Department of Community Health and Sustainability, University of Massachusetts Lowell, 3 Solomont Way, Lowell, MA 01854, USA.
AIDS Behav. 2012 Oct;16(7):2072-81. doi: 10.1007/s10461-011-0031-y.
Promoting awareness, increasing knowledge, and eliminating stigma is important for stopping the spread of HIV/AIDS. The relation of social determinants and communication inequalities with HIV/AIDS-related cognitive processes has not been studied previously in India. Gender-stratified Poisson regression models of 123,459 women and 73,908 men in the 2005-2006 National Family Health Survey were used to calculate relative risk estimates and 95% confidence intervals for these associations. Results indicated that there are significant inequalities in mass media use among different social classes. Education and wealth are strongly and positively associated with awareness of HIV/AIDS and knowledge about prevention and transmission of AIDS and negatively associated with HIV/AIDS-related stigma. These associations attenuated when use of various mass media types were added to the models with television showing the strongest effect. Mass media may be helpful in reducing social disparities in HIV/AIDS outcomes.
提高认识、增加知识和消除耻辱感对于阻止艾滋病毒/艾滋病的传播非常重要。在印度,此前尚未研究过社会决定因素和沟通不平等与艾滋病毒/艾滋病相关认知过程之间的关系。本研究使用了 2005-2006 年全国家庭健康调查中 123459 名妇女和 73908 名男子的性别分层泊松回归模型来计算这些关联的相对风险估计值和 95%置信区间。结果表明,不同社会阶层之间在大众媒体使用方面存在显著的不平等。教育和财富与艾滋病毒/艾滋病的认识、预防和传播知识呈强烈正相关,与艾滋病毒/艾滋病相关耻辱感呈负相关。当将各种大众媒体类型的使用添加到模型中时,电视显示出最强的效果,这些关联会减弱。大众媒体可能有助于减少艾滋病毒/艾滋病结果方面的社会差距。