Endalamaw Aklilu, Gilks Charles F, Ambaw Fentie, Khatri Resham B, Assefa Yibeltal
School of Public Health, The University of Queensland, Brisbane, Australia.
College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
PLOS Glob Public Health. 2023 Oct 31;3(10):e0002484. doi: 10.1371/journal.pgph.0002484. eCollection 2023.
Socioeconomic inequality in comprehensive knowledge about HIV/AIDS can hinder progress towards ending the epidemic threat of this disease. To address the knowledge gap, it is essential to investigate inequality in HIV/AIDS services. This study aimed to investigate socioeconomic inequality, identify contributors, and analyze the trends in inequality in comprehensive knowledge about HIV/AIDS among adults in Ethiopia. A cross-sectional study was conducted using 2005, 2011, and 2016 population-based health survey data. The sample size was 18,818 in 2005, 29,264 in 2011, and 27,261 in 2016. Socioeconomic inequality in comprehensive knowledge about HIV/AIDS was quantified by using a concentration curve and index. Subsequently, the decomposition of the concentration index was conducted using generalised linear regression with a logit link function to quantify covariates' contribution to wealth-based inequality. The Erreygers' concentration index was 0.251, 0.239, and 0.201 in 2005, 2011, and 2016, respectively. Watching television (24.2%), household wealth rank (21.4%), ever having been tested for HIV (15.3%), and education status (14.3%) took the significant share of socioeconomic inequality. The percentage contribution of watching television increased from 4.3% in 2005 to 24.2% in 2016. The household wealth rank contribution increased from 14.6% in 2005 to 21.38% in 2016. Education status contribution decreased from 16.2% to 14.3%. The percentage contribution of listening to the radio decreased from 16.9% in 2005 to -2.4% in 2016. The percentage contribution of residence decreased from 7.8% in 2005 to -0.5% in 2016. This study shows comprehensive knowledge about HIV/AIDS was concentrated among individuals with a higher socioeconomic status. Socioeconomic-related inequality in comprehensive knowledge about HIV/AIDS is woven deeply in Ethiopia, though this disparity has been decreased minimally. A combination of individual and public health approaches entangled in a societal system are crucial remedies for the general population and disadvantaged groups. This requires comprehensive interventions according to the primary health care approach.
关于艾滋病毒/艾滋病的综合知识方面的社会经济不平等可能会阻碍在消除该疾病流行威胁方面取得的进展。为了弥补知识差距，调查艾滋病毒/艾滋病服务方面的不平等至关重要。本研究旨在调查埃塞俄比亚成年人在艾滋病毒/艾滋病综合知识方面的社会经济不平等情况，确定影响因素，并分析不平等趋势。利用2005年、2011年和2016年基于人群的健康调查数据进行了一项横断面研究。2005年的样本量为18818人，2011年为29264人，2016年为27261人。通过使用浓度曲线和指数对艾滋病毒/艾滋病综合知识方面的社会经济不平等进行了量化。随后，使用具有logit链接函数的广义线性回归对浓度指数进行分解，以量化协变量对基于财富的不平等的贡献。2005年、2011年和2016年的埃雷格斯浓度指数分别为0.251、0.239和0.201。看电视（24.2%）、家庭财富排名（21.4%）、曾接受艾滋病毒检测（15.3%）和教育状况（14.3%）在社会经济不平等中占显著比例。看电视的贡献百分比从2005年的4.3%增加到2016年的24.2%。家庭财富排名的贡献从2005年的14.6%增加到2016年的21.38%。教育状况的贡献从16.2%降至14.3%。听广播的贡献百分比从2005年的16.9%降至2016年的-2.4%。居住地的贡献百分比从2005年的7.8%降至2016年的-0.5%。本研究表明，关于艾滋病毒/艾滋病的综合知识集中在社会经济地位较高的个体中。在埃塞俄比亚，艾滋病毒/艾滋病综合知识方面与社会经济相关的不平等根深蒂固，尽管这种差距略有缩小。个体和公共卫生方法相结合并融入社会系统，对普通人群和弱势群体来说是至关重要的补救措施。这需要根据初级卫生保健方法进行全面干预。
