This report is intended to identify the determinants of preventive attitude
s and thereby enable the further elaboration of effective prevention progra
ms in a country where the HIV epidemic has remained controlled.
Across-sectional survey using a standardized questionnaire was conducted am
ong a sample of 866 adults of the general population of the rural area of N
iakhar, Senegal. The analysis identified psychosocial determinants related
to preventive attitudes and the influence of sociodemographic characteristi
cs and of sources of AIDS information on these determinants.
Psychosocial determinants of preventive attitudes differed according to gen
der: Among men, personal risk perception was associated with preventive att
itudes. Among women, level of AIDS-related knowledge, communication about A
IDS, and optimism about the future were associated with preventive attitude
s. Sociodemographic factors and sources of information were similar for men
and women: Preventive attitudes were adopted primarily by young, educated
subjects who had been exposed to urban life. Religion appeared to be a majo
r obstacle to preventive attitudes. Preventive messages broadcast on radio
or television may be determinative. Our results call for a strengthened col
laboration with religious leaders and a focus on risk perception to rationa
lize preventive actions. We also encourage the targeting of vulnerable popu
lations, such as women in rural areas, by developing preventive messages to
be delivered through national media (radio, television) and by staff from
health centers, which most women visit, at least for prenatal care.