Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
J Biosoc Sci. 2022 Nov;54(6):991-1003. doi: 10.1017/S0021932021000493. Epub 2021 Sep 24.
Globally, HIV/AIDS remains a public health issue, especially in sub-Saharan Africa (SSA). Despite the increased advocacy and dissemination of comprehensive HIV/AIDS information in SSA, it appears that little progress has been made to reduce the incidence of HIV/AIDS in the sub-region. This study, therefore, examined the association between comprehensive HIV/AIDS knowledge and safer sex negotiation among adolescent girls and young women in SSA. Data were taken from the Demographic and Health Surveys conducted between 2010 and 2019 in 30 countries in SSA. The study sample comprised 37,364 adolescent girls and young women aged 15-24. A multivariable binary logistic regression analysis was done to test the hypothesis that there is a positive association between comprehensive HIV/AIDS knowledge and safer sex negotiation. Adolescent girls and young women who had comprehensive knowledge on HIV/AIDS were more likely to negotiate for safer sex compared with those who had no comprehensive knowledge on HIV/AIDS (AOR=1.31, 95% CI: 1.22-1.41). At the country level, the positive association between comprehensive knowledge on HIV/AIDS and safer sex negotiation was significant in Chad, Congo DR, Gambia, Guinea, Liberia, Ethiopia and Malawi. On the other hand, in Togo, adolescent girls and young women who had comprehensive HIV/AIDS knowledge were less likely to negotiate for safer sex. These findings can inform policies and programmes on the crucial role of comprehensive HIV/AIDS education and knowledge in increasing safer sex negotiation among adolescent girls and young women in SSA. The study recommends that Togo needs to address certain practices such as intimate partner violence against adolescent girls and young women, which prevent them from negotiating for safer sex, despite their higher knowledge on comprehensive HIV/AIDS. Lessons can be learnt from Chad, Congo DR, Gambia, Guinea, Liberia, Ethiopia and Malawi about the scale-up of programmes and interventions targeted at young women.
全球范围内，艾滋病仍然是一个公共卫生问题，特别是在撒哈拉以南非洲（SSA）地区。尽管在 SSA 地区，人们越来越多地倡导和传播有关艾滋病的全面信息，但该地区艾滋病发病率似乎并没有降低。因此，本研究调查了撒哈拉以南非洲地区青少年女孩和年轻妇女的艾滋病综合知识与安全性行为协商之间的关系。数据来自 2010 年至 2019 年期间在 30 个 SSA 国家进行的人口与健康调查。研究样本包括 37364 名年龄在 15 至 24 岁的青少年女孩和年轻妇女。采用多变量二元逻辑回归分析来检验以下假设：艾滋病综合知识与安全性行为协商之间存在正相关关系。与没有艾滋病综合知识的人相比，对艾滋病有全面了解的青少年女孩和年轻妇女更有可能协商安全性行为（AOR=1.31，95%CI：1.22-1.41）。在国家层面，乍得、刚果民主共和国、冈比亚、几内亚、利比里亚、埃塞俄比亚和马拉维等国的艾滋病综合知识与安全性行为协商之间存在显著的正相关关系。另一方面，在多哥，对艾滋病有全面了解的青少年女孩和年轻妇女不太可能协商安全性行为。这些发现可以为撒哈拉以南非洲地区的政策和方案提供信息，强调全面艾滋病教育和知识在增加青少年女孩和年轻妇女安全性行为协商方面的关键作用。该研究建议多哥需要解决某些做法，例如针对青少年女孩和年轻妇女的亲密伴侣暴力，这些做法阻止了她们协商安全性行为，尽管她们对艾滋病的综合知识了解更多。乍得、刚果民主共和国、冈比亚、几内亚、利比里亚、埃塞俄比亚和马拉维在扩大针对年轻妇女的方案和干预措施方面可以吸取经验教训。
