"Who knows more, and why?" Explaining socioeconomic-related inequality in knowledge about HIV in Malawi
"Who knows more, and why?" Explaining socioeconomic-related inequality in knowledge about HIV in Malawi
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DOI：
10.1016/j.sciaf.2019.e00213
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发表时间：
2020-03-01
影响因子：
2.9
通讯作者：
Chirwa, Gowokani Chijere
中科院分区：
文献类型：
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作者：
Chirwa, Gowokani Chijere
对艾滋病毒的适当了解对于预防艾滋病毒和艾滋病的传播至关重要。然而，在马拉维，尽管政府努力解决这一问题，但在艾滋病毒方面的知识掌握差距仍然存在。在此背景下，本文的目的是解释，通过分解的浓度指数，现有的社会经济不平等的艾滋病毒知识在马拉维。此外，该研究还探讨了艾滋病毒相关知识的决定因素。本文使用了2004年，2010年和2016年马拉维人口健康调查。研究结果表明，财富状况和教育是艾滋病毒知识的主要决定因素。在不平等方面，集中指数（2004年为0.125; 2010年为0.167，2016年为0.158）为正，p < 0.01，表明艾滋病毒知识集中在富裕人群中。分解分析表明，财富和教育状况占财富相关的不平等在拥有艾滋病毒的全面知识的50%的总和。政策含义是，如果要改善马拉维穷人对艾滋病毒的全面了解，就需要加强改善财富状况和教育的方案。(C)2019作者（S）由Elsevier B. V.代表非洲数学科学研究所/下一个爱因斯坦倡议出版。
Proper knowledge about HIV is essential in preventing the spread of HIV and AIDS. However, in Malawi, knowledge possession disparities regarding HIV continue to exist despite the government's efforts to tackle the problem. Against this background, the aim of this paper is to explain-through decomposition of the concentration index, the existing socioeconomic inequality regarding HIV knowledge in Malawi. In addition the study examine the determinants of HIV-related knowledge. The paper uses the 2004, 2010 and 2016 Malawi Demographic Health Surveys. Findings show that wealth status and education are the primary determinants of having HIV knowledge. In terms of inequality, the concentration indices (0.125, in 2004; 0.167 in 2010, and 0.158 in 2016) are positive and significant at p < 0.01, suggesting that HIV knowledge is concentrated among the wealthier. Decomposition analysis indicates that wealth and education status account for an aggregate of 50% of wealth-related inequality in possessing comprehensive knowledge of HIV. The policy implication is that there is a need to intensify programmes that improve wealth status, as well as education if possession of comprehensive knowledge about HIV is to improve among Malawi's poor. (C) 2019 The Author(s). Published by Elsevier B.V. on behalf of African Institute of Mathematical Sciences / Next Einstein Initiative.