Assessing effects of a media campaign on HIV/AIDS awareness and prevention in Nigeria: results from the VISION Project.

Assessing effects of a media campaign on HIV/AIDS awareness and prevention in Nigeria: results from the VISION Project.
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DOI:
10.1186/1471-2458-6-123
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发表时间:
2006-05-03
期刊:
影响因子:
4.5
通讯作者:
Adewuyi, Alfred
Adewuyi, Alfred
中科院分区:
医学2区
文献类型:
--
作者:
Keating, Joseph;Meekers, Dominique;Adewuyi, Alfred

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为了应对尼日利亚日益严重的艾滋病毒流行,美国国际开发署(USAID)发起了VISION项目,旨在增加对计划生育、儿童生存和艾滋病毒/艾滋病服务的使用。VISION项目使用了大众媒体宣传活动,重点是生殖健康和艾滋病毒/艾滋病预防。本文评估了计划暴露在多大程度上转化为提高对艾滋病毒/艾滋病的认识和预防。这一分析基于2002年和2004年尼日利亚(包奇、埃努古和奥约)计划生育和生殖健康调查的数据,这些调查是在VISION项目区的成年人中进行的。为了纠正内生性,采用两阶段Logistic回归分析了程序暴露对1)与伴侣讨论HIV/AIDS的影响,2)持续使用避孕套降低HIV风险的认识,以及3)最后一次性行为时使用避孕套的影响。接触VISION大众媒体宣传活动的比例很高:59%、47%和24%分别接触过至少1个关于生殖健康的VISION电台、印刷广告或电视节目。2002年基线数据和2004年随访数据之间的结果变量差异很小。然而,那些高暴露于计划的人与伴侣讨论艾滋病毒/艾滋病的可能性几乎是那些没有暴露于计划的人的1.5倍(优势比[O.R.]=1.47,95%可信区间[C.I.]1.01-2.16)。在知道使用避孕套可以降低HIV感染风险的情况下,程序暴露程度高的人比暴露程度低的人有两倍以上的几率(O.R.=2.20,C.I.1.49-3.25)。节目暴露对最后一次性行为时避孕套的使用没有影响。VISION项目覆盖了很大一部分人口,接触有关生殖健康和艾滋病毒预防主题的大众媒体节目有助于提高对艾滋病毒/艾滋病的认识。需要针对农村人口、女性和未婚个人的方案,并传播在哪里可以获得避孕套的信息,以减少避孕套的使用障碍。艾滋病毒/艾滋病预防行为的改进可能需要继续、扩大这些方案努力,与其他干预措施一起进行,并以具有特定社会人口特征的个人为目标。
In response to the growing HIV epidemic in Nigeria, the U.S. Agency for International Development (USAID) initiated the VISION Project, which aimed to increase use of family planning, child survival, and HIV/AIDS services. The VISION Project used a mass-media campaign that focused on reproductive health and HIV/AIDS prevention. This paper assesses to what extent program exposure translates into increased awareness and prevention of HIV/AIDS. This analysis is based on data from the 2002 and 2004 Nigeria (Bauchi, Enugu, and Oyo) Family Planning and Reproductive Health Surveys, which were conducted among adults living in the VISION Project areas. To correct for endogeneity, two-stage logistic regression is used to investigate the effect of program exposure on 1) discussion of HIV/AIDS with a partner, 2) awareness that consistent condom use reduces HIV risk, and 3) condom use at last intercourse. Exposure to the VISION mass media campaign was high: 59%, 47%, and 24% were exposed to at least 1 VISION radio, printed advertisement, or TV program about reproductive health, respectively. The differences in outcome variables between 2002 baseline data and the 2004 follow-up data were small. However, those with high program exposure were almost one and a half (Odds Ratio [O.R.] = 1.47, 95% Confidence Interval [C.I.] 1.01–2.16) times more likely than those with no exposure to have discussed HIV/AIDS with a partner. Those with high program exposure were over twice (O.R. = 2.20, C.I. 1.49–3.25) as likely as those with low exposure to know that condom use can reduce risk of HIV infection. Program exposure had no effect on condom use at last sex. The VISION Project reached a large portion of the population and exposure to mass media programs about reproductive health and HIV prevention topics can help increase HIV/AIDS awareness. Programs that target rural populations, females, and unmarried individuals, and disseminate information on where to obtain condoms, are needed to reduce barriers to condom use. Improvements in HIV/AIDS prevention behaviour are likely to require that these programmatic efforts be continued, scaled up, done in conjunction with other interventions, and targeted towards individuals with specific socio-demographic characteristics.
DOI: 10.1007/bf00237355
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发表时间: 1993-02-01
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