HIV comprehensive knowledge and prevalence among young adolescents in Nigeria: evidence from Akwa Ibom AIDS indicator survey, 2017

Badru, Titilope; Mwaisaka, Jefferson; Khamofu, Hadiza; Agbakwuru, Chinedu; Adedokun, Oluwasanmi; Pandey, Satish Raj; Essiet, Patrick; James, Ezekiel; Chen-Carrington, Annie; Mastro, Timothy D.; Aliyu, Sani H; Torpey, Kwasi

doi:10.1186/s12889-019-7890-y

Cited by 44 publications

(49 citation statements)

References 19 publications

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“…Half of the population in Uganda had comprehensive knowledge of HIV prevention [ 16 ]. Significantly low levels of comprehensive HIV knowledge (9.4%) were observed in Nigeria [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Residence and young women’s comprehensive HIV knowledge in Ethiopia

et al. 2020

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Background Human immunodeficiency virus (HIV) infection is a global health problem. The epidemic is very serious in sub-Saharan Africa with approximately 70% of the global cases. The disease particularly affects youth, accounting for half of the new HIV infections yearly. Inadequate knowledge may contribute to the high rates among youth. Hence, the main aim of this study was to examine the association between residence and comprehensive HIV knowledge among women aged 15–24 years in Ethiopia. Methods This cross-sectional study used nationally representative data from the 2016 Ethiopian demographic health survey (n = 5926). Chi-square tests and multivariable logistic regression modeling were performed. Results Approximately 23.9% of the study participants had a comprehensive HIV knowledge and 74.7% were rural residents. In the multivariable-adjusted model, we found a significant interaction between place of residence and HIV testing on comprehensive HIV knowledge (P for interaction = 0.005). In the subgroup analysis, a statistically significant associations between place of residence and comprehensive HIV knowledge was found only in women who have never been tested for HIV. In this subgroup, rural women had lower odds of having a comprehensive HIV knowledge compared to their urban counterparts (OR 0.42, 95% CI: 0.23–0.74; P = 0.003). Furthermore, in the subgroup of women who have never been tested for HIV, education and region were significantly associated with comprehensive HIV knowledge. Compared to women with no education, the odds of having a comprehensive HIV knowledge were higher in women who had primary (OR 2.86, 95% CI: 1.63–5.02; P < 0.001) and secondary or above education (OR 5.49, 95% CI: 2.92–10.32; P < 0.001), respectively. The odds of having a comprehensive HIV knowledge were lower in women from the Somali region compared to women from Addis Ababa region (OR 0.41, 95% CI: 0.18–0.90; P = 0.027). Conclusions Rural residence was negatively associated with comprehensive HIV knowledge only in women who have never been tested for HIV. These findings suggest that the development and implementation HIV education and awareness programs should target rural areas, especially where there is limited access to HIV testing.

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“…Half of the population in Uganda had comprehensive knowledge of HIV prevention [ 16 ]. Significantly low levels of comprehensive HIV knowledge (9.4%) were observed in Nigeria [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Residence and young women’s comprehensive HIV knowledge in Ethiopia

et al. 2020

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“…We found that a higher proportion of young people do not have comprehensive knowledge of HIV/AIDS. Similarly, [13] and [20] also found that comprehensive knowledge of HIV/AIDS was low among young people. We also observed a gender differential in the proportion of comprehensive knowledge on HIV/AIDS.…”

Section: Discussionmentioning

confidence: 89%

“…Apart from the main predictor variable (Comprehensive HIV and AIDs knowledge), eight control variables were considered in our study essentially due to their statistically signi cant relationship with RSB in erstwhile studies [16][17][18]. These variables were age (15)(16)(17)(18)(19)(20)(21)(22)(23)(24), wealth index (poorest, poor, middle, richer, richest), educational level (no education, primary, secondary, higher), place of residence (rural, urban), and mass media exposure (Television, Newspaper, and Radio) [not at all, less than once a week, at least once a week, almost once a week] (see Table 1).…”

Section: Control Variablesmentioning

confidence: 99%

Does Having Comprehensive HIV and AIDS Knowledge Affect the Risky Sexual Behaviour of Young People in Sub – Saharan Africa: Pooled Analysis of Demographic and Health Surveys

