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利用 2017-18 年人口健康调查数据评估巴基斯坦育龄妇女对 HIV 的认识和歧视态度。

Evaluating knowledge about HIV and discriminatory attitudes among Pakistani women of reproductive age using 2017-18 Demographic Health Survey data.

机构信息

Department of Community Health Sciences, Aga Khan University, Stadium Road, P.O Box 3500, Karachi, Pakistan.

Department of Psychiatry, Aga Khan University, Karachi, Pakistan.

出版信息

Sci Rep. 2023 Oct 19;13(1):17849. doi: 10.1038/s41598-023-45117-z.

Abstract

A prominent issue associated with HIV is the stigma around it owing to a lack of awareness. This study aimed to find the association between HIV and AIDS-related knowledge and discriminatory attitudes amongst Pakistani women of reproductive age using the 2017-18 Pakistani Demographic Health Survey (PDHS) data. We analyzed a sample of 3381 Pakistani women of reproductive age using ordinal logistic regression for complex survey data. Two composite variables were created using the HIV module to denote the respondents' HIV-related knowledge and their attitude toward people living with HIV (PLHIV) and calculated using a scoring method. Additional variables included the respondents' age, education level, socioeconomic status, residential setting, and HIV testing history. More than half (58.8%) of the respondents presented with a negative attitude toward PLHIV and 64.3% of the respondents had poor knowledge regarding the illness. In the multivariable analysis, knowledge about HIV and level of education reported significant associations with discriminatory attitudes. We concluded that the odds of individuals living in a rural setting and hailing from a low socioeconomic background presenting with a negative attitude towards PLHIV were 2.52 times (95% CI 1.07-5.89) higher as compared to those living in an urban setting from a high socioeconomic background.

摘要

与 HIV 相关的一个突出问题是由于缺乏认识而导致的耻辱感。本研究旨在利用 2017-18 年巴基斯坦人口与健康调查(PDHS)数据,找出巴基斯坦育龄妇女的 HIV 和艾滋病相关知识与歧视态度之间的关联。我们使用有序逻辑回归对复杂调查数据对 3381 名育龄巴基斯坦妇女进行了分析。使用 HIV 模块创建了两个复合变量来表示受访者的 HIV 相关知识以及他们对 HIV 感染者(PLHIV)的态度,并使用评分方法进行计算。其他变量包括受访者的年龄、教育程度、社会经济地位、居住环境和 HIV 检测史。超过一半(58.8%)的受访者对 PLHIV 持消极态度,64.3%的受访者对这种疾病的了解程度较差。在多变量分析中,关于 HIV 的知识和教育程度与歧视态度呈显著相关。我们得出的结论是,与居住在城市、社会经济背景较高的人相比,居住在农村、社会经济背景较低的人对 PLHIV 持消极态度的几率高 2.52 倍(95%CI 1.07-5.89)。

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