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Persistent misconceptions about HIV transmission among males and females in Malawi

Identifieur interne : 003820 ( Ncbi/Merge ); précédent : 003819; suivant : 003821

Persistent misconceptions about HIV transmission among males and females in Malawi

Auteurs : Yujiro Sano ; Roger Antabe ; Kilian Nasung Atuoye ; Lucia Kafui Hussey ; Jason Bayne ; Sylvester Zackaria Galaa [Ghana] ; Paul Mkandawire [Canada] ; Isaac Luginaah

Source :

RBID : PMC:4896031

Descripteurs français

English descriptors

Abstract

Background

The prevalence of HIV in Malawi is one of the highest in sub-Saharan Africa, and misconceptions about its mode of transmission are considered a major contributor to the continued spread of the virus.

Methods

Using the 2010 Malawi Demographic and Health Survey, the current study explored factors associated with misconceptions about HIV transmission among males and females.

Results

We found that higher levels of ABC prevention knowledge were associated with lower likelihood of endorsing misconceptions among females and males (OR = 0.85, p < 0.001; OR = 0.85, p < 0.001, respectively). Compared to those in the Northern region, both females and males in the Central (OR = 0.54, p < 0.001; OR = 0.53, p < 0.001, respectively) and Southern regions (OR = 0.49, p < 0.001; OR = 0.43, p < 0.001, respectively) were less likely to endorse misconceptions about HIV transmission. Moreover, marital status and ethnicity were significant predictors of HIV transmission misconceptions among females but not among males. Also, household wealth quintiles, education, religion, and urban–rural residence were significantly associated with endorsing misconceptions about HIV transmission.

Conclusion

Based on our findings, we recommend that education on HIV transmission in Malawi should integrate cultural and ethnic considerations of HIV/AIDS.


