Association between mass media exposure and endorsement of HIV-infected female teachers' teaching: insight from 2014 Ghana Demographic and Health Survey

Appiah, Francis; Fenteng, Justice Ofosu Darko; Darteh, Andrews Ohene; Dare, Felix; Saah, Joel Afram; Takyi, Matthew; Ayerakwah, Patience Ansomah; Boakye, Kingsley; Ameyaw, Edward Kwabena

doi:10.1186/s12905-022-01705-1

Cited by 8 publications

(9 citation statements)

References 31 publications

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“…Sexually active women who were not exposed to mass media had higher odds of indulging in risk factors for HIV compared to those exposed to mass media. The study ndings are consistent with a study in Ghana which reported a reduction in risky sexual behaviour among people who had a TV or radio in their homes [43]. This may be because the HIV/AIDS organizations and the Ministry of Health, Rwanda disseminate HIV information via newspapers, radio, and TV [19].…”

Section: Discussionsupporting

confidence: 89%

“…This may be because the HIV/AIDS organizations and the Ministry of Health, Rwanda disseminate HIV information via newspapers, radio, and TV [19]. Therefore, media should be explored further with more innovative strategies to continue providing adequate knowledge about HIV prevention and control which enables adopting appropriate attitudes and practices to an even wider audience [19,43].…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of risk factors for human immunodeficiency virus among sexually active women in Rwanda: a nationwide survey

Nuwabaine

Kawuki

Namulema

et al. 2023

Preprint

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Background The Human Immunodeficiency Virus (HIV) remains a global health burden and despite the advancements in antiretroviral therapy and various strategies employed to curb HIV infections, the incidence of HIV remains disproportionately high among women. Therefore, this study aimed to determine the prevalence of the risk factors for acquisition of HIV among sexually active women in Rwanda. Methods Secondary data from the 2020 Rwanda Demographic Health Survey comprising 10,684 sexually active women was used. Multistage stratified sampling was employed to select the study participants. Multivariable logistic regression was conducted to determine the associated risk factors, using the SPSS (version 25). Results Of the 10,684 sexually active women, 28.7% (95% Confidence Interval (CI): 27.5–29.4) had at least one risk factor for HIV acquisition. Having no education (AOR = 3.65, 95%CI: 2.16–6.16), being unmarried (AOR = 4.50, 95%CI: 2.47–8.21), being from female-headed households (AOR = 1.75, 95%CI: 1.42–2.15), Protestant (AOR = 1.28, 95%CI: 1.09–1.50) and other religions (AOR = 1.99, 95%CI: 1.41–2.80), not having health insurance (AOR = 1.34, 95%CI: 1.09–1.65), no HIV test history (AOR = 1.44, 95%CI: 1.01–2.08), being from the poorest wealth quintile (AOR = 1.61, 95%CI: 1.14–2.27) and lack of exposure to mass media (AOR = 1.30, 95%CI: 1.07–1.58) were associated with higher odds of risk factors for HIV acquisition. In contrast, age groups of 25–34 (AOR = 0.56, 95%CI: 0.44–0.71) and 35–44 (AOR = 0.62, 95%CI: 0.48–0.80) years, rural residence (AOR = 0.63, 95%CI: 0.49–0.81) and being from western region (AOR = 0.67, 95%CI: 0.48–0.94) were associated with less odds of risk factors for HIV acquisition. Conclusion More than a quarter of sexually active women in Rwanda had exposure to at least one risk factor for HIV acquisition. There is a need to maximize the use of mass media in disseminating HIV prevention and behavioral change messages. Engagement of religious leaders and promotion of HIV testing, especially among the never-testers would also be vital strategies in successful HIV prevention programs.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Prevalence of risk factors for human immunodeficiency virus among sexually active women in Rwanda: a nationwide survey

Nuwabaine

Kawuki

Namulema

et al. 2023

Preprint

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“…Prior research, conducted by Nketiah-Amponsah et al (2018) and Appiah et al (2022), has shed light on the individual impacts of education and wealth on HIV-related knowledge and attitudes among women in Ghana [ 18 , 19 ]. Research has indicated a correlation between increased levels of education and greater wealth with enhanced knowledge about HIV and more favorable attitudes towards the virus [ 18 , 19 ]. Nevertheless, an area that has received limited attention is the possible interaction between educational attainment and wealth in influencing the HIV outcomes of women in Ghana [ 7 , 18 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, wealth refers to the ability to obtain and utilize various assets and opportunities. There is a positive correlation between a woman’s level of wealth and her ability to access healthcare services, such as HIV testing, counseling, and treatment [ 18 , 19 ]. The attainment of economic stability can equip individuals with the resources to access reliable information from diverse sources, including educational programs, community initiatives, and healthcare professionals [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

