赞比亚改变安全性行为的障碍:来自艾滋病毒/艾滋病心理咨询师的观点

IF 0.4 Q4 SOCIAL WORK
Sherinah K Saasa, Y. Choi, L. Nackerud
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引用次数: 2

摘要

尽管赞比亚是受艾滋病毒/艾滋病影响最严重的撒哈拉以南非洲国家之一,但考虑到艾滋病毒/艾滋病知识的增加,很少有研究解决高风险性行为的持续做法之间的不匹配。本文报告了一项探索性定性研究的结果,该研究解决了研究问题,“赞比亚人口中改变安全性行为的态度、文化、人际关系和背景障碍是什么?”这项研究包括对来自赞比亚两个城市的8名提供艾滋病毒检测和咨询服务的心理咨询师进行半结构化访谈。数据分析采用恒定比较法。研究结果表明,个体层面的障碍包括性别差异、青少年特有的障碍以及与文盲有关的问题。在伴侣层面上,缺乏沟通和对使用避孕套意义的理解是影响不安全性行为的因素。社区层面的因素包括贫困率高、药物滥用、抗逆转录病毒治疗的可获得性、避孕套供应不一致、文化信仰、失业和娱乐活动有限。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers to safe-sex behavior change in Zambia: Perspectives from HIV/AIDS psychosocial counselors
Abstract Despite being one of the Sub-Saharan African countries most affected by HIV/AIDS, few studies address the mismatch between continued practices of high-risk sexual behaviors considering increased HIV/AIDS knowledge in Zambia. This article reports findings from an exploratory qualitative study that addressed the research question, “What are the attitudinal, cultural, interpersonal, and contextual barriers to safer sexual behavior change among the Zambian population?” The study involved semistructured interviews with eight psychosocial counselors from two Zambian cities who provide HIV testing and counseling services. Data were analyzed using the constant comparative method. Findings indicated individual level barriers including gendered differences, adolescent specific barriers, and issues related to illiteracy. Lack of communication and perceived meaning of condom use emerged as factors influencing unsafe sex at partner levels. Community level factors included high rates of poverty, substance abuse, availability of antiretroviral therapy, inconsistent condom supplies, cultural beliefs, unemployment, and limited recreational activities.
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
8
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