Url:
DOI: 10.1186/s12914-016-0089-8
PubMed: 27267906
PubMed Central: 4896031

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PMC:4896031

Le document en format XML

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<term>Adult</term>
<term>Christianity</term>
<term>Condoms (utilization)</term>
<term>Culture</term>
<term>Ethnic Groups</term>
<term>Female</term>
<term>HIV Infections (prevention & control)</term>
<term>HIV Infections (transmission)</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Islam</term>
<term>Malawi</term>
<term>Male</term>
<term>Marital Status</term>
<term>Odds Ratio</term>
<term>Religion</term>
<term>Residence Characteristics</term>
<term>Rural Population</term>
<term>Sex Factors</term>
<term>Sexual Behavior</term>
<term>Sexual Partners</term>
<term>Socioeconomic Factors</term>
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<term>Adulte</term>
<term>Caractéristiques de l'habitat</term>
<term>Christianisme</term>
<term>Comportement sexuel</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Culture (sociologie)</term>
<term>Enquêtes de santé</term>
<term>Facteurs sexuels</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Groupes ethniques</term>
<term>Humains</term>
<term>Infections à VIH ()</term>
<term>Infections à VIH (transmission)</term>
<term>Islam</term>
<term>Malawi</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Partenaire sexuel</term>
<term>Population rurale</term>
<term>Préservatifs masculins (utilisation)</term>
<term>Religion</term>
<term>Situation de famille</term>
</keywords>
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<term>HIV Infections</term>
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<term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="utilisation" xml:lang="fr">
<term>Préservatifs masculins</term>
</keywords>
<keywords scheme="MESH" qualifier="utilization" xml:lang="en">
<term>Condoms</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Christianity</term>
<term>Culture</term>
<term>Ethnic Groups</term>
<term>Female</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Islam</term>
<term>Malawi</term>
<term>Male</term>
<term>Marital Status</term>
<term>Odds Ratio</term>
<term>Religion</term>
<term>Residence Characteristics</term>
<term>Rural Population</term>
<term>Sex Factors</term>
<term>Sexual Behavior</term>
<term>Sexual Partners</term>
<term>Socioeconomic Factors</term>
</keywords>
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<term>Adulte</term>
<term>Caractéristiques de l'habitat</term>
<term>Christianisme</term>
<term>Comportement sexuel</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Culture (sociologie)</term>
<term>Enquêtes de santé</term>
<term>Facteurs sexuels</term>
<term>Facteurs socioéconomiques</term>
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<term>Groupes ethniques</term>
<term>Humains</term>
<term>Infections à VIH</term>
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<term>Mâle</term>
<term>Odds ratio</term>
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<sec>
<title>Background</title>
<p>The prevalence of HIV in Malawi is one of the highest in sub-Saharan Africa, and misconceptions about its mode of transmission are considered a major contributor to the continued spread of the virus.</p>
</sec>
<sec>
<title>Methods</title>
<p>Using the 2010 Malawi Demographic and Health Survey, the current study explored factors associated with misconceptions about HIV transmission among males and females.</p>
</sec>
<sec>
<title>Results</title>
<p>We found that higher levels of ABC prevention knowledge were associated with lower likelihood of endorsing misconceptions among females and males (OR = 0.85,
<italic>p</italic>
 < 0.001; OR = 0.85,
<italic>p</italic>
 < 0.001, respectively). Compared to those in the Northern region, both females and males in the Central (OR = 0.54,
<italic>p</italic>
 < 0.001; OR = 0.53,
<italic>p</italic>
 < 0.001, respectively) and Southern regions (OR = 0.49,
<italic>p</italic>
 < 0.001; OR = 0.43,
<italic>p</italic>
 < 0.001, respectively) were less likely to endorse misconceptions about HIV transmission. Moreover, marital status and ethnicity were significant predictors of HIV transmission misconceptions among females but not among males. Also, household wealth quintiles, education, religion, and urban–rural residence were significantly associated with endorsing misconceptions about HIV transmission.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Based on our findings, we recommend that education on HIV transmission in Malawi should integrate cultural and ethnic considerations of HIV/AIDS.</p>
</sec>
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<name sortKey="Antabe, Roger" sort="Antabe, Roger" uniqKey="Antabe R" first="Roger" last="Antabe">Roger Antabe</name>
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<name sortKey="Atuoye, Kilian Nasung" sort="Atuoye, Kilian Nasung" uniqKey="Atuoye K" first="Kilian Nasung" last="Atuoye">Kilian Nasung Atuoye</name>
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<author>
<name sortKey="Hussey, Lucia Kafui" sort="Hussey, Lucia Kafui" uniqKey="Hussey L" first="Lucia Kafui" last="Hussey">Lucia Kafui Hussey</name>
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<name sortKey="Galaa, Sylvester Zackaria" sort="Galaa, Sylvester Zackaria" uniqKey="Galaa S" first="Sylvester Zackaria" last="Galaa">Sylvester Zackaria Galaa</name>
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<title xml:lang="en" level="a" type="main">Persistent misconceptions about HIV transmission among males and females in Malawi</title>
