Kareem Yusuf Olushola, Dorgbetor Cyprian Issahaku, Ameyaw Edward Kwabena, Abubakar Zubaida, Adelekan Babatunde, Goldson Erika, Mueller Ulla, Adegboye Oyelola
United Nations Population Fund, Abuja, Nigeria.
Ghana Health Service, Municipal Health Directorate, Techiman, Ghana.
Ther Adv Infect Dis. 2023 Apr 4;10:20499361231163664. doi: 10.1177/20499361231163664. eCollection 2023 Jan-Dec.
BACKGROUND: The prevalence of HIV among young people aged 15-19 years in Nigeria is estimated as 3.5%, the highest among West and Central African countries. Comprehensive knowledge of HIV is associated with increased awareness of preventive interventions and a reduction in the spread of HIV. Therefore, this article seeks to assess and determine the associated factors of comprehensive HIV knowledge among youths in Nigeria. METHODS: The study used the 2018 Nigerian Demographic Health Survey, a cross-sectional survey that employed a two-stage cluster sampling method. Comprehensive knowledge of HIV was assessed based on five questions. The data were analysed separately for men and women aged 15-24 years. A multivariable log-binomial regression model was used to determine factors associated with comprehensive HIV knowledge. All analysis was performed using Stata 15.0 and adjusted for weighting, clustering and stratification. RESULTS: A total of 15,267 women and 4019 men aged 15-24 years were included in this study. The prevalence of comprehensive knowledge of HIV was higher among women than among men (42.6% 33.7%; < 0.001) and lower among younger ages 15-17 years compared with other ages. The findings revealed that age, ethnicity, wealth, education and exposure to mass media were statistically significant factors associated with comprehensive knowledge of HIV. In addition, religion, place of residence, phone ownership, internet use, currently working and having initiated sex were significant factors among women and modern contraceptive use among men. CONCLUSION: Key findings from this study imply that public health programmes in Nigeria should focus on providing information on HIV/AIDS using different approaches, including comprehensive sex education as well as health promotion and education strategies in the formal and informal sectors. Because media exposure is a common and cost-effective way of public health promotion and education in modern times, emphasis could also be placed on using this channel to reach the target population.
背景：据估计，尼日利亚15至19岁年轻人中的艾滋病毒感染率为3.5%，是西部和中部非洲国家中最高的。对艾滋病毒的全面了解与预防干预意识的提高以及艾滋病毒传播的减少相关。因此，本文旨在评估并确定尼日利亚年轻人中艾滋病毒全面知识的相关因素。 方法：该研究使用了2018年尼日利亚人口与健康调查，这是一项采用两阶段整群抽样方法的横断面调查。基于五个问题评估对艾滋病毒的全面了解。对15至24岁的男性和女性数据分别进行分析。使用多变量对数二项回归模型来确定与艾滋病毒全面知识相关的因素。所有分析均使用Stata 15.0进行，并针对加权、聚类和分层进行了调整。 结果：本研究共纳入了15267名15至24岁的女性和4019名男性。女性中艾滋病毒全面知识的患病率高于男性（42.6%对33.7%；P<0.001），15至17岁的年轻人与其他年龄段相比患病率较低。研究结果显示，年龄、种族、财富、教育程度和接触大众媒体是与艾滋病毒全面知识相关的具有统计学意义的因素。此外，宗教信仰、居住地点、拥有手机、使用互联网、目前是否工作以及是否开始性行为是女性中的重要因素，而男性中的现代避孕方法使用情况是重要因素。 结论：本研究的主要发现表明，尼日利亚的公共卫生项目应侧重于采用不同方法提供有关艾滋病毒/艾滋病的信息，包括全面性教育以及正规和非正规部门的健康促进与教育策略。由于接触媒体是现代公共卫生促进与教育的一种常见且具有成本效益的方式，因此也可强调利用这一渠道覆盖目标人群。
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