Community perceptions of the socio-economic structural context influencing HIV and TB risk, prevention and treatment in a high prevalence area in the era of antiretroviral therapy
Datos Bibliográficos
| ID | 15456571 |
|---|---|
| Autores | Nothando Ngwenya (0000-0002-5630-6389, Africa Health Research Institute, autor de correspondencia), Dumile Gumede (0000-0001-8739-6033, Africa Health Research Institute), M Shahmanesh (0000-0001-7129-8535, Africa Health Research Institute), Nicky Mcgrath (0000-0002-1039-0159, University College London), Anne D Grant (0000-0002-2437-5195, Africa Health Research Institute), Janet Seeley (0000-0002-0583-5272, Africa Health Research Institute) |
| Año | 2018 |
| Volumen | 17 |
| Número | 1 |
| Páginas | 72-81 |
| Fecha de publicación | 2018-01-02 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | African Journal of AIDS Research (JOURNAL) |
| Identificadores de la revista | ISSN: 1608-5906 • E-ISSN: 1727-9445 |
| Editorial | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.2989/16085906.2017.1415214 |
| PMID | 29504507 |
| OpenAlex | W2790795702 |
| Idioma | EN |
| Citas recibidas | 6 |
| Referencias citadas | 47 |
Following calls for targeted HIV prevention interventions in so-called "hotspots", we explored subjective perceptions of community members in places considered to be high HIV and tuberculosis (TB) transmission areas and those with low prevalence. Although more people now have access to antiretroviral therapy (ART), some areas are still experiencing high HIV transmission rates, presenting a barrier to the elimination of HIV. A rapid qualitative assessment approach was used to access a sample of 230 people who contributed narratives of their experiences and perceptions of transmission, treatment and prevention of HIV and TB in their communities. Theoretical propositions case study strategy was used to inform and guide the thematic analysis of the data with Research Department of Epidemiology & Public Health, University College London, London, UK. Our results support the concept of linking perceived control to health through the identification of structural factors that increase communities' sense of agency. People in these communities did not feel they had the efficacy to effect change in their milieu. The few socio-economic opportunities promote social mobility in search of better prospects which may have a negative impact on community cohesion and prevention strategies. Communities were more concerned with improving their immediate social and economic situations and prioritised this above the prevention messages. Therefore approaches that focus on changing the structural and environmental barriers to prevention may increase people's perceived control. Multifaceted strategies that address the identified constructs of perceived control may influence the social change necessary to make structural interventions successful
Agency (philosophy · Antiretroviral therapy · Context (archaeology · Environmental health · Family medicine · Geography · Human immunodeficiency virus (HIV · Psychological intervention · Public health · Qualitative research · Sociology · Thematic analysis · Treatment as prevention · Viral load · Adolescent Sexual and Reproductive Health · Community Health and Development · HIV/AIDS Research and Interventions · Medicine · Nursing · Gerontology
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| Obras citantes distintas | 6 |
|---|---|
| Citas por año | 0,86 |
| Intervalo de citas | 2019 - 2026 (8) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 5 |