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首页> 外文期刊>AIDS care. >Using social and behavior change communication to increase HIV testing and condom use: The Malawi BRIDGE Project
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Using social and behavior change communication to increase HIV testing and condom use: The Malawi BRIDGE Project

机译：使用社交和行为改变交流来增加艾滋病毒检测和使用安全套：马拉维桥项目

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While overall HIV prevalence in Malawi has decreased, it is still high in the southern region of the country. Behavioral prevention activities are crucial to continue the reduction in HIV prevalence. Behavior change is influenced by many factors. Previous work indicates knowledge about HIV transmission, self-efficacy to protect oneself from exposure, and accurate risk perception of one's susceptibility all impact sexual behavior. The current study looks at the effects of a behavior change communication program in Malawi called the BRIDGE II Project on psychosocial and behavioral variables. The program sought to address barriers to individual action and confront societal norms related to sexual risk behavior through a mix of community-based activities and mass media messages delivered through local radio stations. Using cohort data (n = 594), we examined the effect of BRIDGE exposure on three variables that affect HIV behaviors: knowledge, self-efficacy, and risk perception, as well as two behavioral outcomes: HIV testing and condom use at last sex. Data were collected at baseline and for a midterm evaluation. Regression analyses showed exposure to BRIDGE was significantly associated with knowledge level (β = 0.20, p <.001) and self-efficacy (β = 0.35, p <.001) at midterm when controlling for baseline scores, but not risk perception. Psychosocial variables did not show a significant relationship to either behavioral outcome. However, program exposure was a significant predictor of both HIV testing in the past year (odds ratio [OR] = 1.40, p <.001) and condom use at last sex (OR = 1.26, p <.05). This study suggests such a communication intervention may play an important role in not only affecting HIV-related behaviors themselves, but also critical factors that affect HIV behaviors, including knowledge and self-efficacy. It is recommended that communication efforts around HIV risk reduction be increased.
机译：尽管马拉维的总体艾滋病毒感染率有所下降，但在该国南部地区仍然很高。行为预防活动对于继续降低艾滋病毒感染率至关重要。行为改变受许多因素影响。先前的工作表明有关艾滋病毒传播的知识，保护自己免受暴露的自我效能感以及对人的易感性的准确风险感知都会影响性行为。当前的研究着眼于马拉维的行为改变交流计划BRIDGE II Project对社会心理和行为变量的影响。该计划试图通过结合社区活动和通过当地广播电台传递的大众媒体信息，解决个人行动的障碍，并应对与性风险行为有关的社会规范。使用队列数据（n = 594），我们检查了BRIDGE暴露对影响HIV行为的三个变量的影响：知识，自我效能和风险感知，以及两个行为结果：HIV检测和最后一次使用安全套。在基线和中期评估时收集数据。回归分析显示，在控制基线评分时，在中期期接触BRIDGE与知识水平（β= 0.20，p <.001）和自我效能感（β= 0.35，p <.001）显着相关，但与风险感知无关。社会心理变量与任何一种行为结果均无显着关系。但是，项目暴露是过去一年艾滋病毒检测的显着预测指标（几率[OR] = 1.40，p <.001）和最后一次使用安全套（OR = 1.26，p <.05）。这项研究表明，这种交流干预可能不仅在影响艾滋病毒相关行为本身方面而且在影响艾滋病毒行为的关键因素（包括知识和自我效能）中都起着重要作用。建议加强围绕减少艾滋病毒风险的沟通工作。

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