Despite extensive HIV prevention programmes and knowledge of people dying of AIDS. people in Zimbabwe continue to be infected with HIV and other sexually transmitted infections (STIs).
This paper presents selected case histories from interviews with 57 men who became HIV positive during follow up of 1678 seronegative male factory workers in Harare, and describes the circumstances in which they were exposed to infection.
Youth was a major risk factor, with 47% of those who seroconverted aged between 18 and 24 yr.
STls were reported by 23% of the group in the seroconversion period, a marker of unprotected sex.
Individuals did not recognise themselves or their partners as candidates for infection because of categorisation of high risk groups as « promiscuous » or clients of sex workers.
Many were optimistic that they had changed sufficiently by using condoms more often or by avoiding sex workers.
They made inaccurate assessments of who was safe for unprotected sex, based on judgements about their character, background and age.
Over 40% of the seroconvertors had previously been counselled on staying HIV negative.
Community approaches which nurture development of supportive group norms, respect for human rights and responsibilities, and safe environments for disclosure of HIV status, are vital for overcoming denial of risk at individual and societal levels. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Virus immunodéficience humaine, Lentivirus, Retroviridae, Virus, Séropositivité, Comportement sexuel, Zone urbaine, Activité professionnelle, Epidémiologie, Facteur risque, Homme, Mâle, Zimbabwe, Afrique, Promotion santé, Prévention, Immunopathologie, Immunodéficit, Sérologie, Education santé
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Human immunodeficiency virus, Lentivirus, Retroviridae, Virus, Seropositivity, Sexual behavior, Urban area, Professional activity, Epidemiology, Risk factor, Human, Male, Zimbabwe, Africa, Health promotion, Prevention, Immunopathology, Immune deficiency, Serology, Health education
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0532368
Code Inist : 002B05C02D. Création : 23/03/1999.