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Social determinants for HIV prevalence among South African educators.

机译：南非教育者中艾滋病流行的社会决定因素。

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HIV prevalence among women in South Africa continues to be high despite the availability of a comprehensive plan for the control of HIV/AIDS and a plethora of prevention programmes. Any explanation for the ongoing high HIV prevalence continues to be elusive. The objective of this study was to understand the relationship between HIV, gender, race and socioeconomic status among South African public sector educators in order to inform prevention programmes. A cross-sectional survey involving a probability sample of 1,766 schools out of 26,713 in the Department of Education Register of School Needs was selected. A sample of 24,200 respondents out of 356,749 public sector educators participated in the study. Nurses registered with the South African Nursing Council were recruited, trained to conduct interviews and to collect specimens for HIV testing. The study found an association between HIV, gender, race and socioeconomic status among educators. African educators showed a higher HIV prevalence than other race groups. Among females, the highest HIV prevalence was among educators aged 25-35 years and in males aged 36-49 years. Further, educators with a high income and educational qualifications had a lower HIV prevalence compared to educators with low income and low educational qualifications, regardless of sex. Migration and marital factors were also found to play a role in HIV infection. The results suggest that HIV prevention needs to take into account critical issues around empowerment of vulnerable groups such as women and certain race groups to be able to implement safe sexual practices and therefore reduce HIV infections.
机译：尽管有全面的艾滋病毒/艾滋病控制计划和大量预防方案，但南非妇女的艾滋病毒流行率仍然很高。关于艾滋病毒持续高发的任何解释仍然难以捉摸。这项研究的目的是了解南非公共部门教育工作者中艾滋病毒，性别，种族和社会经济地位之间的关系，以便为预防计划提供信息。选择了一项横断面调查，该调查涉及教育部教育需求登记册中的26,713个中的1,766所学校的概率样本。 356,749名公共部门教育者中有24,200名受访者参与了该研究。招募了在南非护理委员会注册的护士，接受了培训以进行访谈和收集用于HIV检测的标本。该研究发现教育者之间的艾滋病毒，性别，种族和社会经济地位之间存在关联。非洲教育者的艾滋病毒感染率高于其他种族。在女性中，艾滋病毒感染率最高的是25-35岁的教育者和36-49岁的男性。此外，与低收入和低学历的教育者相比，高收入和高学历的教育者与性别无关的艾滋病毒患病率较低。还发现迁移和婚姻因素在艾滋病毒感染中起作用。结果表明，艾滋病毒的预防需要考虑到围绕弱势群体（如妇女和某些种族群体）的赋权问题，以便能够实施安全的性行为并因此减少艾滋病毒感染。

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