Department of Epidemiology, Jimma University, Institute of Health, Faculty of Public Health, Jimma, Ethiopia.
Department of Statistics, Addis Ababa University, College of Natural & Computational Sciences, Addis Ababa, Ethiopia.
BMC Infect Dis. 2020 Sep 29;20(1):714. doi: 10.1186/s12879-020-05436-2.
Human Immunodeficiency virus continues to be a major global health problem infecting 75 million and killing 32 million people since the beginning of the epidemic. It badly hit Sub Saharan Africa than any country in the world and youths are sharing the greatest burden. The study aims to assess the level of HIV-knowledge and its determinants among Ethiopian youths using the 2016 Ethiopia Demographic and Health Survey data.
A nationally representative 2016 Ethiopian Demographic and Health Survey data were used. A total of 10,903 youths comprising 6401 females and 4502 males were included in the study. Descriptive statistics and multilevel order logistic regression were used and confidence interval was used to declare statistical significance in the final model.
The mean age and SD of youths included in this study was 19.10 (±2.82). Among Ethiopian youths, 20.92% (95% CI: 18.91, 23.09%) had low knowledge of HIV whereas, 48.76% (95% CI: 47.12, 50.41%) and 30.31% (95% CI: 28.51, 32.18%) of them had moderate and comprehensive HIV knowledge respectively. Being male, access to TV and radio, ever tested for HIV/AIDS, owning a mobile telephone, and attending primary school and above compared to non-attendants were associated with having higher HIV knowledge. But, dwelling in rural Ethiopia, being in the Protestant and Muslim religious groups as compared to those of Orthodox followers and being in married groups were associated with having lower HIV knowledge. Approximately, 12% of the variation in knowledge of HIV was due to regions.
Only one-third of Ethiopian youths have deep insight into the disease, whereas, nearly one-fifth of them have lower HIV-knowledge. There is a significant disparity in HIV-related knowledge among Ethiopian youths living in different regions. Rural residents, less educated, female, and married youths have less knowledge of HIV as compared to their counterparts. Youths who do not have a mobile phone, who lack health insurance coverage, and who have limited access to media have less knowledge about HIV. Therefore, the due focus should be given to the aforementioned factors to minimize the disparities between regions and to enhance Ethiopian youths' HIV-knowledge.
自艾滋病疫情开始以来，人类免疫缺陷病毒继续成为一个重大的全球健康问题，感染了 7500 万人，导致 3200 万人死亡。它对撒哈拉以南非洲的打击比世界上任何国家都严重，年轻人承受的负担最大。本研究旨在利用 2016 年埃塞俄比亚人口与健康调查数据评估埃塞俄比亚年轻人的艾滋病毒知识水平及其决定因素。
本研究使用了具有全国代表性的 2016 年埃塞俄比亚人口与健康调查数据。共纳入 10903 名年轻人，其中 6401 名为女性，4502 名为男性。采用描述性统计和多层次有序逻辑回归，置信区间用于最终模型中宣布统计学意义。
本研究中纳入的年轻人的平均年龄和标准差为 19.10（±2.82）。在埃塞俄比亚年轻人中，20.92%（95%CI：18.91，23.09%）对艾滋病毒的知识水平较低，而 48.76%（95%CI：47.12，50.41%）和 30.31%（95%CI：28.51，32.18%）对艾滋病毒的知识水平分别为中等和全面。男性、接触电视和广播、曾经接受过艾滋病毒/艾滋病检测、拥有移动电话、接受过小学及以上教育，与未接受教育的人相比，与较高的艾滋病毒知识水平相关。但是，与东正教信徒相比，居住在农村埃塞俄比亚、属于新教和穆斯林宗教团体以及已婚群体的人，与较低的艾滋病毒知识水平相关。大约 12%的艾滋病毒知识差异归因于地区。
只有三分之一的埃塞俄比亚年轻人对该疾病有深入的了解，而近五分之一的年轻人对艾滋病毒的了解程度较低。生活在不同地区的埃塞俄比亚年轻人之间，艾滋病毒相关知识存在显著差异。与同龄人相比，农村居民、受教育程度较低、女性和已婚年轻人对艾滋病毒的了解较少。没有手机、没有医疗保险覆盖、媒体接触有限的年轻人对艾滋病毒的了解也较少。因此，应重点关注上述因素，以缩小地区之间的差距，提高埃塞俄比亚年轻人的艾滋病毒知识水平。
