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Is participation in HIV vaccine trials a health promoting behaviour?

机译：参加HIV疫苗试验是否可以促进健康？

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Health behaviours are individual acts by which people aim to preserve or enhance their health. Theories commonly used to understand health behaviour include the Health Belief Model, the Theories of Reasoned Action and Planned Behaviour, the Transtheoretical Model of Change, Social Cognitive Theory and Problem-Behaviour Theory. Targets for health-promotion interventions include exercise, smoking cessation and condom use. Some behaviours that may contribute to changes in population health, however, are not health behaviours as traditionally understood. For example, participating in an HIV vaccine trial may have the potential to contribute long-term to lowering HIV incidence. To what extent, though, can or should we apply models of health behaviour to HIV vaccine trial participation? This article grapples with the theoretical challenges facing social scientists who conduct research related to HIV vaccine trial participation. We initially consider decision making regarding trial participation from both theparticipant and investigator perspectives, before considering how these alternate decision-making narratives might impact on the conduct of HIV vaccine trials. We conclude by arguing that social scientists need to move beyond a narrow focus on health promotion theory and to engage in the interrelated scientific activities of theory testing and theory building.
机译：健康行为是人们旨在维护或增强健康的个人行为。通常用于理解健康行为的理论包括健康信念模型，合理行动和计划性行为理论，变革的超理论模型，社会认知理论和问题行为理论。促进健康的干预措施的目标包括运动，戒烟和使用避孕套。但是，某些可能有助于改变人口健康的行为并非传统上所理解的健康行为。例如，参加HIV疫苗试验可能具有长期有助于降低HIV发生率的潜力。但是，我们可以或应该在多大程度上将健康行为模型应用于HIV疫苗试验参与者？本文解决了从事与HIV疫苗试验参与相关的研究的社会科学家所面临的理论挑战。我们首先从参与者和研究者的角度考虑有关试验参与的决策，然后再考虑这些替代性的决策叙述如何影响HIV疫苗试验的进行。我们通过争论得出结论，社会科学家需要超越对健康促进理论的狭focus关注，而要从事理论检验和理论构建的相互关联的科学活动。

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