A Comparison of Comprehensive HIV/AIDS Knowledge Among Women Across Seven Post-Soviet Countries

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Published: Jan 30, 2018
DOI: https://doi.org/10.5195/cajgh.2018.295
Keywords:
HIV infection comprehensive HIV/AIDS knowledge women heterosexual transmission post-Soviet countries

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Hakim Zainiddinov
Rutgers University, United States
Nazim Habibov
University of Windsor, Canada

Abstract

Introduction: Post-Soviet countries of Eastern Europe and Central Asia have witnessed a recent growth of HIV infection through heterosexual transmission. Women’s low levels of knowledge about HIV prevention and transmission methods have been found to account for the higher female-to-male ratio among cases infected through the heterosexual route. This cross national comparison study assessed comprehensive HIV/AIDS knowledge and its key determinants among women of seven post-Soviet countries and identified which countries face the highest levels of risk due to the low levels of HIV/AIDS awareness.

Methods: Study data were obtained from the third wave of the Multiple Indicator Cluster Surveys (MICS3) (conducted in 2005 and 2006), nationally representative samples of women aged 15-49 years. Data on HIV/AIDS knowledge were analyzed for women in Kazakhstan (N=14,310), Kyrgyzstan (N=6,493), Tajikistan (N=4,676), Uzbekistan (N=13,376), Belarus (N=5,884), Ukraine (N=6,066), and Georgia (N=7,727) using descriptive statistics and ordinary least squares (OLS) regressions.

Results: We found that the percentage of women who could correctly identify all five modes of HIV/AIDS transmission and prevention was highest in Eastern European countries of Belarus (34.98%) and Ukraine (31.67%). Across all countries, the strongest predictors of comprehensive HIV/AIDS knowledge were age, education, and region of residence. Marital status, area of residence (urban vs. rural), and household wealth were significant predictors for several countries.

Conclusion: High rates of comprehensive HIV/AIDS knowledge were found among women of Belarus and Ukraine. To reduce the spread of HIV in the region, programs promoting comprehensive HIV/AIDS knowledge for women of younger ages and with lower education are recommended.

Article Details

How to Cite
Zainiddinov, H., & Habibov, N. (2018). A Comparison of Comprehensive HIV/AIDS Knowledge Among Women Across Seven Post-Soviet Countries. Central Asian Journal of Global Health, 7(1). https://doi.org/10.5195/cajgh.2018.295
Issue
Vol. 7 No. 1 (2018)
Section
Research

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References

UNAIDS. World AIDS Day Report 2012. Geneva: UNAIDS; 2012.

http://www.unaids.org/sites/default/files/media_asset/JC2434_WorldAIDSday_results_en_1.pdf (Accessed 8 January 2018)

DeHovitz J, Uusküla A, El-Bassel N. The HIV epidemic in Eastern Europe and Central Asia. Current HIVAIDS Reports. 2014;11:168–176.

ECDC/WHO (European Centre for Disease Prevention and Control/WHO Regional Office for Europe). HIV/AIDS surveillance in Europe 2012. Stockholm: European Centre for Disease Prevention and Control; 2013. http://www.euro.who.int/__data/assets/pdf_file/0018/235440/e96953.pdf (Accessed 8 January 2018)

World Bank. Reversing the Tide: Priorities for HIV/AIDS Prevention in Central Asia, World Bank Working Paper No. 54. Washington, D.C.: The World Bank; 2005. https://openknowledge.worldbank.org/handle/10986/7354 (Accessed 8 January 2018)

Roberts B, Karanikolos M, Rechel B. Health trends. Pp. 9-28 in Trends in Health Systems in the Former Soviet Countries, eds. Bernd Rechel, Erica Richardson, Martin McKee. European Observatory on Health Systems and Policies, Copenhagen, Denmark: WHO Regional Office for Europe; 2014.

Siziya S, Muula AS, Rudatsikira E. HIV and AIDS related knowledge among women in Iraq. BMC Research Notes. 2008;1:123.

Kejela G, Oljira L, Dessie Y, et al. Comprehensive HIV/AIDS knowledge level among out-of-school youths in Wayu Tuka district, Western Ethiopia. European Journal of Preventive Medicine. 2015;3(1):11-16.

Ochako R., Ulwodi D, Njagi P, et al. Trends and determinants of comprehensive HIV and AIDS knowledge among urban young women in Kenya. AIDS Research and Therapy. 2011; 8,11.

El-Bassel N, Gilbert L, Terlikbayeva A, et al. HIV among injection drug users and their intimate partners in Almaty, Kazakhstan. AIDS and Behavior. 2013;17(7):2490-2500.

Petersen P, Myers B., van Hout M, et al. Availability of HIV prevention and treatment services for people who inject drugs: findings from 21 countries. Harm Reduction Journal. 2011:10,13.

