Individual‐, household‐, and community‐level factors associated with pregnant married women's discriminatory attitude towards people living with <scp>HIV</scp> in <scp>sub‐Saharan</scp> Africa: A multicountry cross‐sectional study

Zegeye, Betregiorgis; Adjei, Nicholas Kofi; Ameyaw, Edward Kwabena; Budu, Eugene; Seidu, Abdul‐Aziz; Yaya, Sanni

doi:10.1002/hsr2.430

Cited by 2 publications

(1 citation statement)

References 41 publications

(148 reference statements)

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“…Textbooks, healthcare facilities, and awareness-building programs can effectively contribute to the generation of knowledge and the shaping of attitudes regarding HIV/AIDS. Although safe sexual and reproductive health-related topics are now part of the secondary education curriculum in Bangladesh, they are not consistently and effectively discussed in the classroom [74][75][76]. Moreover, women who drop out of primary education miss out on formal channels for acquiring knowledge about HIV/AIDS and developing appropriate attitudes.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive knowledge and positive attitudes regarding HIV/AIDS among reproductive-aged women in Bangladesh and their associated factors: a cross-sectional study using the Multiple Indicator Cluster Survey 2019

Billah,

Yusof,

Khan

et al. 2024

Preprint

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Background: HIV/AIDS remains a global health concern and understanding the knowledge and attitudes of at-risk populations is crucial for effective prevention and management. This study examines the knowledge and attitudes related to HIV/AIDS among reproductive-aged women in Bangladesh and explores associated factors. Methods: The study analyzed data from a total of 39,066 reproductive women, obtained from the nationally representative 2019 Multiple Indicator Cluster Survey. The outcome variables assessed were the level of HIV/AIDS-related knowledge (high vs low) and attitudes regarding HIV/AIDS (good vs poor). These variables were derived by calculating the median values of scores obtained from nine and six questions in the survey that assessed knowledge and attitudes toward HIV/AIDS, respectively. The explanatory variables included sociodemographic factors and variables related to media exposure. A multivariate logistic regression model was employed to investigate the associations between the outcome and explanatory variables. Results: Over half of the total respondents (51.6%) reported a lower level of knowledge, and a significant majority (54.2%) exhibited poor attitudes regarding HIV/AIDS, with notable variations observed across districts. Women in comparatively higher age groups, those with higher levels of education, hailing from more affluent families, residing in urban areas, and having exposure to newspapers, the internet, computers, and mobile phones displayed higher levels of knowledge regarding HIV/AIDS. Conversely, women with higher education levels, residing in rural areas, and having exposure to mobile phones and the internet exhibited good attitudes regarding HIV/AIDS. Unmarried respondents reported lower likelihoods of good attitude towards HIV/AIDS. Conclusion: The findings underscores the urgent need for policies and programs designed to improve HIV/AIDS-related knowledge and attitudes, with a focus on district-level requirements. Effective strategies may include mass media campaigns and the incorporation of HIV/AIDS-related topics into the national curriculum.

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Section: Discussionmentioning

confidence: 99%

Comprehensive knowledge and positive attitudes regarding HIV/AIDS among reproductive-aged women in Bangladesh and their associated factors: a cross-sectional study using the Multiple Indicator Cluster Survey 2019

Billah,

Yusof,

Khan

et al. 2024

Preprint

View full text Add to dashboard Cite

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Women’s decision-making capacity and its association with comprehensive knowledge of HIV/AIDS in 23 sub-Saharan African countries

Zegeye¹,

Anyiam

Ameyaw

et al. 2022

Arch Public Health

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Background Globally, Human Immunodeficiency Virus (HIV) that causes Acquired Immunodeficiency Syndrome (AIDS) remains a public health problem with a higher burden in sub-Saharan African countries. Though the coverage is low in sub-Saharan Africa (SSA), comprehensive knowledge about HIV is vital for preventing and controlling the transmission of the virus. Women’s decision-making power is significantly linked with the knowledge and use of healthcare services. However, there is no available evidence on women’s decision-making capacity and comprehensive knowledge of HIV. Therefore, this study investigated the association between women’s decision-making capacity within households and comprehensive knowledge of HIV/AIDS in SSA. Methods We derived data from the 2010 to 2020 Demographic and Health Surveys of 23 sub-Saharan African countries for the analysis. Using Stata version 14, both bivariate logistic regression and multivariate multilevel logistic regression analyses were used to examine the association between women’s decision-making capacity and comprehensive knowledge of HIV/AIDS at p ≤ 0.05. Results were reported using adjusted odds ratios (aOR) with their respective 95% confidence interval (CI). Results The pooled results show that comprehensive HIV/AIDS knowledge among married women in the studied countries was 35.5%, from 18.3% in Chad to 77.1% in Rwanda. Regarding sub-regional distribution, comprehensive knowledge of HIV/AIDS in Southern Africa was 73.2%, followed by East Africa (52.4%), West Africa (43.6%), and Central Africa (35.5%). The study showed higher odds of comprehensive knowledge of HIV/AIDS among married women who had decision making power (yes-aOR = 1.20, 95% CI; 1.16–1.25) compared to those who had no decision-making power. Age, women and partner’s level of education, place of residence, exposure to media, HIV testing status, community socio-economic status, parity, religion, and distance to health facilities also had significant association with comprehensive HIV/AIDS knowledge. Conclusions Comprehensive knowledge of HIV/AIDS in SSA is low but varies per country. Married women with decision-making capacity were more likely to have comprehensive knowledge of HIV compared to those with no decision-making capacity. Therefore, comprehensive knowledge of HIV/AIDS can be increased through enhancing women’s decision-making capacities, strengthening employment opportunities, socioeconomic capacities and creating awareness through media. Moreover, improving access to health care facilities working closely with religious leaders, can be considered to increase coverage of comprehensive knowledge of HIV among married women in SSA.

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Individual‐, household‐, and community‐level factors associated with pregnant married women's discriminatory attitude towards people living with HIV in sub‐Saharan Africa: A multicountry cross‐sectional study

Cited by 2 publications

References 41 publications

Comprehensive knowledge and positive attitudes regarding HIV/AIDS among reproductive-aged women in Bangladesh and their associated factors: a cross-sectional study using the Multiple Indicator Cluster Survey 2019

Comprehensive knowledge and positive attitudes regarding HIV/AIDS among reproductive-aged women in Bangladesh and their associated factors: a cross-sectional study using the Multiple Indicator Cluster Survey 2019

Women’s decision-making capacity and its association with comprehensive knowledge of HIV/AIDS in 23 sub-Saharan African countries

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