De Wet Nicole, Akinyemi Joshua, Odimegwu Clifford
1 Demography and Population Studies, Schools of Social Sciences and Public Health, University of the Witwatersrand, Johannesburg, South Africa.
2 Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958218822306. doi: 10.1177/2325958218822306.
HIV/AIDS prevalence rates in South Africa are among the highest in the world. The key to reducing transmission is the dissemination of accurate knowledge. Here, we investigate the accuracy of HIV/AIDS knowledge among youth affected by the disease. Data from the Fourth South African National HIV, Behaviour and Health Survey (2012) are used and a weighted sample of 4 095 447 youth (15-24 years old) who have known or cared for someone with HIV/AIDS are analyzed. Results show that more than one-third (40.37%) of youth in South Africa are affected by the disease. One-quarter of the affected youth have 75% accurate knowledge of the virus, while only 10% have 100% accurate knowledge. Rural place of residence (odds ratio [OR] = 0.61) and looking for work (OR = 0.39) are less likely to have accurate knowledge. Youth without disabilities (OR = 2.46), in cohabiting (OR = 1.69), and in dating (OR = 1.70) relationships are more likely to have accurate knowledge. In conclusion, in order to reduce HIV incidence and combat HIV myths, efforts to improve the accuracy of HIV knowledge among youth affected by the disease are needed. There should be more community-based campaigns to target unemployed youth in the country.
南非的艾滋病毒/艾滋病患病率位居世界前列。降低传播率的关键在于传播准确的知识。在此,我们调查了受该疾病影响的青年群体对艾滋病毒/艾滋病知识的掌握准确性。我们使用了第四次南非全国艾滋病毒、行为与健康调查(2012年)的数据,并对4095447名知晓或照料过艾滋病毒/艾滋病患者的15至24岁青年进行了加权抽样分析。结果显示,南非超过三分之一(40.37%)的青年受该疾病影响。四分之一的受影响青年对病毒有75%的准确认知,而仅有10%的青年有100%的准确认知。农村居住地(优势比[OR]=0.61)和正在找工作的青年(OR=0.39)掌握准确知识的可能性较小。无残疾青年(OR=2.46)、同居青年(OR=1.69)和恋爱青年(OR=1.70)掌握准确知识的可能性更大。总之,为了降低艾滋病毒感染率并消除有关艾滋病毒的误解,需要努力提高受该疾病影响的青年群体对艾滋病毒知识的掌握准确性。该国应开展更多针对失业青年的社区宣传活动。