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[信息来源及其与墨西哥青少年对艾滋病的了解程度的关系]

[Sources of information and their relationship to the degree of knowledge about AIDS in Mexican adolescents].

作者信息

Caballero Hoyos R, Villaseñor Sierra A, San Martín A H

机构信息

Unidad de Investigaciíon Epidemiológica, Instituto Mexicano del Seguro Social. Guadalajara, Jalisco, México.

出版信息

Rev Saude Publica. 1997 Aug;31(4):351-9. doi: 10.1590/s0034-89101997000400004.

Abstract

INTRODUCTION

In Mexico 2.1% of the cases of AIDS are in adolescents. The cases of AIDS in the age group of 20 to 29 account for 30.5% of all the cases and an important proportion could have been infected with HIV in their adolescence, in view of the length of the incubation period from the infection with HIV to the manifestation of the syndrome. The adolescent's knowledge of HIV/AIDS varies. In some urban contexts the adolescents have lay concepts and myths that could guide them into misting practices that could lead to contamination by HIV. The mass media, especially television, and interpersonal sources such as teachers, parents and peers are important sources of information about HIV/AIDS and have a central role in the social construction and public perception of the problem in adolescents. The objective of the study is to relate the degree of knowledge of HIV/AIDS to the exposure to information sources among adolescents in Guadalajara city, in Mexico.

MATERIAL AND METHOD

Survey sample with autoapplied questionnaire. Sample of 1,410 adolescents, male and female, of 15 to 19 years of age, in the four socioeconomic strata. The Chi-square and BTukey tests, 95% confidence interval for proportions and means, and simple ANOVA factor were applied.

RESULTS

A considerate degree of knowledge (mean of 13.94 correct answer out of 24, standard deviation = 4.09, 95% CI = 13.69-14.11) was found significant mean differences in favor of the high (15.70) and medium (14.26) strata as opposed to the low (13.51) and marginalized (12.85) (F = 19.39, p < .0001, BTukey level .050). The information published by the newspapers (F = 11.1; p < .001) and the teachers (F = 3.72; p < .05) had a direct relationship to the degree of knowledge imported by the daily exposure to the television and other social demographic variables.

CONCLUSIONS

The results describe the presence of inequalities by socioeconomic strata in the list of sources in information and the levels of knowledge about HIV/AIDS. It is necessary to strengthen and develop educational action and the publication of messages through the media, institutions and interpersonal networks, with emphasis on interpersonal and media sources available to the low and marginalized strata, and at the same time, to strengthen the action of sources of information available to the other socioeconomic strata.

摘要

引言

在墨西哥,2.1%的艾滋病病例发生在青少年群体中。20至29岁年龄段的艾滋病病例占所有病例的30.5%,鉴于从感染艾滋病毒到出现该综合征的潜伏期较长,其中很大一部分可能在青少年时期就已感染艾滋病毒。青少年对艾滋病毒/艾滋病的了解程度各不相同。在一些城市环境中,青少年存在一些外行的观念和误解,这些可能会引导他们采取错误的行为,从而导致感染艾滋病毒。大众媒体,尤其是电视,以及教师、父母和同龄人等人际传播渠道,是有关艾滋病毒/艾滋病信息的重要来源,并且在青少年对该问题的社会建构和公众认知中发挥着核心作用。本研究的目的是探讨墨西哥瓜达拉哈拉市青少年对艾滋病毒/艾滋病的了解程度与他们接触信息来源之间的关系。

材料与方法

采用自填式问卷进行调查抽样。样本包括1410名年龄在15至19岁之间的青少年,涵盖四个社会经济阶层,有男有女。应用卡方检验和BTukey检验、比例和均值的95%置信区间以及单因素方差分析。

结果

发现青少年对艾滋病毒/艾滋病有一定程度的了解(24道题中平均正确回答13.94题,标准差 = 4.09,95%置信区间 = 13.69 - 14.11),与低社会经济阶层(13.51)和边缘化阶层(12.85)相比,高社会经济阶层(15.70)和中等社会经济阶层(14.26)的平均得分存在显著差异(F = 19.39,p <.0001,BTukey水平.050)。报纸发布的信息(F = 11.1;p <.001)和教师提供的信息(F = 3.72;p <.05)与通过日常接触电视及其他社会人口统计学变量所获得的知识程度有直接关系。

结论

研究结果表明,在信息来源和艾滋病毒/艾滋病知识水平方面,社会经济阶层之间存在不平等现象。有必要通过媒体、机构和人际网络加强和开展教育行动并发布相关信息,重点关注低社会经济阶层和边缘化阶层可获取的人际传播和媒体信息来源,同时,加强其他社会经济阶层可获取的信息来源的作用。

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