A multiplicative effect of Education and Wealth associated with HIV-related knowledge and attitudes among Ghanaian women

et al. 2023

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Background Knowledge and attitudes regarding HIV play a crucial role in prevention and control efforts. Understanding the factors influencing HIV-related knowledge and attitudes is essential for formulating effective interventions and policies. This study aims to investigate the possibility of an interaction between education and wealth in influencing HIV-related knowledge and attitudes among women in Ghana. Methods Cross-sectional data from the Ghana Multiple Indicator Cluster Survey (MICS), a nationally representative sample, were analyzed. Statistical summaries were computed using place of residence, marital status, education level, wealth index quintile, use of insurance, functional difficulties, and exposure to modern media. Furthermore, a three-model Logistic regression analysis was conducted; Model 1 with main effects only, Model 2 with the interaction between education and wealth, and Model 3 with additional covariates. To account for the complexity of the survey data, the svyset command was executed in STATA. Results Although most interaction terms between wealth index quintiles and education levels did not show statistical significance, a few exceptions were observed. Notably, women with primary education in the second, middle, and fourth wealth quintiles, along with those with secondary education in the second wealth quintile, exhibited a negative significant association with HIV-related attitude level. However, no significant associations were found between other factors, including age, place of residence, marital status, and health insurance, and HIV-related attitude. The study also found significant associations between socioeconomic variables and HIV-related knowledge. There was a significant positive association between higher levels of education and HIV-related knowledge level. Women in wealthier quintiles had a significant positive association with HIV-related knowledge level. Factors such as place of residence and media exposure, including radio and television were also observed to be associated with HIV-related knowledge level. Conclusions This study highlights the importance of socioeconomic status and media exposure in shaping HIV-related knowledge and attitudes among women in Ghana. Policy interventions should focus on reducing socioeconomic disparities, ensuring equitable access to education and healthcare services, and utilizing media platforms for effective HIV information dissemination.

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“…Based on the total fertility rate of Ghana, which is 4.2 children per woman, 30 parity was recoded as ‘one birth’, ‘two births’, ‘three births’ and ‘four or more births’. Following 32 computation of access to mass media from 3 cardinal variables (ie, frequency of reading newspapers/magazines; frequency of listening to the radio; and frequency of watching television), we categorised mass media into ‘yes’ and ‘no’. Women’s household decision-making autonomy recoded as ‘not autonomous’ and ‘autonomous’; sex of the household head recoded as ‘male’, and ‘female’; partner’s education recoded as ‘no formal education’, and ‘formal education’; and zone of residence recoded as ‘coastal zone’, ‘middle zone’ and ‘savanna zone’.…”

Section: Methodsmentioning

confidence: 99%

Determinants of Open Defecation Among Rural Women in Ghana: Analysis of Demographic and Health Surveys

Appiah-Effah,

Boakye,

Salihu

et al. 2024

Environ�Health�Insights

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Open defecation continuously remains a major global sanitation challenge, contributing to an estimated 1.6 million deaths per year. Ghana ranks second in Africa for open defecation and had the fourth-lowest sanitation coverage in 2010. Evidence indicates that about 32% of the rural Ghanaian population still practice open defecation due to lack of access to basic sanitation facilities, drifting the country from achieving universal access to sanitation by 2030. Women, particularly those in rural areas, are disproportionately affected by open defecation, facing heightened health risks, harassment, and a loss of dignity. Even though previous studies on open defecation in Ghana exist, they lack national representation and neglect women in rural residents who are disproportionally affected by the repercussions of open defecation. Examining that rural women will contribute to heightening their own vulnerability to health risks by practising open defecation is essential to bridging the literature gap on open defecation practices among rural women. The study investigated determinants of open defecation among rural women in Ghana using data from the female files of the 2003, 2008 and 2014 Demographic and Health Surveys (DHS). A total of 4,284 rural women with complete information on variables of interest were included in the study. The outcome variable was ‘open defecation’, whilst 14 key explanatory variables (e.g., age, education, wealth status, among others) were used. Two logistic regression models were built, and the outputs were reported in odds ratio. Descriptively, 42 in every 100 women aged 15 to 49 practiced open defecation (n = 1811, 95% CI = 49-52). Open defecation (OD) significantly correlated with educational attainment, wealth status, religion, access to mass media, partner’s education, and zone of residence. The likelihood of practicing open defecation reduced among those with formal education [aOR = 0.69, CI = 0.56-0.85], those whose partners had formal education [aOR = 0.64, CI = 0.52-0.80], women in the rich wealth quintile [aOR = 0.12, CI = 0.07-0.20], the traditionalist [aOR = 0.33, CI = 0.19-0.57], and those who had access to mass media [aOR = 0.70, CI = 0.57-0.85]. Residents in the Savannah zone had higher odds of openly defecating [aOR = 21.06, CI = 15.97-27.77]. The prevalence of open defecation is disproportionately pro-poor, which indicates that impoverished rural women are more likely to perform it. Public health initiatives should aim to close the rich-poor divide in OD practice among rural women.

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Association between mass media exposure and endorsement of HIV-infected female teachers' teaching: insight from 2014 Ghana Demographic and Health Survey

Cited by 8 publications

References 31 publications

Prevalence of risk factors for human immunodeficiency virus among sexually active women in Rwanda: a nationwide survey

Prevalence of risk factors for human immunodeficiency virus among sexually active women in Rwanda: a nationwide survey

A multiplicative effect of Education and Wealth associated with HIV-related knowledge and attitudes among Ghanaian women

Determinants of Open Defecation Among Rural Women in Ghana: Analysis of Demographic and Health Surveys

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