Le SIDA en Afrique subsaharienne (serveur d'exploration)

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Sociology and behaviour of West African blood donors: the impact of religion on human immunodeficiency virus infection

Identifieur interne : 000B87 ( Istex/Corpus ); précédent : 000B86; suivant : 000B88

Sociology and behaviour of West African blood donors: the impact of religion on human immunodeficiency virus infection

Auteurs : J. Allain ; M. Anokwa ; A. Casbard ; S. Owusu-Ofori ; J. Dennis-Antwi

Source :

RBID : ISTEX:2506939AECBF986AD48AEC0AC60710F7DFDD8158

English descriptors

Abstract

Background and Objectives  Ghana is one of the countries of sub‐Saharan Africa where the human immunodeficiency virus (HIV) prevalence in blood donors ranges between 1 and 4%. Considering the social importance of religion and the very high level of religious practice observed in Ghana, the hypothesis that these factors may play a role in containing HIV was tested.

Url:
DOI: 10.1111/j.1423-0410.2004.00578.x

Links to Exploration step

ISTEX:2506939AECBF986AD48AEC0AC60710F7DFDD8158

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<div type="abstract">Background and Objectives  Ghana is one of the countries of sub‐Saharan Africa where the human immunodeficiency virus (HIV) prevalence in blood donors ranges between 1 and 4%. Considering the social importance of religion and the very high level of religious practice observed in Ghana, the hypothesis that these factors may play a role in containing HIV was tested.</div>
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<p>
<hi rend="bold">Background and Objectives </hi>
Ghana is one of the countries of sub‐Saharan Africa where the human immunodeficiency virus (HIV) prevalence in blood donors ranges between 1 and 4%. Considering the social importance of religion and the very high level of religious practice observed in Ghana, the hypothesis that these factors may play a role in containing HIV was tested.</p>
<p>
<hi rend="bold">Materials and Methods </hi>
Consenting HIV‐infected candidate blood donors, and two age‐ and gender‐matched seronegative control donors, were asked to complete a questionnaire regarding their religious and sexual behaviour. Multivariable conditional logistic regression was used.</p>
<p>
<hi rend="bold">Results </hi>
Irrespective of their HIV status or religion, 95% of the respondents believed that extra‐marital sex was a sin, and 79% of those tempted to have an extra‐marital affair considered that their religious beliefs helped them to abstain. In the multivariable models, having a formal role in church activities was associated with reduced odds of HIV [odds ratio (OR) = 0·41; 95% confidence interval (CI): 0·21–0·80]. Worshipping at the same location for more than 20 years was associated with a reduced risk (OR = 0·30; 95% CI: 0·08–1·10). In addition to other factors limiting HIV spread, such as male circumcision, relatively high level of education and an absence of armed conflicts in Ghana, the use of condoms conferred a reduced risk.</p>
<p>
<hi rend="bold">Conclusions </hi>
An active role in religion, and reporting a lengthy duration of worship at the same place was beneficial. Collecting blood at places of worship with a strict behavioural code and from donors practicing in the community of their birth might improve blood safety.</p>
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: J.‐P. Allain, Cambridge Blood Centre, Long Road, Cambridge CB2 2PT, UK 
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<title type="main">Sociology and behaviour of West African blood donors: the impact of religion on human immunodeficiency virus infection</title>
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<i>et al.</i>
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<title type="short">West African blood donors and HIV infection</title>
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<b>Background and Objectives </b>
Ghana is one of the countries of sub‐Saharan Africa where the human immunodeficiency virus (HIV) prevalence in blood donors ranges between 1 and 4%. Considering the social importance of religion and the very high level of religious practice observed in Ghana, the hypothesis that these factors may play a role in containing HIV was tested.</p>
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<b>Materials and Methods </b>
Consenting HIV‐infected candidate blood donors, and two age‐ and gender‐matched seronegative control donors, were asked to complete a questionnaire regarding their religious and sexual behaviour. Multivariable conditional logistic regression was used.</p>
<p>
<b>Results </b>
Irrespective of their HIV status or religion, 95% of the respondents believed that extra‐marital sex was a sin, and 79% of those tempted to have an extra‐marital affair considered that their religious beliefs helped them to abstain. In the multivariable models, having a formal role in church activities was associated with reduced odds of HIV [odds ratio (OR) = 0·41; 95% confidence interval (CI): 0·21–0·80]. Worshipping at the same location for more than 20 years was associated with a reduced risk (OR = 0·30; 95% CI: 0·08–1·10). In addition to other factors limiting HIV spread, such as male circumcision, relatively high level of education and an absence of armed conflicts in Ghana, the use of condoms conferred a reduced risk.</p>
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<b>Conclusions </b>
An active role in religion, and reporting a lengthy duration of worship at the same place was beneficial. Collecting blood at places of worship with a strict behavioural code and from donors practicing in the community of their birth might improve blood safety.</p>
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<abstract>Background and Objectives  Ghana is one of the countries of sub‐Saharan Africa where the human immunodeficiency virus (HIV) prevalence in blood donors ranges between 1 and 4%. Considering the social importance of religion and the very high level of religious practice observed in Ghana, the hypothesis that these factors may play a role in containing HIV was tested.</abstract>
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