Analyse des determinants sociaux de la résistance au test de dépistage volontaire vih/sida chez les jeunes de 18-35 ans au quartier habitat-nimbo (Bouake)

Abstract : In Côte d’Ivoire, HIV/AIDS is stilla public health problem. The current situation due to the harmful effects of HIV/AIDS on the health of young people remains worrying. The situation is worrying because the majority of young people aged 18 to 35 at Habitat-Nimbo express concerns and resistance to taking the voluntary HIV test. Our study which addresses this question, through its results, shows that various reactions legitimize this posture. Thus, some justify this by the fact that HIV/AIDS is a strategy of local NGOs and governments to capture money from donors, while for others, getting tested is the opening of a door stigma/discrimination and social rejection of the individual. These social reactions to HIV/AIDS expose part of the young population to high risks of contagion. Indeed, although Bouaké has the necessary infrastructure to reach at least 90% of people screened and knowing the result, however this WHO objective (2015) remains difficult to achieve because according to the Ministry of Health (2019) the screening rate is less than 40% varies by region. Apart from screening tests, the adoption of prevention methods encounters enormous difficulties among young people aged 18-35.This article is based on two theories, namely the theory of rational choice and the theory of social representation to explain the behavior of refusal and the social justifications that legitimize it among young people. Semi-structured interviews and a grid were used to collect the data, allowing information to be collected from 20 young people who had expressed a refusal to the voluntary screening test.

Keywords: Attitudes, Screening, HIV/AIDS, Reluctance.