Le SIDA au Ghana (serveur d'exploration)

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

Sexual behaviour and risk assessment of HIV seroconvertors among urban male factory workers in Zimbabwe

Identifieur interne : 001228 ( Main/Exploration ); précédent : 001227; suivant : 001229

Sexual behaviour and risk assessment of HIV seroconvertors among urban male factory workers in Zimbabwe

Auteurs : Sunanda Ray [Zimbabwe, Royaume-Uni] ; Ahmed Latif [Zimbabwe] ; Roderick Machekano [Zimbabwe] ; David Katzenstein [États-Unis]

Source :

RBID : ISTEX:E169F3BF9C4758D2D43E4F902FFA6FEDCF32987E

Descripteurs français

English descriptors

Abstract

Despite extensive HIV prevention programmes and knowledge of people dying of AIDS, people in Zimbabwe continue to be infected with HIV and other sexually transmitted infections (STIs). This paper presents selected case histories from interviews with 57 men who became HIV positive during follow up of 1678 seronegative male factory workers in Harare, and describes the circumstances in which they were exposed to infection. Youth was a major risk factor, with 47% of those who seroconverted aged between 18 and 24yr. STIs were reported by 23% of the group in the seroconversion period, a marker of unprotected sex. Individuals did not recognise themselves or their partners as candidates for infection because of categorisation of high risk groups as “promiscuous” or clients of sex workers. Many were optimistic that they had changed sufficiently by using condoms more often or by avoiding sex workers. They made inaccurate assessments of who was safe for unprotected sex, based on judgements about their character, background and age. Over 40% of the seroconvertors had previously been counselled on staying HIV negative. Community approaches which nurture development of supportive group norms, respect for human rights and responsibilities, and safe environments for disclosure of HIV status, are vital for overcoming denial of risk at individual and societal levels. Special efforts targeted at youth are crucial since they have the highest risk of new infections and include use of media, drama, role models, advisory centres, peer education programmes. Health professionals need training and skills to enable people at risk of HIV infection to devise strategies based on more realistic personal risk assessment.

