title: AIDS-related knowledge, stigma and customary beliefs of South African construction workers.
abstract: Customary beliefs about the cause/s of AIDS are significantly related to whether or not individuals will undergo HIV testing. This study examined the cultural beliefs of construction workers in terms of their demographic and lifestyle behavioural characteristics, and their AIDS-related knowledge and stigma attitudes, to help inform improved work-based AIDS-education interventions by construction firms. A total of 512 workers drawn from 6 firms operating on 18 construction sites in the Western Cape province participated in the study. Thirty-seven per cent of participants either endorsed customary beliefs/explanations about the cause of AIDS, or were unsure. AIDS-related knowledge proved a significant differentiator of participants endorsing customary beliefs (aOR = 0.8, 95% CI, 0.6-1.0), or being unsure (aOR = 0.5, 95% CI, 0.4-0.6), compared to participants not endorsing such beliefs. Stigma (aOR = 1.3, 95% CI, 1.1-1.7) proved a significant differentiator of participants with more polarized beliefs, namely, those endorsing customary beliefs compared to those not endorsing such beliefs, but was not significant in differentiating these categories from that of being unsure. The challenges to testing behaviour from incorrect AIDS knowledge may be amplified by adherence to customary beliefs that discount scientific explanations about the cause of AIDS. Interventions are required to specifically address misinformation or incorrect knowledge about AIDS derived from traditional beliefs, and should explicitly target persons who either endorse such beliefs or are somewhat equivocal about them. The role of peer educators is highlighted. Traditional healers, given their credibility and status within many traditional cultures, may also have an important role to play in this regard.
authors: a Violence, Injury and Peace Research Unit, South African Medical Research Council , Tygerberg , South Africa.|b Department of Sociology , University of Cape Town , Cape Town , South Africa.
authors: Rajen
authors: R
authors: Govender
authors: c Department of Construction Economics and Management , University of Cape Town , Cape Town , South Africa.
authors: Paul
authors: P
authors: Bowen
authors: d School of Property, Construction & Project Management , RMIT University , Melbourne , VIC , Australia.
authors: Peter
authors: P
authors: Edwards
authors: c Department of Construction Economics and Management , University of Cape Town , Cape Town , South Africa.
authors: Keith
authors: K
authors: Cattell
mesh_terms: D015492:AIDS Serodiagnosis; D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission*; D000328:Adult; D060389:Construction Industry; D003430:Cross-Sectional Studies; D003469:Culture; D003906:Developing Countries; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology; D013019:South Africa; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: AIDS-related knowledge; AIDS-related stigma; Customary beliefs; South Africa; construction workers