Spicer N, Bogdan D, Brugha R, et al. 'It's risky to walk in the city with syringes': understanding access to HIV/AIDS services for injecting drug users in the former Soviet Union countries of Ukraine and Kyrgyzstan. Globalization & Health. 2011;7,22.

Stachowiak JA, Tishkova FK, Strathdee SA, et al. Marked ethnic differences in HIV prevalence and risk behaviors among injection drug users in Dushanbe, Tajikistan. Drug & Alcohol Dependence. 2004;82:S7–S14.

UNICEF. Innocenti Social Monitor 2009. Child well-being at a crossroads: evolving challenges in Central and Eastern Europe and the Commonwealth of Independent States. Florence, Italy: UNICEF; 2009. https://www.unicef.org/romania/ism_2009.pdf (Accessed 8 January 2018)

NSC (National Statistical Committee of the Kyrgyz Republic). Kyrgyzstan Multiple Indicator Cluster Survey 2006, Final Report. Bishkek, Kyrgyzstan: National Statistical Committee of the Kyrgyz Republic; 2007. https://mics-surveys-prod.s3.amazonaws.com/MICS3/Europe and Central Asia/Kyrgyzstan/2005-2006/Final/Kyrgyzstan 2005-06 MICS_English.pdf (Accessed 8 January 2018)

SCS (State Committee on Statistics of the Republic of Tajikistan). Tajikistan Multiple Indicator Cluster Survey 2005, Final Report. Dushanbe, Tajikistan: State Committee on Statistics of the Republic of Tajikistan; 2007. www.stat.tj/en/img/e1aef37486b7a4528ba06bfcb918347f_1280833057.pdf (Accessed 8 January 2018)

United Nations Children’s Fund (UNICEF), Agency of the Republic of Kazakhstan on Statistics. Kazakhstan Multiple Indicator Cluster Survey 2006, Final Report. Astana, Kazakhstan: UNICEF, Agency of the Republic of Kazakhstan on Statistics; 2007. https://mics-surveys-prod.s3.amazonaws.com/MICS3/Europe and Central Asia/Kazakhstan/2006/Final/Kazakhstan 2006 MICS_English.pdf (Accessed 8 January 2018)

UNICEF and State Statistical Committee of the Republic of Uzbekistan. Uzbekistan Multiple Indicator Cluster Survey 2006, Final Report. Tashkent, Uzbekistan: UNICEF; 2007. https://www.unicef.org/eca/MICS3_Uzbekistan_FinalReport_2006_en.pdf (Accessed 8 January 2018)

SDS (State Department of Statistics of Georgia). Georgia Multiple Indicator Cluster Survey 2005. Tbilisi, Georgia: State Department of Statistics of Georgia; 2008. https://mics-surveys-prod.s3.amazonaws.com/MICS3/Europe and Central Asia/Georgia/2005/Final/Georgia 2005 MICS_English.pdf (Accessed 8 January 2018)

MSA (Ministry of Statistics and Analysis of the Republic of Belarus and Research Institute of Statistics of the Ministry of Statistics and Analysis of the Republic of Belarus). Belarus Multiple Indicator Cluster Survey 2005, Final Report. Minsk, Republic of Belarus: Ministry of Statistics and Analysis of the Republic of Belarus and Research Institute of Statistics of the Ministry of Statistics and Analysis of the Republic of Belarus; 2007. https://mics-surveys-prod.s3.amazonaws.com/MICS3/Europe and Central Asia/Belarus/2005/Final/Belarus 2005 MICS_English.pdf (Accessed 8 January 2018)

UNICEF. Multiple Indicator Cluster Surveys (MICS). http://mics.unicef.org/surveys (Accessed 8 January 2018)

Letamo G. Misconceptions about HIV prevention and transmission in Botswana. African Journal of AIDS Research. 2007;6(2):193-198.

Tenkorang EY. Myths and misconceptions about HIV transmission in Ghana: what are the drivers? Culture, Health & Sexuality. 2013;15(3):296-310.

Peruga A, Celentano DD. Correlates of AIDS knowledge in samples of the general population. Social Science & Medicine. 1993;36(4):509-524.

UNAIDS. 2006 Report on the Global AIDS Epidemic. Geneva: UNAIDS; 2006. data.unaids.org/pub/report/2006/2006_gr_en.pdf (Accessed 8 January 2018)

Golobof A, Weine S, Bahromov M, Luo J. The roles of labor migrants’ wives in HIV/AIDS risk and prevention in Tajikistan. AIDS Care. 2011;23(1):91-97.

Zabrocki C, Weine S, Chen S, et al. Socio-structural barriers, protective factors, and HIV risk among Central-Asian female migrants in Moscow. Cent Asian J Glob Health. 2013;2, 1.