Adegboye Oyelola A, Ezechukwu Henry C, Woodall Hannah, Brough Megan, Robertson-Smith Jodie, Paba Rosella, Czech Geraint, Emeto Theophilus I
Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia.
World Health Organization Collaborating Center for Vector-Borne and Neglected Tropical Diseases, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia.
Trop Med Infect Dis. 2022 Feb 18;7(2):30. doi: 10.3390/tropicalmed7020030.
BACKGROUND: Reproductive health remains a major health concern in developing countries such as Papua New Guinea (PNG). The prevalence of human immunodeficiency virus (HIV) in PNG is the highest in the Southern Pacific region, with women having a higher risk of contracting the infection. Hence, there have been several policies aimed at mitigating the spread of the disease. One of these policies include the use of mass media as a health promotion tool to educate the population on the risk of the disease. Therefore, this study aimed at investigating the association of mass media to HIV testing among women. METHODS: Data were obtained from the PNG Demographic and Health Survey (DHS) of 2019. A total of 15,005 reproductive-age women was included in this analysis. RESULTS: The results showed that women with low (aOR = 1.63, 95% CI: 1.39, 1.90) and high (aOR = 1.53, 95% CI: 1.36, 1.72) media exposure were more likely to undertake HIV testing compared to those with no media exposure. Compared to no education, women with incomplete primary (aOR = 1.22, 95% CI: 1.06, 1.40), complete primary (aOR = 1.56, 95% CI: 1.30, 1.87), incomplete secondary (aOR = 2.18, 95% CI: 1.85, 2.58), complete secondary (aOR= 2.33, 95% CI: 1.77, 3.09) and higher (aOR = 3.38, 95% CI: 2.57, 4.46) education were more likely to undertake HIV testing. Compared to women with the poorest wealth index, women with richer indexes were more likely to undertake HIV testing. Women living in rural areas were less likely to undertake HIV testing (aOR = 0.72, 95% CI: 0.63, 0.82). However, marital status, knowledge of transmission and religion were not associated with HIV testing. CONCLUSION: In conclusion, this study provides strong evidence that mass media exposure increases the likelihood of HIV testing in women of reproductive age in PNG. Mass media campaigns would serve as a cost-effective health promotion tool against the spread of disease.
背景:生殖健康仍是巴布亚新几内亚(PNG)等发展中国家主要的健康问题。PNG的人类免疫缺陷病毒(HIV)感染率在南太平洋地区最高,女性感染该病毒的风险更高。因此,已经出台了多项旨在减缓该疾病传播的政策。其中一项政策是利用大众媒体作为健康促进工具,向民众宣传该疾病的风险。因此,本研究旨在调查大众媒体与女性HIV检测之间的关联。 方法:数据来自2019年PNG人口与健康调查(DHS)。本分析共纳入了15,005名育龄妇女。 结果:结果显示,与未接触媒体的女性相比,低(调整后比值比[aOR]=1.63,95%置信区间[CI]:1.39,1.90)和高(aOR=1.53,95%CI:1.36,1.72)媒体曝光度的女性更有可能进行HIV检测。与未接受教育的女性相比,小学未毕业(aOR=1.22,95%CI:1.06,1.40)、小学毕业(aOR=1.56,95%CI:1.30,1.87)、初中未毕业(aOR=2.18,95%CI:1.85,2.58)、初中毕业(aOR=2.33,95%CI:1.77,3.09)和更高学历(aOR=3.38,95%CI:2.57,4.46)的女性更有可能进行HIV检测。与财富指数最低的女性相比,财富指数较高的女性更有可能进行HIV检测。生活在农村地区的女性进行HIV检测的可能性较小(aOR=0.72,95%CI:0.63,0.82)。然而,婚姻状况、传播知识和宗教与HIV检测无关。 结论:总之,本研究提供了有力证据,表明接触大众媒体会增加PNG育龄女性进行HIV检测的可能性。大众媒体宣传活动将成为预防疾病传播的具有成本效益的健康促进工具。
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