Url:
DOI: 10.1016/S0277-9536(98)00249-4


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

<record>
<TEI wicri:istexFullTextTei="biblStruct">
<teiHeader>
<fileDesc>
<titleStmt>
<title>Sexual behaviour and risk assessment of HIV seroconvertors among urban male factory workers in Zimbabwe</title>
<author>
<name sortKey="Ray, Sunanda" sort="Ray, Sunanda" uniqKey="Ray S" first="Sunanda" last="Ray">Sunanda Ray</name>
</author>
<author>
<name sortKey="Latif, Ahmed" sort="Latif, Ahmed" uniqKey="Latif A" first="Ahmed" last="Latif">Ahmed Latif</name>
</author>
<author>
<name sortKey="Machekano, Roderick" sort="Machekano, Roderick" uniqKey="Machekano R" first="Roderick" last="Machekano">Roderick Machekano</name>
</author>
<author>
<name sortKey="Katzenstein, David" sort="Katzenstein, David" uniqKey="Katzenstein D" first="David" last="Katzenstein">David Katzenstein</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:E169F3BF9C4758D2D43E4F902FFA6FEDCF32987E</idno>
<date when="1998" year="1998">1998</date>
<idno type="doi">10.1016/S0277-9536(98)00249-4</idno>
<idno type="url">https://api.istex.fr/document/E169F3BF9C4758D2D43E4F902FFA6FEDCF32987E/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">000804</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000804</idno>
<idno type="wicri:Area/Istex/Curation">000804</idno>
<idno type="wicri:Area/Istex/Checkpoint">000722</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000722</idno>
<idno type="wicri:doubleKey">0277-9536:1998:Ray S:sexual:behaviour:and</idno>
<idno type="wicri:Area/Main/Merge">001325</idno>
<idno type="wicri:Area/Main/Curation">001228</idno>
<idno type="wicri:Area/Main/Exploration">001228</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title level="a">Sexual behaviour and risk assessment of HIV seroconvertors among urban male factory workers in Zimbabwe</title>
<author>
<name sortKey="Ray, Sunanda" sort="Ray, Sunanda" uniqKey="Ray S" first="Sunanda" last="Ray">Sunanda Ray</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Zimbabwe</country>
<wicri:regionArea>Zimbabwe AIDS Prevention Project (ZAPP-UZ), Departments of Community Medicine and General Medicine, University of Zimbabwe Medical School, Harare</wicri:regionArea>
<wicri:noRegion>Harare</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Author for correspondence. 4 Cairns Drive, Stafford, ST16 3PW</wicri:regionArea>
<wicri:noRegion>ST16 3PW</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Latif, Ahmed" sort="Latif, Ahmed" uniqKey="Latif A" first="Ahmed" last="Latif">Ahmed Latif</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Zimbabwe</country>
<wicri:regionArea>Zimbabwe AIDS Prevention Project (ZAPP-UZ), Departments of Community Medicine and General Medicine, University of Zimbabwe Medical School, Harare</wicri:regionArea>
<wicri:noRegion>Harare</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Machekano, Roderick" sort="Machekano, Roderick" uniqKey="Machekano R" first="Roderick" last="Machekano">Roderick Machekano</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Zimbabwe</country>
<wicri:regionArea>Zimbabwe AIDS Prevention Project (ZAPP-UZ), Departments of Community Medicine and General Medicine, University of Zimbabwe Medical School, Harare</wicri:regionArea>
<wicri:noRegion>Harare</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Katzenstein, David" sort="Katzenstein, David" uniqKey="Katzenstein D" first="David" last="Katzenstein">David Katzenstein</name>
<affiliation wicri:level="1">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>AIDS Clinical Trials, Stanford University, Stanford</wicri:regionArea>
<wicri:noRegion>Stanford</wicri:noRegion>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series>
<title level="j">Social Science & Medicine</title>
<title level="j" type="abbrev">SSM</title>
<idno type="ISSN">0277-9536</idno>
<imprint>
<publisher>ELSEVIER</publisher>
<date type="published" when="1998">1998</date>
<biblScope unit="volume">47</biblScope>
<biblScope unit="issue">10</biblScope>
<biblScope unit="page" from="1431">1431</biblScope>
<biblScope unit="page" to="1443">1443</biblScope>
</imprint>
<idno type="ISSN">0277-9536</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<idno type="ISSN">0277-9536</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Actual behaviour</term>
<term>Advisory centres</term>
<term>Aids care</term>
<term>Aids education</term>
<term>Aids epidemic</term>
<term>Aids surveillance</term>
<term>Alcohol intake</term>
<term>Antenatal clinics</term>
<term>Behaviour</term>
<term>Behaviour change</term>
<term>Blood specimens</term>
<term>Capital city</term>
<term>Case histories</term>
<term>Case histories show</term>
<term>Casual girlfriends</term>
<term>Central african journal</term>
<term>Child welfare</term>
