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首页> 外文期刊>AIDS care. >Evidence for a contribution of the community response to HIV decline in eastern Zimbabwe?
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Evidence for a contribution of the community response to HIV decline in eastern Zimbabwe?

机译：有证据表明津巴布韦东部社区对艾滋病毒下降的应对做出了贡献？

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Membership of indigenous local community groups was protective against HIV for women, but not for men, in eastern Zimbabwe during the period of greatest risk reduction (1999-2004). We use four rounds of data from a population cohort to investigate: (1) the effects of membership of multiple community groups during this period; (2) the effects of group membership in the following five years; and (3) the effects of characteristics of groups hypothesised to determine their effect on HIV risk. HIV incidence from 1998 to 2003 was 1.18% (95% CI: 0.78-1.79%), 0.48% (0.20-1.16%) and 1.13% (0.57-2.27%), in women participating in one, two and three or more community groups at baseline versus 2.19% (1.75-2.75%) in other women. In 2003-2005, 36.5% (versus 43% in 1998-2000) of women were members of community groups, 50% and 56% of which discussed HIV prevention and met with other groups, respectively; the corresponding figures for men were 24% (versus 28% in 1998-2000), 51% and 58%. From 2003 to 2008, prior membership of community groups was no longer protective against HIV for women (1.13% versus 1.29%, aIRR = 1.25; p = 0.23). However, membership of groups that provided social spaces for dialogue about HIV prevention (0.62% versus 1.01%, aIRR = 0.54; p = 0.28) and groups that interacted with other groups (0.65% versus 1.01%, aIRR = 0.51; p = 0.19) showed non-significant protective effects. For women, membership of a group with external sponsorship showed a non-significant increase in HIV risk compared to membership of unsponsored groups (adjusted odds ratio = 1.63, p = 0.48). Between 2003 and 2008, membership of community groups showed a non-significant tendency towards higher HIV risk for men (1.47% versus 0.94%, p = 0.23). Community responses contributed to HIV decline in eastern Zimbabwe. Sensitive engagement and support for local groups (including non-AIDS groups) to encourage dialogue on positive local responses to HIV and to challenge harmful social norms and incorrect information could enhance HIV prevention.
机译：在最大的减少风险时期（1999年至2004年），津巴布韦东部的土著地方社区团体的成员可以预防艾滋病毒对妇女的感染，但对男性却不能。我们使用来自人群队列的四轮数据进行调查：（1）在此期间，多个社区群体的成员资格的影响; （2）未来五年内团体成员的影响; （3）假设的人群特征的影响，以确定其对艾滋病毒风险的影响。在1998年至2003年间，参与一，二，三或三个以上社区的妇女的艾滋病毒感染率分别为1.18％（95％CI：0.78-1.79％），0.48％（0.20-1.16％）和1.13％（0.57-2.27％）基线时两组比较，其他女性为2.19％（1.75-2.75％）。 2003-2005年，社区团体的成员占妇女的36.5％（1998-2000年为43％），其中50％和56％的妇女讨论了艾滋病毒的预防并与其他团体会面。男性的相应数字分别为24％（1998-2000年为28％），51％和58％。从2003年到2008年，以前的社区团体成员资格不再保护妇女免受HIV感染（1.13％比1.29％，aIRR = 1.25; p = 0.23）。但是，为艾滋病预防对话提供社交空间的团体的成员（0.62％对1.01％，aIRR = 0.54; p = 0.28）和与其他团体互动的团体（0.65％对1.01％，aIRR = 0.51; p = 0.19） ）显示出不重要的保护作用。对于女性，与无赞助的团体相比，有外部赞助的团体成员的艾滋病毒感染风险没有显着增加（调整后的优势比= 1.63，p = 0.48）。在2003年至2008年之间，社区团体的成员对男性的HIV感染风险呈上升趋势，但没有显着趋势（1.47％对0.94％，p = 0.23）。社区的回应导致津巴布韦东部的艾滋病毒下降。对地方团体（包括非艾滋病团体）的敏感参与和支持，以鼓励就地方对艾滋病的积极反应进行对话，并挑战有害的社会规范和不正确的信息，可以加强对艾滋病的预防。

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