Brewer Devon D
Interdisciplinary Scientific Research, Seattle, WA, USA.
F1000Res. 2012 Jul 13;1:1. doi: 10.12688/f1000research.1-1.v1. eCollection 2012.
In prior research, Africans who knew about blood-borne risks were modestly less likely to be HIV-infected than those who were not aware of such risks.
OBJECTIVES/METHODS: I examined the association between knowledge of specific HIV transmission modes and prevalent HIV infection with data from the 2009 Mozambique AIDS Indicator Survey.
Respondents displayed high awareness of blood exposures and vaginal sex as modes of HIV transmission. However, only about half of respondents were aware of anal sex as a way HIV can be transmitted. After adjustments for demographics and sexual behaviors, respondents who knew that HIV could spread by contact with infected blood or by sharing injection needles or razor blades were less likely to be infected than those who did not know about these risks. Respondents who knew about sexual risks were as, or more, likely to be HIV infected as those who did not know about sexual risks. Also, children of HIV-uninfected mothers were less likely to be infected if their mothers were aware of blood-borne HIV risks than if their mothers were unaware.
HIV education campaigns in Mozambique and elsewhere in sub-Saharan Africa should include a focus on risks from blood exposures and anal sex.
在先前的研究中,了解血液传播风险的非洲人感染艾滋病毒的可能性略低于那些不了解此类风险的人。
目的/方法:我利用2009年莫桑比克艾滋病指标调查的数据,研究了对特定艾滋病毒传播方式的了解与艾滋病毒感染流行率之间的关联。
受访者对血液接触和阴道性行为作为艾滋病毒传播方式表现出较高的认知度。然而,只有约一半的受访者知道肛交是艾滋病毒的一种传播途径。在对人口统计学和性行为进行调整后,知道艾滋病毒可通过接触受感染血液或共用注射针头或剃须刀片传播的受访者感染艾滋病毒的可能性低于那些不知道这些风险的人。了解性传播风险的受访者感染艾滋病毒的可能性与不了解性传播风险的受访者相同或更高。此外,如果感染艾滋病毒的母亲了解血液传播的艾滋病毒风险,其子女感染艾滋病毒的可能性低于母亲不了解这些风险的情况。
莫桑比克和撒哈拉以南非洲其他地区的艾滋病毒教育运动应重点关注血液接触和肛交带来的风险。