Initial Commitment to Pre-Exposure Prophylaxis and Circumcision for HIV Prevention amongst Indian Truck Drivers

被引：29

作者：

Schneider, John A. ^{[1
,2
]}

Dandona, Rakhi ^{[3
]}

Pasupneti, Shravani ^{[4
]}

Lakshmi, Vemu ^{[5
]}

Liao, Chuanhong ^{[2
]}

Yeldandi, Vijay ^{[6
]}

Mayer, Kenneth H. ^{[7
,8
]}

机构：

[1] Univ Chicago, Dept Med, Chicago, IL 60637 USA

[2] Univ Chicago, Dept Hlth Studies, Chicago, IL 60637 USA

[3] Publ Hlth Fdn India, New Delhi, India

[4] Univ Chicago, Pritzker Sch Med, Chicago, IL 60637 USA

[5] Nizams Inst Med Sci, Dept Microbiol, Hyderabad, Andhra Pradesh, India

[6] SHARE India, Hyderabad, Andhra Pradesh, India

[7] Brown Univ, Dept Med, Providence, RI 02912 USA

[8] Brown Univ, Dept Community Hlth, Providence, RI 02912 USA

来源：

PLOS ONE | 2010年 / 5卷 / 07期

关键词：

RISK REDUCTION MODEL; CONDOM USE; ANDHRA-PRADESH; PLANNED BEHAVIOR; YOUNG MEN; ACCEPTABILITY; HEALTH; IMPACT; SEX; HIV/AIDS;

D O I：

10.1371/journal.pone.0011922

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Studies of HIV prevention interventions such as pre-exposure prophylaxis (PREP) and circumcision in India are limited. The present study sought to investigate Indian truck-drivers initial commitment to PREP and circumcision utilizing the AIDS Risk Reduction Model. Ninety truck-drivers completed an in-depth qualitative interview and provided a blood sample for HIV and HSV-2 testing. Truck-drivers exhibited low levels of initial commitment towards PREP and even lower for circumcision. However, potential leverage points for increasing commitment were realized in fear of infecting family rather than self, self-perceptions of risk, and for PREP focusing on cultural beliefs towards medication and physicians. Cost was a major barrier to both HIV prevention interventions. Despite these barriers, our findings suggest that the ARRM may be useful in identifying several leverage points that may be used by peers, health care providers and public health field workers to enhance initial commitment to novel HIV prevention interventions in India.

引用

页数：10

共 67 条

[1]

AKHAVI N, 2008, AIDS UNTOLD STORIES

[2] Influences of social power and normative support on condom use decisions:: a research synthesis [J].

Albarracín, D ;

Kumkale, GT ;

Johnson, BT .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2004, 16 (06) :700-723

[3] Theories of reasoned action and planned behavior as models of condom use:: A meta-analysis [J].

Albarracín, D ;

Johnson, BT ;

Fishbein, M ;

Muellerleile, PA .

PSYCHOLOGICAL BULLETIN, 2001, 127 (01) :142-161

[4] Evaluation of a social network HIV prevention intervention program for young men who have sex with men in Russia and Bulgaria [J].

Amirkhanian, YA ;

Kelly, JA ;

Kabakchieva, E ;

McAuliffe, TL ;

Vassileva, S .

AIDS EDUCATION AND PREVENTION, 2003, 15 (03) :205-220

[5]

[Anonymous], 2005, NFHS3, VI

[6]

[Anonymous], AIDS EP UPD

[7]

[Anonymous], BIOMETRICS

[8] Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: The ANRS 1265 trial [J].

Auvert, B ;

Taljaard, D ;

Lagarde, E ;

Sobngwi-Tambekou, J ;

Sitta, M ;

Puren, A .

PLOS MEDICINE, 2005, 2 (11) :1112-1122

[9] Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial [J].

Bailey, Robert C. ;

Moses, Stephen ;

Parker, Corette B. ;

Agot, Kawango ;

Maclean, Ian ;

Krieger, John N. ;

Williams, Carolyn F. M. ;

Campbell, Richard T. ;

Ninya-Achola, Jeckoniah O. .

LANCET, 2007, 369 (9562) :643-656

[10]

BANDURA A, 1997, ESSENCE CONTROL

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