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埃塞俄比亚育龄妇女对艾滋病毒/艾滋病传播的误解及其相关因素的流行情况:一项全国性研究。

Prevalence of misconception about HIV/AIDS transmission and associated factors among reproductive age women in Ethiopia: a nationwide study.

机构信息

Department of Public Health, College of Health Sciences, Woldia University, Woldia, Ethiopia.

Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

出版信息

BMC Infect Dis. 2024 Jan 6;24(1):54. doi: 10.1186/s12879-023-08884-8.

Abstract

BACKGROUND

Misconceptions and myths are still the bottlenecks for the prevention of HIV/AIDS transmission in developing countries. This study aimed to assess the prevalence and associated factors of misconception about HIV transmission among reproductive age groups using the most recently available Ethiopian Demographic and Health Surveydata.

METHODS

A cross-sectional study design was done using the Ethiopian Demographic and Health Survey 2016 data set. The data analysis was conducted using  Statistical Package for Social Sciences version 25. Multivariable logistic regression analysis was done to identify associated factors of misconception about HIV/AIDS transmission. A p-value of < 0.05 and an adjusted odds ratio with a 95% confidence interval were considered to confirm a statistically significant association.

RESULTS

From the sample of 11,425 reproductive-age women, the prevalence of misconception about HIV/AIDS transmission among reproductive-age women in Ethiopia was 27.47%. Women residing in rural area [AOR:1.24; 95% CI: 1.03-1.75] compared to urban resident participants, attended primary education [AOR:0.58;95%CI: 0.49-0.68], attended secondary education [AOR:0.36;95%CI:0.29-0.46], attended higher education [AOR:0.24;95%CI: 0.18-0.32] compared to those participants without education, had history of HIV test [AOR:0.77; 95%CI: 0.67-0.88] compared to their counterpart, respondents living in Amhara region [AOR:0.44:95% CI:0.35-0.54], Benishangul [AOR: 0.34; 95% CI: 0.25-0.46], SNNPR [AOR:0.50; 95% CI: 0.38-0.67], Gambela [AOR:0.57; 95% CI: 0.42-0.79], Harari [AOR:0.62; 95% CI: 0.46-0.82], Addis Ababa [AOR:0.63; 95% CI: 0.49-0.81] compared to those living in Tigray and having richest wealth status[AOR:0.57;95% CI: 1.457-4.078] compared to those whose wealth index was poorest were significantly associated with the misconception about HIV transmission.

CONCLUSION

Over all the prevalence of misconception about HIV/AIDS transmission among reproductive-age women in Ethiopia was high. Residence, educational level, wealth index, region, and respondents who ever tested for HIV were significantly associated with the misconception about HIV/AIDS transmission. This high misconception could affect HIV/AIDS transmission and its prevention strategies unless timely and appropriate intervention should be taken. Strengthening strategies aimed at maximizing HIV/AIDS testing, scaling up educational status, and emphasizing regional-wide interventions might have a substantial contribution.

摘要

背景

误解和谣言仍是发展中国家预防艾滋病毒/艾滋病传播的瓶颈。本研究旨在利用最新的埃塞俄比亚人口与健康调查数据评估生殖年龄组人群对艾滋病毒传播的误解的流行率及其相关因素。

方法

采用横断面研究设计,使用埃塞俄比亚人口与健康调查 2016 数据集。使用社会科学统计软件包 25 版进行数据分析。多变量逻辑回归分析用于确定对艾滋病毒/艾滋病传播的误解的相关因素。p 值<0.05 和 95%置信区间的调整比值比被认为可确认具有统计学意义的关联。

结果

在 11425 名生殖年龄的女性样本中,埃塞俄比亚生殖年龄女性对艾滋病毒/艾滋病传播的误解率为 27.47%。与城市居民相比,居住在农村地区的女性(AOR:1.24;95%CI:1.03-1.75),接受过小学教育(AOR:0.58;95%CI:0.49-0.68),接受过中学教育(AOR:0.36;95%CI:0.29-0.46),接受过高等教育(AOR:0.24;95%CI:0.18-0.32),与没有受过教育的参与者相比,有过艾滋病毒检测史(AOR:0.77;95%CI:0.67-0.88),与他们的对应者相比,居住在阿姆哈拉地区(AOR:0.44;95%CI:0.35-0.54),本尚古尔-古姆齐地区(AOR:0.34;95%CI:0.25-0.46),南方各族州(AOR:0.50;95%CI:0.38-0.67),甘贝拉州(AOR:0.57;95%CI:0.42-0.79),哈拉里州(AOR:0.62;95%CI:0.46-0.82),亚的斯亚贝巴市(AOR:0.63;95%CI:0.49-0.81),与居住在提格雷的人相比,财富状况最富裕的人(AOR:0.57;95%CI:1.457-4.078)与财富指数最贫穷的人相比,与对艾滋病毒传播的误解显著相关。

结论

总体而言,埃塞俄比亚生殖年龄女性对艾滋病毒/艾滋病传播的误解率很高。居住地、教育程度、财富指数、地区和曾经接受过艾滋病毒检测的受访者与对艾滋病毒/艾滋病传播的误解显著相关。这种高误解可能会影响艾滋病毒/艾滋病的传播及其预防策略,除非及时采取适当的干预措施。加强旨在最大限度地增加艾滋病毒/艾滋病检测、扩大教育程度和强调区域范围干预的战略可能会有重大贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d95/10770967/e06a68002896/12879_2023_8884_Fig1_HTML.jpg

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