Multi-media campaign exposure effects on knowledge and use of condoms for STI and HIV/AIDS prevention in Uganda
Multi-media campaign exposure effects on knowledge and use of condoms for STI and HIV/AIDS prevention in Uganda
复制标题
DOI：
10.1016/j.evalprogplan.2004.07.003
复制
发表时间：
2004-11-01
影响因子：
1.6
通讯作者：
Gupta, N
中科院分区：
文献类型：
--
作者：
Bessinger, R;Katende, C;Gupta, N
这项研究考察了行为改变宣传运动对乌干达目标地区预防艾滋病毒/艾滋病和其他性传播感染的安全套知识和使用的影响。数据来自1997年和1999年改善保健服务的提供情况评价调查，这些调查从改善保健服务项目所服务地区的育龄妇女和男子的代表性样本中收集信息。在控制个体背景特征的情况下，使用逻辑回归来评估BCC暴露与安全套知识和使用之间的关系。结果表明，BCC暴露与更高的避孕套知识密切相关：报告接触大众媒体信息的女性和男性知道避孕套是避免艾滋病毒/艾滋病的一种手段的可能性至少是没有接触者的两倍。观察到一种剂量反应效应，表明使用多种媒体渠道的宣传运动在提高性健康知识方面可能最有效。同时，对避孕套使用的影响也存在性别差异，在灌输安全性行为方面，信息的渠道和内容似乎更为重要。虽然有一些证据表明自我报告存在偏见，但对宣传活动间接影响的探索性分析表明，随着社区一级总体意识的提高，影响可能会加剧，最终导致个人行为的改变。(C) 2004 Elsevier Ltd.版权所有。
This study examined the influences of behavior change communication (BCC) campaigns on knowledge and use of condoms for prevention of HIV/AIDS and other sexually transmitted infections in target areas of Uganda. Data were drawn from the 1997 and 1999 Delivery of Improved Services for Health (DISH) evaluation surveys, which collected information from representative samples of women and men of reproductive age in the districts served by the DISH project. Logistic regressions were used to assess the associations between BCC exposure and condom knowledge and use, controlling for individuals' background characteristics. Results indicated that BCC exposure was strongly associated with higher condom knowledge: women and men who reported being exposed to messages in the mass media were at least twice as likely as those with no exposure to know of condoms as a mean to avoid HIV/AIDS. A dose-response effect was observed, suggesting that campaigns using multiple media channels may be most effective in improving sexual health knowledge. At the same time, certain gender differences of the influences on condom use were found, with the channel and content of messages seemingly more important in terms of instilling safer sex practices. While there was some evidence of bias of self-report, exploratory analysis of the indirect effects of communications campaigns suggested that impacts may be compounded as overall awareness is increased at the community level eventually leading to behavior change among individuals. (C) 2004 Elsevier Ltd. All rights reserved.