A Comparison of Comprehensive HIV/AIDS Knowledge Among Women Across Seven Post-Soviet Countries
##plugins.themes.bootstrap3.article.main##
Аннотация
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.
##plugins.themes.bootstrap3.article.details##
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.
Библиографические ссылки
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.