<term>City health department</term>
<term>Clinic</term>
<term>Cohort</term>
<term>Condom</term>
<term>Counselling</term>
<term>Demographic characteristics</term>
<term>Drink alcohol</term>
<term>Drinking alcohol</term>
<term>East london</term>
<term>Elsevier science</term>
<term>Enrolment</term>
<term>Factory workers</term>
<term>Further transmission</term>
<term>Gender relations</term>
<term>Genital ulcer disease</term>
<term>Genitourinary medicine</term>
<term>Girlfriend</term>
<term>Group norms</term>
<term>Harare</term>
<term>Health professionals</term>
<term>Health promotion messages</term>
<term>Health workers</term>
<term>Heart disease</term>
<term>High risk</term>
<term>High risk behaviours</term>
<term>High risk groups</term>
<term>Higher risk</term>
<term>Highest risk</term>
<term>Human rights</term>
<term>Human virus type</term>
<term>Infection</term>
<term>Infectious diseases</term>
<term>Intensive counselling</term>
<term>Judgement</term>
<term>Long term</term>
<term>Major risk factor</term>
<term>Male factory workers</term>
<term>Male partners</term>
<term>Many cultures</term>
<term>Multiple partners</term>
<term>Nice girl</term>
<term>Other partners</term>
<term>Other stis</term>
<term>Peer education programmes</term>
<term>Personal risk</term>
<term>Plenum press</term>
<term>Prevention messages</term>
<term>Prevention programmes</term>
<term>Prevention strategies</term>
<term>Previous boyfriend</term>
<term>Previous year</term>
<term>Programme</term>
<term>Project clinic</term>
<term>Quantitative analysis</term>
<term>Regular girlfriend</term>
<term>Report harare</term>
<term>Reproductive health</term>
<term>Reproductive health matters</term>
<term>Research nurses</term>
<term>Risk assessment</term>
<term>Risk behaviour</term>
<term>Risk exposure</term>
<term>Risk factor</term>
<term>Risk factors</term>
<term>Risky behaviour</term>
<term>Role models</term>
<term>Rural areas</term>
<term>Safe environments</term>
<term>Second partner</term>
<term>Seroconversion</term>
<term>Seroconversion period</term>
<term>Seroconverted</term>
<term>Seroconvertors</term>
<term>Several partners</term>
<term>Sexual behaviour</term>
<term>Sexual interactions</term>
<term>Sexual partner</term>
<term>Sexual partners</term>
<term>Social context</term>
<term>Social environment</term>
<term>Social networks</term>
<term>Social science medicine</term>
<term>Stanford university</term>
<term>Stis</term>
<term>Support groups</term>
<term>Unprotected</term>
<term>Vital role</term>
<term>Window period</term>
<term>Woodcock</term>
<term>Workplace</term>
<term>World health organisation</term>
<term>Young people</term>
<term>Zimbabwe</term>
<term>Zimbabwe aids prevention project</term>
<term>Zimbabwe census</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Actual behaviour</term>
<term>Advisory centres</term>
<term>Aids care</term>
<term>Aids education</term>
<term>Aids epidemic</term>
<term>Aids surveillance</term>
<term>Alcohol intake</term>
<term>Antenatal clinics</term>
<term>Behaviour</term>
<term>Behaviour change</term>
<term>Blood specimens</term>
<term>Capital city</term>
<term>Case histories</term>
<term>Case histories show</term>
<term>Casual girlfriends</term>
<term>Central african journal</term>
<term>Child welfare</term>
<term>City health department</term>
<term>Clinic</term>
<term>Cohort</term>
<term>Condom</term>
<term>Counselling</term>
<term>Demographic characteristics</term>
<term>Drink alcohol</term>
<term>Drinking alcohol</term>
<term>East london</term>
<term>Elsevier science</term>
<term>Enrolment</term>
<term>Factory workers</term>
<term>Further transmission</term>
<term>Gender relations</term>
<term>Genital ulcer disease</term>
<term>Genitourinary medicine</term>
<term>Girlfriend</term>
<term>Group norms</term>
<term>Harare</term>
<term>Health professionals</term>
<term>Health promotion messages</term>
<term>Health workers</term>
<term>Heart disease</term>
<term>High risk</term>
<term>High risk behaviours</term>
<term>High risk groups</term>
<term>Higher risk</term>
<term>Highest risk</term>
<term>Human rights</term>
<term>Human virus type</term>
<term>Infection</term>
<term>Infectious diseases</term>
<term>Intensive counselling</term>
<term>Judgement</term>
<term>Long term</term>
<term>Major risk factor</term>
<term>Male factory workers</term>
<term>Male partners</term>
<term>Many cultures</term>
<term>Multiple partners</term>
<term>Nice girl</term>
<term>Other partners</term>
<term>Other stis</term>
<term>Peer education programmes</term>
<term>Personal risk</term>
<term>Plenum press</term>
<term>Prevention messages</term>
<term>Prevention programmes</term>
<term>Prevention strategies</term>
<term>Previous boyfriend</term>
<term>Previous year</term>
<term>Programme</term>
<term>Project clinic</term>
<term>Quantitative analysis</term>
