;13:37. doi: 10.1186/s12981-016-0123-x. eCollection 2016.
BACKGROUND
After 30 years, the human immunodeficiency virus (HIV) remains an epidemic of global concern. To support the increasing emphasis on biomedical interventions for prevention requires a renewed and reframed focus on HIV prevention messages to motivate engagement in risk-reduction activities. This paper examines youth and adult perceptions of HIV prevention messages and HIV risk assessment in a generalized HIV epidemic context in Uganda.
METHODS
We conducted 24 focus group discussions and 24 in-depth interviews with 15-45 year olds (n = 218) from three communities in the Rakai district of Uganda in 2012.
RESULTS
We found generational differences in the how people viewed HIV, skepticism around introduction of new interventions, continued misconceptions and fears about condoms, and gender differences in content and salience of HIV prevention messages.
CONCLUSIONS
Shifts in HIV education are needed to address gaps in HIV messaging to foster engagement in risk reduction strategies and adoption of newer biomedical approaches to HIV prevention.
背景
30年后，人类免疫缺陷病毒（HIV）仍然是一个全球关注的流行病。为了支持日益强调的生物医学预防干预措施，需要重新聚焦并调整HIV预防信息，以激励人们参与降低风险的活动。本文探讨了乌干达普遍存在HIV疫情背景下，青年人和成年人对HIV预防信息及HIV风险评估的看法。
方法
2012年，我们在乌干达拉凯区的三个社区对15至45岁的人群（n = 218）进行了24次焦点小组讨论和24次深入访谈。
结果
我们发现，人们对HIV的看法存在代际差异，对新干预措施的引入持怀疑态度，对避孕套仍存在误解和恐惧，且HIV预防信息的内容和显著性存在性别差异。
结论
需要转变HIV教育方式，以弥补HIV信息传递方面的差距，促进人们参与降低风险策略，并采用更新的生物医学HIV预防方法。
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