| An assessment of community readiness for HIV/AIDS preventive interventions in rural Bangladesh. | |
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MedLine Citation:
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PMID: 19892453 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Efforts to prevent HIV from becoming widespread among the youth population 15-24 years in Bangladesh are in the early stages. However, conservative religious and cultural norms may curtail the dissemination of needed information about sexuality and condoms. The community-readiness stages model was adopted as a framework for assessing the level of preparedness of community leaders to facilitate planned HIV prevention efforts. Six focus group discussions with three professional groups (teachers, businessmen, drugshop vendors) in Hobiganj district were conducted in late 2005, and a single multi-professional group made up of teachers, imams, and drugshop vendors was convened in early 2007 to assess changes. The audio recordings in Bangla were coded as were English translations. Everyone had heard of AIDS and regarded it as a potential catastrophe for the health, economy and social fabric of Bangladesh. Remarks concerning Stage 1-Vulnerability indicated that most did not believe their community to be at risk, though Bangladesh was. Remarks at Stage 2-Knowledge of Transmission were mostly vague but accurately identified sex, blood and needles as the main means of spread; however sex with sex workers was also mentioned in each group. Remarks at Stage 3-Prevention showed strong opposition to condoms for unmarried males and a preference for current means of forbidding sex outside of marriage. A few in each group recognized the importance of condoms for wayward youth. Stage 4-Planning discussions centered on raising awareness and fear, and a desire for government and media to take the lead. By 2007 participants articulated more realistic strategies that they themselves could, and had, implemented, but also raised barriers that authorities should help them overcome. The findings provide formative information on the constraints and opportunities of community groups as partners in HIV preventive interventions and strategies to help them move to a higher stage of readiness. |
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Authors:
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Frances Aboud; Nafisa Lira Huq; Charles P Larson; Livia Ottisova |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-11-04 |
Journal Detail:
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Title: Social science & medicine (1982) Volume: 70 ISSN: 1873-5347 ISO Abbreviation: Soc Sci Med Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-01 Completed Date: 2010-03-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8303205 Medline TA: Soc Sci Med Country: England |
Other Details:
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Languages: eng Pagination: 360-7 Citation Subset: IM |
Copyright Information:
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Copyright 2009 Elsevier Ltd. All rights reserved. |
Affiliation:
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McGill University, Montreal, QC, Canada. frances.aboud@mcgill.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Bangladesh Community Health Services / organization & administration* Condoms Cross-Sectional Studies Cultural Characteristics Female Focus Groups HIV Infections / prevention & control* Health Knowledge, Attitudes, Practice* Health Promotion* / methods Humans Male Religion Rural Health Services / organization & administration* Sexual Behavior Young Adult |
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