Dévieux Jessy G, Deschamps Marie-Marcelle, Malow Robert M, Jean-Gilles Michèle, Saint-Jean Gilbert, Saint-Jean Gilbert, Marcelin Abdias, Pape Jean Willam
Florida International University, AIDS Prevention Program, Stempel School of Public Health, 3000 NE 151st Street, ACI 260, North Miami, FL 33181, USA.
J Health Care Poor Underserved. 2009 May;20(2):554-68. doi: 10.1353/hpu.0.0141.
The knowledge, attitudes, and behaviors of over 43,000 women attending the Groupe Hatien d'Etude du Sarcome de Kaposi et des Infections Opportunistes (GHESKIO) Centers in Haiti between 1999-2004 were examined. Comparative analyses were conducted for several sub-samples. Analyses revealed that across the entire sample, HIV-positive women appeared to engage in more risky behaviors than HIV-negative women (p< .01); however, as a group, pregnant HIV-positive women reported safer behaviors than non-pregnant HIV-positive women (p<.01). Women from all groups were generally knowledgeable about the risk of HIV transmission through dirty needles and mother to child. However, inaccurate information about transmission through supernatural means and mosquitoes was very common. These results suggest that knowledge and education are negatively associated with HIV status in this sample. Addressing gaps in knowledge and behavior and reducing the risky behaviors of HIV-positive individuals are important directions for future programs.
对1999年至2004年间在海地的卡波西肉瘤和机会性感染研究小组(GHESKIO)中心就诊的43000多名女性的知识、态度和行为进行了调查。对几个子样本进行了比较分析。分析显示,在整个样本中,艾滋病毒呈阳性的女性似乎比艾滋病毒呈阴性的女性有更多的危险行为(p<0.01);然而,作为一个群体,怀孕的艾滋病毒呈阳性的女性报告的行为比未怀孕的艾滋病毒呈阳性的女性更安全(p<0.01)。所有群体的女性普遍了解通过脏针头和母婴传播艾滋病毒的风险。然而,关于通过超自然手段和蚊子传播艾滋病毒的不准确信息非常普遍。这些结果表明,在这个样本中,知识和教育与艾滋病毒感染状况呈负相关。弥补知识和行为方面的差距,减少艾滋病毒呈阳性个体的危险行为是未来项目的重要方向。