Determinants of knowledge of HIV status in South Africa: results from a population-based HIV survey.
Determinants of knowledge of HIV status in South Africa: results from a population-based HIV survey.
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DOI：
10.1186/1471-2458-9-174
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发表时间：
2009-06-05
影响因子：
4.5
通讯作者：
Majaja M
中科院分区：
文献类型：
--
作者：
Peltzer K;Matseke G;Mzolo T;Majaja M
2005 年，南非全国艾滋病毒家庭中超过 30% 的女性和男性表示，他们之前接受过艾滋病毒检测（其中 91% 的人知道自己的检测结果）。本文旨在描述南非全国代表性人群的社会人口统计、行为和社会特征与艾滋病毒状况知识之间的关联。选择了多阶段概率样本，涉及 16395 名 15 岁或以上的男性和女性受访者。该样本代表了按年龄、种族、省份和居住地区类型划分的南非人口，例如：城市正规、城市非正式等。受访者接受了有关艾滋病毒知识、看法和行为的采访，并为研究艾滋病毒检测提供了血液。使用双变量和多变量逻辑回归来确定与艾滋病毒状况知识相关的社会人口、社会和行为因素。在总样本中，27.6% 的人曾经知道自己的 HIV 状况，7.8% 的人在过去 12 个月内知道自己的 HIV 状况。在多变量分析中，女性、25至34岁年龄组、非洲黑人群体（白人、有色人种、亚洲人）除外、较高的教育水平、就业、城市居住、对附近可以进行艾滋病毒检测的地方的认识、艾滋病毒对家庭的影响以及过去一年有两个或以上性伴侣与艾滋病毒状况的了解有关。在艾滋病毒阳性者中，对附近可以进行艾滋病毒检测的地方的认识以及艾滋病毒对家庭的影响与艾滋病毒状况知识相关；而在艾滋病毒阴性者中，艾滋病毒危险行为（多个伴侣、不使用安全套）、对附近可以进行艾滋病毒检测的地点的认识、较高的艾滋病毒知识得分和血清不一致知识与艾滋病毒状况知识相关。需要改善农村地区，特别是非洲黑人群体中关于艾滋病毒/艾滋病的教育以及获得艾滋病毒咨询和检测（HCT）的机会，以提高艾滋病毒咨询和检测服务的接受率，这是开始治疗的一个重要步骤。
Over 30% of women and men in the South African national HIV household of 2005 indicated that they had previously been tested for HIV (of which 91% were aware of their test results). This paper seeks to describe the associations between socio-demographic, behavioural and social characteristics and knowledge of HIV status among a nationally representative population in South Africa. A multistage probability sample involving 16395 male and female respondents, aged 15 years or older was selected. The sample was representative of the South African population by age, race, province and type of living area, e.g. urban formal, urban informal, etc. Respondents were interviewed on HIV knowledge, perceptions and behaviour and provided blood for research HIV testing. Bivariate and multivariate logistic regression was used to identify socio-demographic, social and behavioural factors associated with knowledge of HIV status. From the total sample 27.6% ever and 7.8% knew their HIV status in the past 12 months. In multivariate analyses being female, the age group 25 to 34 years old, other than African Black population group (White, Coloured, Asian), higher educational level, being employed, urban residence, awareness of a place nearby where one could be tested for HIV, impact of HIV on the household and having had two of more sexual partners in the past year were associated with knowledge of HIV status. Among HIV positive persons awareness of a place nearby where one could be tested for HIV and impact of HIV on the household were associated knowledge of HIV status, and among HIV negative persons HIV risk behaviour (multiple partners, no condom use), awareness of a place nearby where one could be tested for HIV, higher knowledge score on HIV and knowledge of serodiscordance were associated knowledge of HIV status. Education about HIV/AIDS and access to HIV counselling and testing (HCT) in rural areas, in particular among the Black African population group needs to be improved, in order to enhance the uptake of HIV counselling and testing services, an essential step for the initiation of treatment.
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