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15-24 岁女性对 HIV 的相关知识、信息的了解与其污名化态度的关系:印度尼西亚的地区差异。

HIV-related knowledge, information, and their contribution to stigmatization attitudes among females aged 15-24 years: regional disparities in Indonesia.

机构信息

Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Bandung, KM. 21, Jatinangor, Sumedang, 45363, West Java, Indonesia.

Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia.

出版信息

BMC Public Health. 2022 Apr 1;22(1):637. doi: 10.1186/s12889-022-13046-7.

Abstract

BACKGROUND

Stigmatization attitudes among youths toward people living with HIV (PLWH) is still an issue and concern in Indonesia. The purpose of this study was to determine the regional disparities, levels of HIV-related knowledge, information, and contributions related to stigmatization attitudes among females aged 15-24 years in Indonesia.

METHODS

A cross-sectional study with The 2017 Indonesian Demographic Health Survey (IDHS) was used. A total of 12,691individual records of females aged 15-24 years were recruited through two-stage stratified cluster sampling. The endpoint was stigmatization attitude. Then, bivariate and multivariate binary logistics were performed.

RESULTS

The findings showed that female youths who have no HIV-related knowledge (62.15%) and some source of information (52.39%). The highest prevalence of stigmatizing attitude was 59.82%, on Java Island. Multivariate analysis showed that females living in Sulawesi and Kalimantan; those living in a rural area; and those with more HIV-related knowledge were less likely to have a stigmatizing attitude. Conversely, females with the middle- to richest-wealth index and had some HIV-related information were more likely to have a stigmatizing attitude.

CONCLUSION

An understanding of stigmatizing attitudes should be considered through demographic factors, knowledge, and source of HIV-related information. The Indonesian government should pay more attention to indicators of HIV-related knowledge and information. Moreover, we suggest that the government collaborates with youths to disseminate information and restructure and reanalyze policies about HIV.

摘要

背景

在印度尼西亚,年轻人对艾滋病毒感染者(PLWH)的污名化态度仍然是一个问题和关注点。本研究旨在确定印度尼西亚 15-24 岁女性中与污名化态度相关的地区差异、艾滋病毒相关知识、信息和贡献水平。

方法

本研究使用了 2017 年印度尼西亚人口与健康调查(IDHS)的横断面研究。通过两阶段分层聚类抽样,共招募了 12691 名 15-24 岁女性的个体记录。终点是污名化态度。然后进行了双变量和多变量二元逻辑分析。

结果

研究结果表明,没有艾滋病毒相关知识的年轻女性(62.15%)和一些信息来源(52.39%)。污名化态度的最高患病率为 59.82%,出现在爪哇岛。多变量分析表明,居住在苏拉威西岛和加里曼丹岛、居住在农村地区、艾滋病毒相关知识较多的女性不太可能有污名化态度。相反,中等到最富有财富指数的女性和有一些艾滋病毒相关信息的女性更有可能有污名化态度。

结论

应该从人口统计学因素、知识和艾滋病毒相关信息来源来理解污名化态度。印度尼西亚政府应该更加关注艾滋病毒相关知识和信息的指标。此外,我们建议政府与年轻人合作,传播信息,并重新调整和重新分析与艾滋病毒相关的政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe8e/8976340/1e31f202b305/12889_2022_13046_Fig1_HTML.jpg

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