| Titre : | Is there evidence for behaviour change in response to AIDS in rural Zimbabwe ? (1998) |
| Auteurs : | S. GREGSON ; R.M. ANDERSON ; S.K. CHANDIWANA ; T. ZHUWAU ; Blair Research Institute. Josiah Tongogara. Causeway Harare. ZWE ; Wellcome Trust Centre for the Epidemiology of Infectious Disease. Zoology Department. Oxford University. Oxford. GBR |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 46, n° 3, 1998) |
| Pagination : | 321-330 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Homme ; Femme ; Milieu rural ; Autoévaluation ; Comportement sexuel ; Prévention santé ; Connaissance ; Risque ; Attitude ; Immunopathologie ; Zimbabwe ; Afrique |
| Résumé : | [BDSP. Notice produite par INIST dVUPQR0x. Diffusion soumise à autorisation]. This article reports on evidence for behaviour change in response to AIDS among women in two rural areas of Manicaland Province, Zimbabwe. It examines self-reported data on two overlapping areas of behaviour : (1) actions taken to avoid HIV-I infection ; and (2) fertility practices. The latter were used to assess the validity of the former, given that self-reported behaviour data are notoriously problematic. It is concluded that while self-reported behaviour change is exaggerated, the true level of change has nonetheless been significant and includes delayed onset of sexual relations, increased use of condoms and, possibly, increased monogamy. Reported actions taken to avoid HIV-I infection and differentials in fertility practices were correlated with data on demographic, social and psychological factors. Differentials in fertility practices were associated with heightened risk perception-particularly when based on personal acquaintance with AIDS patients-but not with greater knowledge of HIV-l/AIDS. Results from the study suggest that effective behaviour change in Manicaland is facilitated by greater knowledge, experience and personal risk perception but obstructed by low female autonomy, marital status and economic status, and by male labour migration and alcohol consumption. Gaps in knowledge included misconceptions about the distinction between HIV-1 and AIDS, the influence of STDs, perinatal transmission, and incorrect modes of transmission. (...) |
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