索马里已婚女性中与艾滋病综合知识相关的水平及因素：一项全国性横断面研究。

Level and Factors Associated with Comprehensive Knowledge About HIV Among Currently Married Women in Somalia: A Nationwide Cross-Sectional Study.

作者信息

Mohamud Liban Ali, Aslam Muhammad

机构信息

Advance Medical Research Center, Jamhuriya University of Science and Technology, Mogadishu, Somalia.

Department of Statistics, Bahauddin Zakariya University, Multan, Pakistan.

出版信息

HIV AIDS (Auckl). 2024 Dec 27;16:485-494. doi: 10.2147/HIV.S491513. eCollection 2024.

DOI:10.2147/HIV.S491513

PMID:39742138

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11687310/

Abstract

BACKGROUND

The Human Immunodeficiency Virus (HIV) is a major public health issue, particularly in underdeveloped nations, where limited knowledge contributes to high prevalence among women facing socio-economic and educational barriers. To the best of our knowledge, no study has comprehensively examined HIV knowledge among Somali married women using nationally representative data. This study aims to assess the level of comprehensive HIV knowledge and its determinants among currently married women in Somalia, identifying regions and groups with limited awareness to prioritize targeted education and healthcare interventions, support NSP goals, and provide baseline data for future efforts.

METHODS

A multivariable ordinal logistic regression analysis was performed to examine the relationship between comprehensive HIV knowledge and various sociodemographic factors using data from the 2018-2019 SDHS. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were calculated to determine significant associations.

RESULTS

The analysis revealed that 55.1% of respondents had high comprehensive knowledge of HIV. Moreover, the study found the following significant factors associated with comprehensive HIV knowledge: Women aged 30-34 had an AOR of 1.25 (95% CI: 1.02-1.53) compared to those aged 15-19. Regionally, compared to women in the Awdal region, women in Gedo had an AOR of 0.39 (95% CI: 0.29-0.52), while women in Lower Juba had an AOR of 0.52 (95% CI: 0.38-0.69). Women in nomadic settings had an AOR of 0.61 (95% CI: 0.51-0.74) compared to urban dwellers. Women with higher education had an AOR of 3.04 (95% CI: 1.85-5.00) compared to uneducated women. Women in the highest wealth quintile had an AOR of 1.28 (95% CI: 1.03-1.59) compared to the poorest women.

CONCLUSION

The findings stress the need for public campaigns in rural, nomadic, and urban areas with limited HIV knowledge. Interventions should prioritize improving education access and enhancing media outreach to boost awareness and prevention efforts among Somali women.

摘要

背景

人类免疫缺陷病毒（HIV）是一个重大的公共卫生问题，在欠发达国家尤为突出，在这些国家，知识有限导致面临社会经济和教育障碍的女性中HIV感染率居高不下。据我们所知，尚无研究利用具有全国代表性的数据全面调查索马里已婚女性的HIV知识。本研究旨在评估索马里目前已婚女性的全面HIV知识水平及其决定因素，确定认识有限的地区和群体，以便优先开展有针对性的教育和医疗干预，支持国家战略计划目标，并为未来工作提供基线数据。

方法

使用2018 - 2019年索马里 DHS数据进行多变量有序逻辑回归分析，以检验全面HIV知识与各种社会人口学因素之间的关系。计算调整后的优势比（AOR）及95%置信区间（CI）以确定显著关联。

结果

分析显示，55.1%的受访者对HIV有较高的全面知识。此外，研究发现以下与全面HIV知识相关的显著因素：30 - 34岁女性与15 - 19岁女性相比，AOR为1.25（95% CI：1.02 - 1.53）。在地区方面，与阿瓦达勒地区的女性相比，盖多地区的女性AOR为0.39（95% CI：0.29 - 0.52），而下朱巴地区的女性AOR为0.52（95% CI：0.38 - 0.69）。游牧地区的女性与城市居民相比，AOR为0.61（95% CI：0.51 - 0.74）。受过高等教育的女性与未受过教育的女性相比，AOR为3.04（95% CI：1.85 - 5.00）。最富有的五分之一人群中的女性与最贫穷的女性相比，AOR为1.28（95% CI：1.03 - 1.59）。