五旬节派牧师对南非开普敦郊区感染艾滋病毒的五旬节派基督徒使用抗逆转录病毒治疗的看法:社区卫生系统透视。

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Ivo Nchendia Azia,Anam Nyembezi,Shernaaz Carelse,Ferdinand C Mukumbang
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引用次数: 0

摘要

全球公共卫生界接受抗逆转录病毒疗法(ART)来控制和管理艾滋病毒。然而,在一些社区中,五旬节派牧师声称自己的信仰或奇迹般地治愈了艾滋病毒和艾滋病,这继续引发争议。本文报告了一项探索性定性研究,旨在探讨五旬节派牧师对五旬节派基督徒艾滋病病毒感染者(PCLH)使用抗逆转录病毒疗法所持的信念。研究人员从南非开普敦的两个非正规定居点有目的地挑选了 20 名五旬节派牧师。对他们关于坚持抗逆转录病毒疗法的宗教信仰进行了开放式、半结构化、深入的个人访谈。访谈以英语进行,并进行录音和逐字记录,然后导入 Atlas-ti 2023 软件程序进行专题数据分析。由于我们的研究以关系型社区卫生系统(CHS)模型为指导,因此采用了演绎-归纳混合型主题分析法。我们确定了五旬节派牧师宗教信仰影响的两个对立主题:第一个主题及其相关副主题强调了牧师们缺乏基本的 HIV 和抗逆转录病毒疗法知识。因此,这些牧师倾向于劝导他们的基督徒更多地依靠信仰和精神治疗,而忽略了坚持抗逆转录病毒疗法。第二个主题和相关的次主题表明,一些牧师掌握了一些基本的艾滋病知识,了解抗逆转录病毒疗法的作用及其工作原理。这部分牧师建议他们的会众在使用抗逆转录病毒疗法和其他医疗保健服务的同时,举行灵修仪式、信仰和祈祷。我们的研究结果突出表明,在一些利益相关者的信仰体系、实践和规范之间存在复杂互动的环境中,社区健康委员会(CHC)和医疗机构管理委员会(HFMC)等以社区为基础的功能性机构的必要性会影响人们的求医行为,如坚持接受抗逆转录病毒疗法等慢性药物治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Beliefs of Pentecostal pastors concerning the use of antiretroviral treatment among Pentecostal Christians living with HIV in a suburb of Cape Town-South Africa: a community health systems lens.
The global public health community accepts antiretroviral therapy (ART) for controlling and managing HIV. However, within some communities, claims of faith or miraculous healing of HIV and AIDS by Pentecostal pastors continue to spark controversies. This paper reports on an exploratory qualitative study to explore the beliefs held by Pentecostal pastors regarding the use of ART among Pentecostal Christians who are living with HIV (PCLH). Twenty Pentecostal pastors from two informal settlements in Cape Town, South Africa, were purposefully selected. Open-ended, semi-structured, in-depth individual interviews were conducted on their religious beliefs concerning ART adherence. Interviews were conducted in English, audiotaped, and transcribed verbatim before being imported to the Atlas-ti 2023 software program for thematic data analysis. Since our study was guided by the relational community health system (CHS) model a hybrid deductive-inductive thematic analysis was used. Two contrasting themes about the influence of the religious beliefs of Pentecostal pastors were identified: The first theme and its associated subthemes highlight the lack of basic HIV and ART knowledge among pastors. Consequently, these pastors tend to nudge their Christians to rely more on faith and spiritual healing at the expense of adherence to ART. The second theme and the associated sub-themes suggest that some pastors possess some basic HIV knowledge and understand the role of ART and how it works. This group of pastors advise their congregants to use ART and other healthcare services in tandem with spiritual rituals, faith, and prayers. Our findings highlight the need for functional community-based structures, such as community health committees (CHCs) and health facility management committees (HFMCs), in settings where complex interaction within the belief systems, practices, and norms of some stakeholders can influence people's health-seeking behaviours such as adhering to chronic medications like ART.
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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
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