马拉维男性和女性中关于艾滋病毒传播的持续误解。
Persistent misconceptions about HIV transmission among males and females in Malawi.
作者信息
Sano Yujiro, Antabe Roger, Atuoye Kilian Nasung, Hussey Lucia Kafui, Bayne Jason, Galaa Sylvester Zackaria, Mkandawire Paul, Luginaah Isaac
机构信息
Department of Sociology, University of Western Ontario, 1151 Richmond Street, London, ON, Canada.
Environmental Health and Hazards Lab, Department of Geography, University of Western Ontario, 1151 Richmond Street, London, ON, Canada.
出版信息
BMC Int Health Hum Rights. 2016 Jun 7;16(1):16. doi: 10.1186/s12914-016-0089-8.
BACKGROUND
The prevalence of HIV in Malawi is one of the highest in sub-Saharan Africa, and misconceptions about its mode of transmission are considered a major contributor to the continued spread of the virus.
METHODS
Using the 2010 Malawi Demographic and Health Survey, the current study explored factors associated with misconceptions about HIV transmission among males and females.
RESULTS
We found that higher levels of ABC prevention knowledge were associated with lower likelihood of endorsing misconceptions among females and males (OR = 0.85, p < 0.001; OR = 0.85, p < 0.001, respectively). Compared to those in the Northern region, both females and males in the Central (OR = 0.54, p < 0.001; OR = 0.53, p < 0.001, respectively) and Southern regions (OR = 0.49, p < 0.001; OR = 0.43, p < 0.001, respectively) were less likely to endorse misconceptions about HIV transmission. Moreover, marital status and ethnicity were significant predictors of HIV transmission misconceptions among females but not among males. Also, household wealth quintiles, education, religion, and urban-rural residence were significantly associated with endorsing misconceptions about HIV transmission.
CONCLUSION
Based on our findings, we recommend that education on HIV transmission in Malawi should integrate cultural and ethnic considerations of HIV/AIDS.
背景
马拉维的艾滋病毒流行率是撒哈拉以南非洲最高的之一，对其传播方式的误解被认为是该病毒持续传播的主要原因。
方法
本研究利用2010年马拉维人口与健康调查，探讨了与男性和女性对艾滋病毒传播误解相关的因素。
结果
我们发现，较高水平的ABC预防知识与男性和女性认可误解的可能性较低相关（优势比分别为0.85，p<0.001；0.85，p<0.001）。与北部地区的人相比，中部地区（优势比分别为0.54，p<0.001；0.53，p<0.001）和南部地区的男性和女性认可艾滋病毒传播误解的可能性较小（优势比分别为0.49，p<0.001；0.43，p<0.001）。此外，婚姻状况和种族是女性而非男性对艾滋病毒传播误解的重要预测因素。而且，家庭财富五分位数、教育程度、宗教信仰和城乡居住情况与认可艾滋病毒传播误解显著相关。
结论
基于我们的研究结果，我们建议马拉维的艾滋病毒传播教育应纳入对艾滋病毒/艾滋病的文化和种族考量。
Zotero 插件