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孟加拉国已婚妇女中与艾滋病毒/艾滋病知识和意识相关的因素:来自全国代表性调查的证据。

Factors associated with knowledge and awareness of HIV/AIDS among married women in Bangladesh: evidence from a nationally representative survey.

作者信息

Haque Md Ashiqul, Hossain Md Sha Newaj, Chowdhury Muhammad Abdul Baker, Uddin Md Jamal

机构信息

a Department of Statistics , Shahjalal University of Science and Technology , Sylhet , Bangladesh.

b Department of Emergency Medicine , University of Florida College of Medicine , Gainesville , USA.

出版信息

SAHARA J. 2018 Dec;15(1):121-127. doi: 10.1080/17290376.2018.1523022.

Abstract

Women in Bangladesh share a greater risk of Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) infection compared to men. Levels of knowledge and awareness largely contribute to the prevalence of the HIV epidemic and its consequences. So, it is required to conduct studies based on most recent data to explore the determinants of HIV awareness. Therefore, we aimed to find the awareness level and factors influencing HIV related awareness among the married women in Bangladesh. We used data from 2014 Bangladesh Demographic and Health Survey (BDHS). About two-third of total respondents who heard about the HIV/AIDS were selected and interviewed successfully (n = 12,593) about 11 basic questions related to individual's awareness. A score of the respondent's knowledge and awareness was determined based on these questions. We used logistic regression models for analysing the data. We found about 62% of the respondents had an adequate knowledge and consciousness about the HIV/AIDS. Respondents' education status, mass-media access, place of living, and working status played significant role on the awareness. As expected, respondents with higher education were more aware than those with no education (odds ratio (OR) = 3.56, 95% confidence interval (CI): 2.99-4.23). Moreover, respondents who had access to the mass media were more likely to be aware compared to those who did not have the access (OR = 1.14, 95% CI: 1.04-1.26). Although a sizeable proportion of women had an adequate knowledge and awareness regarding the HIV/AIDS, we recommend implementing educational programmes related to HIV/AIDS in the curriculum to ensure a standard level of awareness throughout the nation. Since the respondents from rural areas scored significantly lower than the urban areas, awareness through mass media, particularly in rural areas, is of prime concern for raising awareness.

摘要

与男性相比,孟加拉国女性感染人类免疫缺陷病毒(HIV)/获得性免疫缺陷综合征(AIDS)的风险更高。知识和意识水平在很大程度上影响着HIV流行率及其后果。因此,需要基于最新数据进行研究,以探索HIV知晓率的决定因素。为此,我们旨在了解孟加拉国已婚女性对HIV的知晓水平以及影响HIV相关知晓率的因素。我们使用了2014年孟加拉国人口与健康调查(BDHS)的数据。在总共听说过HIV/AIDS的受访者中,约三分之二被选中并成功接受了关于11个与个人知晓情况相关的基本问题的访谈(n = 12593)。根据这些问题确定受访者的知识和意识得分。我们使用逻辑回归模型分析数据。我们发现约62%的受访者对HIV/AIDS有足够的了解和认识。受访者的教育程度、接触大众媒体的情况、居住地点和工作状况对知晓率有显著影响。正如预期的那样,受过高等教育的受访者比未受过教育的受访者更了解情况(优势比(OR)= 3.56,95%置信区间(CI):2.99 - 4.23)。此外,与无法接触大众媒体的受访者相比,能够接触大众媒体的受访者更有可能了解情况(OR = 1.14,95% CI:1.04 - 1.26)。尽管相当一部分女性对HIV/AIDS有足够的了解和认识,但我们建议在课程中实施与HIV/AIDS相关的教育项目,以确保全国范围内的知晓水平达到标准。由于农村地区的受访者得分明显低于城市地区,通过大众媒体提高知晓率,特别是在农村地区,是提高知晓率的首要关注点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61b5/6161619/d71a334b71ca/RSAH_A_1523022_F0001_OB.jpg

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