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Psychosocial and behavioural correlates of attitudes towards antiretroviral therapy (ART) in a sample of South African mineworkers

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Author(s)
Govender, K
Akintola, O
George, G
Petersen, I
Bhagwanjee, A
Reardon, C
Keywords
mining sector, workplace, ART uptake, attitudes.

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URI
http://hdl.handle.net/20.500.12424/57438
Online Access
http://www.ajol.info/index.php/saharaj/article/view/67493
Abstract
Despite being one of the worst affected sectors in South Africa, the mining sector has proven to be one of the most active in intervention efforts in the fight against HIV and AIDS (Ellis, 2007). Owing to low uptake rates of antiretroviral therapy (ART) in mining companies in recent years (Connelly & Rosen, 2006) and the positive relationship between attitudes towards ART and ART uptake (Cooper et al., 2002; Horne, Cooper, Gellaitry, Leake, & Fisher, 2007), this study sought to describe and investigate the psychosocial and behavioural correlates of attitudes towards ART in a sample of South African mineworkers. A total of 806 mineworkers from a large South African mine participated in this quantitative study. Despite a high rate of HIV testing behaviour (83.0%) as well as favourable attitudes towards ART, analysis indicated that temporary employees and contractors were more vulnerable in terms of HIV risk, HIV testing behaviours and ART knowledge and attitudes. Employees who had more positive attitudes towards ART were more knowledgeable of ART and, importantly, had a more favourable attitude towards the mine’s HIV/AIDS treatment programme. These findings are discussed in relation to the low ART uptake rates in this context and recommendations for the improvement of ART uptake amongst employees at this mining site.Keywords: mining sector, workplace, ART uptake, attitudes.Le secteur minier reste l’un des secteurs les plus affectés par le VIH et SIDA en Afrique du Sud et aussi l’un des plus actifs dans la lutte contre la maladie (Ellis, 2007). En raison du faible taux d’utilisation de la thérapie antirétrovirale (ART) dans les années récentes par des compagnies minières (Connelly & Rosen, 2006) et les attitudes positives envers ART et ART absorption (Cooper et al., 2002; Horne, Cooper, Gellaitry, Leake, & Fisher, 2007) pour trouver des solutions pour les malades du VIH/SIDA, cette étude á pour objectif d’examiner les comportements psychosociaux et le traitement de la thérapie antirétrovirale d’un groupe de mineurs Sud-Africains. Huit cent six mineurs Sud-Africains ont participé à cette étude quantitative. Soit un taux de dépistage VIH élevé (83.0%) et des attitudes très favorables envers ART, les analyses indiquent qu’en termes de risque du VIH les employés temporaires et les entrepreneurs sont plus exposés á la maladie. Mais cependant, les employés qui sont bien informés de la méthode ART grâce à la connaissance et à l’information bénéficient d’un programme de traitement contre le VIH/SIDA. Ces résultats font l’objet de discussion sur le faible taux d’ART dans ce contexte et quelques recommandations et améliorations de l’absorption de l’ART pour les employés de ce site minier.
Date
2011-06-28
Type
info:eu-repo/semantics/article
Identifier
oai:ojs.ajol.info:article/67493
http://www.ajol.info/index.php/saharaj/article/view/67493
Collections
SAHARA-J : Journal of Social Aspects of HIV/AIDS

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