虽然包括津巴布韦在内的撒哈拉以南国家的许多研究都提到了宗教和传统对于感染艾滋病毒的年轻人 (YPLHIV) 的重要作用，但这些研究大多数都是描述性的，缺乏先进的统计分析。本研究旨在缩小这一差距。本研究的数据是在 2021 年 7 月至 10 月期间从津巴布韦的 804 名 YPLHIV（14-24 岁）收集的。调查问卷包括有关参与者对艾滋病毒的概念、他们的健康寻求和冒险行为、当前艾滋病毒病毒载量结果、机会性感染的患病率、他们的心理健康状况和人口特征的问题。使用多级混合效应逻辑回归进行分析。我们发现传统宗教信仰与总体较低病毒载量相关（OR：0.34；CI：0.12-0.96；P：0.042），使徒宗教信仰与病毒载量较高相关（OR：1.52；CI） ：1-2.3；P：0.049）和五旬节至较少（OR：0.53；CI：0.32-0.95；P：0.033）治疗失败。此外，没有精神或宗教内涵的关于艾滋病毒的观念，例如“将艾滋病毒视为身体虚弱的结果”，与较低的治疗失败风险相关（OR：0.6；CI：0.4-1.0；P：0.063），治疗失败的机会较高。无法检测到的病毒载量（OR：1.4；CI：1-2；P：0.061），总体病毒载量较低（OR：0.7；CI：0.5-1；P：0.067）。 HIV 的道德说教概念，例如“将 HIV 视为家庭罪恶的结果”，与较高的机会性感染风险（OR：1.8；CI：1.1-3；P：0.018）和较高的治疗失败风险相关（ OR：1.7；CI：0.7-1.1；P：0.066）。对某些形式的治疗（如宫颈癌筛查）的宗教反对与较高的精神问题风险（OR：2.2；CI：1.35-3.68；P：0.002）和较高的机会性感染风险（OR：1.6；CI： 1.1-2.1；P：0.008）。宗教信仰显着影响了对艾滋病毒的概念、寻求健康的行为和冒险行为。据我们所知，这项研究是第一个提供证据，证明宗教和传统信仰和习俗与 YPLHIV 当前的健康结果和健康风险因素之间存在统计学上显着的关联。在津巴布韦。它也是第一个根据经验确定宗教信仰作为当前病毒载量结果预测因素的作用的研究。这些新知识可以为支持津巴布韦 YPLHIV 的情境化方法提供信息。© 2023。作者。

While many studies from sub-Saharan countries, including Zimbabwe, allude to the important role of religion and tradition for young people living with HIV (YPLHIV), most of these studies tend to be descriptive and lack advanced statistical analysis. This study aims to close this gap.Data for this study was collected between July and October 2021 from 804 YPLHIV (aged 14-24) in Zimbabwe. The questionnaire included questions regarding participants' conceptions of HIV, their health seeking and risk-taking behaviour, current HIV viral load results, the prevalence of opportunistic infections, their mental health status, and demographic characteristics. The analysis was done using multilevel mixed-effects logistic regression.We found that Traditional religious affiliation was linked to overall lower viral load (OR: 0.34; CI: 0.12-0.96; P: 0.042), Apostolic to more (OR: 1.52; CI: 1-2.3; P: 0.049) and Pentecostal to less (OR: 0.53; CI: 0.32-0.95; P: 0.033) treatment failure. Additionally, conceptions about HIV without spiritual or religious connotation, such as 'seeing HIV as result of a weak body' was associated with lower risk of treatment failure (OR: 0.6; CI: 0.4-1.0; P: 0.063), higher chances for undetectable viral load (OR: 1.4; CI: 1-2; P: 0.061), and overall lower viral load (OR: 0.7; CI: 0.5-1; P: 0.067). Moralizing concepts of HIV, like 'seeing HIV as a result of sin in the family', was linked to higher risk of opportunistic infections (OR:1.8; CI:1.1-3; P: 0.018), and higher risk of treatment failure (OR: 1.7; CI: 0.7-1.1; P: 0.066). Religious objections toward certain forms of therapy, like toward cervical cancer screening, was linked to higher risk of mental problems (OR: 2.2; CI: 1.35-3.68; P: 0.002) and higher risk of opportunistic infections (OR:1.6; CI:1.1-2.1; P: 0.008). Religious affiliations significantly influenced conceptions of HIV, health seeking behaviour, and risk taking.To our knowledge, this study is the first to provide evidence about the statistically significant associations between religious and traditional beliefs and practices and current health outcomes and health risk factors of YPLHIV in Zimbabwe. It is also the first to identify empirically the role of religious affiliations as predictors of current viral load results. This new knowledge can inform contextualized approaches to support YPLHIV in Zimbabwe.© 2023. The Author(s).