<author>
<name sortKey="Sano, Yujiro" sort="Sano, Yujiro" uniqKey="Sano Y" first="Yujiro" last="Sano">Yujiro Sano</name>
<affiliation>
<nlm:aff id="Aff1">Department of Sociology, University of Western Ontario, 1151 Richmond Street, London, ON Canada</nlm:aff>
<wicri:noCountry code="subfield">ON Canada</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Antabe, Roger" sort="Antabe, Roger" uniqKey="Antabe R" first="Roger" last="Antabe">Roger Antabe</name>
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<nlm:aff id="Aff2">Environmental Health and Hazards Lab, Department of Geography, University of Western Ontario, 1151 Richmond Street, London, ON Canada</nlm:aff>
<wicri:noCountry code="subfield">ON Canada</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Atuoye, Kilian Nasung" sort="Atuoye, Kilian Nasung" uniqKey="Atuoye K" first="Kilian Nasung" last="Atuoye">Kilian Nasung Atuoye</name>
<affiliation>
<nlm:aff id="Aff2">Environmental Health and Hazards Lab, Department of Geography, University of Western Ontario, 1151 Richmond Street, London, ON Canada</nlm:aff>
<wicri:noCountry code="subfield">ON Canada</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Hussey, Lucia Kafui" sort="Hussey, Lucia Kafui" uniqKey="Hussey L" first="Lucia Kafui" last="Hussey">Lucia Kafui Hussey</name>
<affiliation>
<nlm:aff id="Aff2">Environmental Health and Hazards Lab, Department of Geography, University of Western Ontario, 1151 Richmond Street, London, ON Canada</nlm:aff>
<wicri:noCountry code="subfield">ON Canada</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Bayne, Jason" sort="Bayne, Jason" uniqKey="Bayne J" first="Jason" last="Bayne">Jason Bayne</name>
<affiliation>
<nlm:aff id="Aff2">Environmental Health and Hazards Lab, Department of Geography, University of Western Ontario, 1151 Richmond Street, London, ON Canada</nlm:aff>
<wicri:noCountry code="subfield">ON Canada</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Galaa, Sylvester Zackaria" sort="Galaa, Sylvester Zackaria" uniqKey="Galaa S" first="Sylvester Zackaria" last="Galaa">Sylvester Zackaria Galaa</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff3">Faculty of Integrated Development Studies, University for Development Studies, Wa Campus, Wa, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Faculty of Integrated Development Studies, University for Development Studies, Wa Campus, Wa</wicri:regionArea>
<wicri:noRegion>Wa</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Mkandawire, Paul" sort="Mkandawire, Paul" uniqKey="Mkandawire P" first="Paul" last="Mkandawire">Paul Mkandawire</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff4">Institute of Interdisciplinary Studies, Human Rights Program, Carleton University, Ottawa, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Institute of Interdisciplinary Studies, Human Rights Program, Carleton University, Ottawa</wicri:regionArea>
<wicri:noRegion>Ottawa</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Luginaah, Isaac" sort="Luginaah, Isaac" uniqKey="Luginaah I" first="Isaac" last="Luginaah">Isaac Luginaah</name>
<affiliation>
<nlm:aff id="Aff5">Department of Geography, University of Western Ontario, 1151 Richmond Street, London, ON Canada</nlm:aff>
<wicri:noCountry code="subfield">ON Canada</wicri:noCountry>
</affiliation>
</author>
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<series>
<title level="j">BMC International Health and Human Rights</title>
<idno type="eISSN">1472-698X</idno>
<imprint>
<date when="2016">2016</date>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>The prevalence of HIV in Malawi is one of the highest in sub-Saharan Africa, and misconceptions about its mode of transmission are considered a major contributor to the continued spread of the virus.</p>
</sec>
<sec>
<title>Methods</title>
<p>Using the 2010 Malawi Demographic and Health Survey, the current study explored factors associated with misconceptions about HIV transmission among males and females.</p>
</sec>
<sec>
<title>Results</title>
<p>We found that higher levels of ABC prevention knowledge were associated with lower likelihood of endorsing misconceptions among females and males (OR = 0.85,
<italic>p</italic>
 < 0.001; OR = 0.85,
<italic>p</italic>
 < 0.001, respectively). Compared to those in the Northern region, both females and males in the Central (OR = 0.54,
<italic>p</italic>
 < 0.001; OR = 0.53,
<italic>p</italic>
 < 0.001, respectively) and Southern regions (OR = 0.49,
<italic>p</italic>
 < 0.001; OR = 0.43,
<italic>p</italic>
 < 0.001, respectively) were less likely to endorse misconceptions about HIV transmission. Moreover, marital status and ethnicity were significant predictors of HIV transmission misconceptions among females but not among males. Also, household wealth quintiles, education, religion, and urban–rural residence were significantly associated with endorsing misconceptions about HIV transmission.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Based on our findings, we recommend that education on HIV transmission in Malawi should integrate cultural and ethnic considerations of HIV/AIDS.</p>
</sec>
</div>
</front>
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<div type="abstract" xml:lang="en">The prevalence of HIV in Malawi is one of the highest in sub-Saharan Africa, and misconceptions about its mode of transmission are considered a major contributor to the continued spread of the virus.</div>
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