Dickson

Seidu

Adde

et al. 2021

Preprint

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Background: Risky sexual behaviours (RSB) include all those behaviours such as multiple sexual unions, inconsistent use of condoms, or having sex under the influence of stimulants which have a greater propensity to exacerbate an individual’s vulnerability to unintended pregnancies and sexually transmitted infections including HIV/AIDS. This study explores the relationship between comprehensive knowledge on HIV and RSB among young people in sub-Saharan Africa (SSA).Methods: Data for this study were obtained from the current Demographic and Health Surveys (DHS) conducted between 2010 and 2018 in 28 SSA countries. These countries were chosen because they had complete information on the variables of interest for both males and females. Both descriptive and inferential analyses were conducted.Results: It was found that 54.4% of young women and 40.0% of young men engaged in RSB. This ranged from 16.1% in Lesotho to 91.6% in Sierra Leone among young women and 17.1% in Namibia to 80.5% in Sierra Leone among young men. We also found that young men [AOR=0.78, CI=0.73–0.84] and women [AOR=0.92, CI=0.87–0.98] who had comprehensive HIV and AIDS knowledge had lower odds of engaging in RSB compared to those who did not have comprehensive HIV and AIDS knowledge.Conclusion: The study showed a low level of comprehensive knowledge on HIV/AIDS in SSA and a gap in the proportion of young males and females regarding comprehensive knowledge on HIV/AIDS. Risky sexual behaviour varied by sex. This reflected in a higher proportion of young females (54.5%) indulging in RSB as compared to young males (40.0%). Our findings also revealed that comprehensive knowledge of HIV/AIDS influences risky sexual behaviour of young people. Age, level of education, place of residence, wealth status, exposure to radio, television, and newspaper or magazine have a significant relationship with RSB. These findings infer the need for targeted messages and interventions for the various categories of young people in SSA with relevant information on comprehensive knowledge of HIV/AIDS.

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“…Not enough scholarly attention has been given to the correlation between adequate knowledge of HIV transmission and the lower probability of pregnancy and childbirth among adolescents. Interestingly, the same preventive protocols for avoiding pregnancy are the main elements of HIV prevention education: abstinence from sex or use of a condom during sexual intercourse ( Lemessa et al., 2013 ; Gemechu et al., 2015 ; Badru et al., 2020 ). Given that Ghana, through financial and program assistance from government and multinational and local organizations, has invested heavily in HIV education and intervention programs ( Agyemang et al., 2012 ; Asante and Oti-Boadi, 2013 ; Kunu et al., 2014 ) , we hypothesised that Ghanaian adolescent girls who are adequately aware of how HIV is transmitted may have a lower likelihood of becoming pregnant before their 18 th birthday.…”

Section: Introductionmentioning

confidence: 99%

The relationship between accurate knowledge on HIV/AIDS transmission and adolescent pregnancy in Ghana: A further analyses of the 2017 multiple cluster indicator survey

Adomako

Frimpong‐Manso

Munemo

et al. 2021

Heliyon

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Background: The literature posits that HIV knowledge is associated with precautious sexual behaviour and practice. We hypothesised and investigated the association between knowledge of HIV transmission and adolescent pregnancy in Ghana, given that the relationship between HIV knowledge and adolescent pregnancy has not been extensively studied. Methods: We did analyses on 5836 cases (weighted as 5121) of 15-24 years old reproductive age women in the female dataset of the 2017 Multiple Cluster Indicator Survey. Adolescent pregnancy was operationalized as reproductive age women between 15-24 years who became pregnant before the age of 18 years. Accurate HIV knowledge was measured by computing the scores of correct responses on six questions exploring women's knowledge about HIV transmission. We accounted for sample design and weight before performing a Chi-square test of independence and Poisson regression. Results: The results indicate that having lower scores on the HIV transmission knowledge scale was correlated with a higher probability of girls becoming pregnant before their 18 th birthday. After controlling for the moderating effect of socio-demographic characteristics of the participants, we found that accurate HIV transmission knowledge loses its statistical significance in determining adolescent pregnancy. The factors that remain significant in the adjusted model were formal education status, household wealth, and region of residence. HIV transmission knowledge was statistically significantly related to adolescent pregnancy in the model after the education level variable was omitted. This observation was due to the significant effect of school education on other variables in the model. This result demonstrates that HIV knowledge has a major impact on adolescent pregnancy, but this effect is predicated by formal education attainment of the adolescent girl. Conclusions: Given the results, adolescent pregnancy issues can be resolved by the government and other development partners by adequately educating adolescents about HIV transmissions. Also, because they have the potential to reduce pregnancy among adolescents in Ghana, we recommend that programs and initiatives should address existing disparities in formal educational attainment and household wealth.

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HIV comprehensive knowledge and prevalence among young adolescents in Nigeria: evidence from Akwa Ibom AIDS indicator survey, 2017

Cited by 44 publications

References 19 publications

Residence and young women’s comprehensive HIV knowledge in Ethiopia

Residence and young women’s comprehensive HIV knowledge in Ethiopia

Does Having Comprehensive HIV and AIDS Knowledge Affect the Risky Sexual Behaviour of Young People in Sub – Saharan Africa: Pooled Analysis of Demographic and Health Surveys

The relationship between accurate knowledge on HIV/AIDS transmission and adolescent pregnancy in Ghana: A further analyses of the 2017 multiple cluster indicator survey

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