<term>Regular girlfriend</term>
<term>Report harare</term>
<term>Reproductive health</term>
<term>Reproductive health matters</term>
<term>Research nurses</term>
<term>Risk assessment</term>
<term>Risk behaviour</term>
<term>Risk exposure</term>
<term>Risk factor</term>
<term>Risk factors</term>
<term>Risky behaviour</term>
<term>Role models</term>
<term>Rural areas</term>
<term>Safe environments</term>
<term>Second partner</term>
<term>Seroconversion</term>
<term>Seroconversion period</term>
<term>Seroconverted</term>
<term>Seroconvertors</term>
<term>Several partners</term>
<term>Sexual behaviour</term>
<term>Sexual interactions</term>
<term>Sexual partner</term>
<term>Sexual partners</term>
<term>Social context</term>
<term>Social environment</term>
<term>Social networks</term>
<term>Social science medicine</term>
<term>Stanford university</term>
<term>Stis</term>
<term>Support groups</term>
<term>Unprotected</term>
<term>Vital role</term>
<term>Window period</term>
<term>Woodcock</term>
<term>Workplace</term>
<term>World health organisation</term>
<term>Young people</term>
<term>Zimbabwe</term>
<term>Zimbabwe aids prevention project</term>
<term>Zimbabwe census</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Zimbabwe</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Capitale</term>
<term>Droits de l'homme</term>
<term>Analyse quantitative</term>
<term>Santé génésique</term>
<term>Lieu de travail</term>
</keywords>
</textClass>
<langUsage>
<language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Despite extensive HIV prevention programmes and knowledge of people dying of AIDS, people in Zimbabwe continue to be infected with HIV and other sexually transmitted infections (STIs). This paper presents selected case histories from interviews with 57 men who became HIV positive during follow up of 1678 seronegative male factory workers in Harare, and describes the circumstances in which they were exposed to infection. Youth was a major risk factor, with 47% of those who seroconverted aged between 18 and 24yr. STIs were reported by 23% of the group in the seroconversion period, a marker of unprotected sex. Individuals did not recognise themselves or their partners as candidates for infection because of categorisation of high risk groups as “promiscuous” or clients of sex workers. Many were optimistic that they had changed sufficiently by using condoms more often or by avoiding sex workers. They made inaccurate assessments of who was safe for unprotected sex, based on judgements about their character, background and age. Over 40% of the seroconvertors had previously been counselled on staying HIV negative. Community approaches which nurture development of supportive group norms, respect for human rights and responsibilities, and safe environments for disclosure of HIV status, are vital for overcoming denial of risk at individual and societal levels. Special efforts targeted at youth are crucial since they have the highest risk of new infections and include use of media, drama, role models, advisory centres, peer education programmes. Health professionals need training and skills to enable people at risk of HIV infection to devise strategies based on more realistic personal risk assessment.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Royaume-Uni</li>
<li>Zimbabwe</li>
<li>États-Unis</li>
</country>
</list>
<tree>
<country name="Zimbabwe">
<noRegion>
<name sortKey="Ray, Sunanda" sort="Ray, Sunanda" uniqKey="Ray S" first="Sunanda" last="Ray">Sunanda Ray</name>
</noRegion>
<name sortKey="Latif, Ahmed" sort="Latif, Ahmed" uniqKey="Latif A" first="Ahmed" last="Latif">Ahmed Latif</name>
<name sortKey="Machekano, Roderick" sort="Machekano, Roderick" uniqKey="Machekano R" first="Roderick" last="Machekano">Roderick Machekano</name>
</country>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Ray, Sunanda" sort="Ray, Sunanda" uniqKey="Ray S" first="Sunanda" last="Ray">Sunanda Ray</name>
</noRegion>
</country>
<country name="États-Unis">
<noRegion>
<name sortKey="Katzenstein, David" sort="Katzenstein, David" uniqKey="Katzenstein D" first="David" last="Katzenstein">David Katzenstein</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaGhanaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001228 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001228 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
   |area=    SidaGhanaV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     ISTEX:E169F3BF9C4758D2D43E4F902FFA6FEDCF32987E
   |texte=   Sexual behaviour and risk assessment of HIV seroconvertors among urban male factory workers in Zimbabwe
}}

Wicri

This area was generated with Dilib version V0.6.31.
Data generation: Tue Nov 7 18:07:38 2017. Site generation: Tue Mar 5 15:01:57 2024