“Whenever Jack sees a condom,he falls asleep”: experiences of condom use and erectile disorder among HIV positive men in a Zimbabwean rural setting

In this qualitative inquiry, we set out to explore the experience of condom use and erectile disorder (ED) among men living with HIV in a rural district of Zimbabwe. Data on condom use related erectile disorder with antiretroviral (ART) medication were collected from a purposive sample of 18 men living with HIV and AIDS (age range 23–54 years). These data were supplemented with those from a convenience sample of 23 women living with HIV who self-identified as partners of men living with HIV and AIDS (age range 26–37 years). The data were thematically analyzed. Results suggest that men attributed their experiencing of erectile problems to two main explanations: use of condoms and ART medication. These men reported inconsistent use of condoms and/or adherance to ART therapy due to a belief that these cause their ED. The women informants reported similar observations, including the shared gendered perspective that the men perceived a loss of sense of manhood from ED. Beliefs that influence health promotion with men living with HIV and AIDS are important to public health interventions with them.     

高级技工诊断生产活动的认知策略的汇编栅格法研究

本研究采用汇编栅格法探讨了高级技工(专家)诊断人机系统生产活动的认知策略,结果表明:第一,在高级技工的认知结构中,存在着对多因素交互作用下复杂情况进行诊断的认知地图,它以特定方式组合着常见的问题类型和原因特征,是制约技工复杂技能教学成效的关键要素。第二,汇编栅格法是对人机系统中专家的认知结构进行功能模拟的一种有效方法,它不仅在揭示未知的高级技工认知结构时,以其直观的投射方式提供专家启发式策略的新信息,而且在培训和评估复杂技能方面具有可观的应用前景。