scholarly journals Does Having Comprehensive HIV and AIDS Knowledge Affect the Risky Sexual Behaviour of Young People in Sub – Saharan Africa: Pooled Analysis of Demographic and Health Surveys

2021 ◽  
Author(s):  
Kwamena Sekyi Dickson ◽  
Abdul-Aziz Seidu ◽  
Kenneth Setorwu Adde ◽  
Joshua Okyere ◽  
Felicia Commey ◽  
...  
Keyword(s):  
Young People ◽  
Sexual Behaviour ◽  
Young Men ◽  
Hiv And Aids ◽  
Sub Saharan Africa ◽  
Risky Sexual Behaviour ◽  
Demographic And Health Surveys ◽  
Comprehensive Knowledge ◽  
Aids Knowledge ◽  
Hiv Aids

Abstract Background: Risky sexual behaviours (RSB) include all those behaviours such as multiple sexual unions, inconsistent use of condoms, or having sex under the influence of stimulants which have a greater propensity to exacerbate an individual’s vulnerability to unintended pregnancies and sexually transmitted infections including HIV/AIDS. This study explores the relationship between comprehensive knowledge on HIV and RSB among young people in sub-Saharan Africa (SSA).Methods: Data for this study were obtained from the current Demographic and Health Surveys (DHS) conducted between 2010 and 2018 in 28 SSA countries. These countries were chosen because they had complete information on the variables of interest for both males and females. Both descriptive and inferential analyses were conducted.Results: It was found that 54.4% of young women and 40.0% of young men engaged in RSB. This ranged from 16.1% in Lesotho to 91.6% in Sierra Leone among young women and 17.1% in Namibia to 80.5% in Sierra Leone among young men. We also found that young men [AOR=0.78, CI=0.73–0.84] and women [AOR=0.92, CI=0.87–0.98] who had comprehensive HIV and AIDS knowledge had lower odds of engaging in RSB compared to those who did not have comprehensive HIV and AIDS knowledge.Conclusion: The study showed a low level of comprehensive knowledge on HIV/AIDS in SSA and a gap in the proportion of young males and females regarding comprehensive knowledge on HIV/AIDS. Risky sexual behaviour varied by sex. This reflected in a higher proportion of young females (54.5%) indulging in RSB as compared to young males (40.0%). Our findings also revealed that comprehensive knowledge of HIV/AIDS influences risky sexual behaviour of young people. Age, level of education, place of residence, wealth status, exposure to radio, television, and newspaper or magazine have a significant relationship with RSB. These findings infer the need for targeted messages and interventions for the various categories of young people in SSA with relevant information on comprehensive knowledge of HIV/AIDS.

scholarly journals Determinants and Distribution of Comprehensive HIV/AIDS Knowledge in Ghana

2017 ◽  
Vol 9 (12) ◽  
pp. 32 ◽  
Author(s):  
Ama P. Fenny ◽  
Aba O. Crentsil ◽  
Derek Asuman
Keyword(s):  
Adult Population ◽  
Individual Characteristics ◽  
Hiv And Aids ◽  
Sub Saharan Africa ◽  
Adult Women ◽  
Hiv Knowledge ◽  
Wealth Status ◽  
Comprehensive Knowledge ◽  
Aids Knowledge ◽  
Hiv Aids

Globally, nearly 37 million people are living with HIV with about 70 percent of these living in Sub-Saharan Africa (SSA). Stigma and discrimination remain one of the major barriers to preventing new infections in the country. However, misconceptions about HIV/AIDS have been indicated as one of the key drivers of the disease. Efforts to prevent new infections have not been entirely successful. Therefore, this study aims to examine the trends and distribution in comprehensive knowledge of HIV and AIDS and determine the factors associated with comprehensive awareness of HIV and AIDS among adult women and men. The study relies on data from three rounds of Ghana Demographic & Health Surveys conducted in 2003, 2008 and 2014 to show trends. Logistic regression was used for multivariate analysis. The thematic mapping of HI/AIDS comprehensive knowledge was conducted using ArcGIS version 10.4 using GPS coordinates in the 2014 GDHS which contained aggregated individual characteristics and HIV knowledge scores.While comprehensive HIV and AIDS knowledge is above 50% among adult population in Ghana, the results show a significant decrease in comprehensive knowledge from 72% in 2008 to 59% in 2013. The strongest predictors for having comprehensive knowledge were found to be education; gender, marital status, locality, occupation and wealth status. The paper demonstrates that preventive activities leading to improvement in the comprehensive knowledge of HIV and AIDS in Ghana is needed. Sound knowledge about HIV and AIDS is critical for the adoption of behaviours that reduce the risk of HIV transmission. Education on HIV prevention must be expanded to improve the comprehensive knowledge of the disease.

scholarly journals Comprehensive HIV/AIDS knowledge and safer sex negotiation among adolescent girls and young women in sub-Saharan Africa

2021 ◽  
pp. 1-13
Author(s):  
James Boadu Frimpong ◽  
Eugene Budu ◽  
Collins Adu ◽  
Aliu Mohammed ◽  
Justice Kanor Tetteh ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Young Women ◽  
Safer Sex ◽  
Positive Association ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Comprehensive Knowledge ◽  
Aids Knowledge ◽  
Sub Saharan ◽  
Hiv Aids

Abstract Globally, HIV/AIDS remains a public health issue, especially in sub-Saharan Africa (SSA). Despite the increased advocacy and dissemination of comprehensive HIV/AIDS information in SSA, it appears that little progress has been made to reduce the incidence of HIV/AIDS in the sub-region. This study, therefore, examined the association between comprehensive HIV/AIDS knowledge and safer sex negotiation among adolescent girls and young women in SSA. Data were taken from the Demographic and Health Surveys conducted between 2010 and 2019 in 30 countries in SSA. The study sample comprised 37,364 adolescent girls and young women aged 15–24. A multivariable binary logistic regression analysis was done to test the hypothesis that there is a positive association between comprehensive HIV/AIDS knowledge and safer sex negotiation. Adolescent girls and young women who had comprehensive knowledge on HIV/AIDS were more likely to negotiate for safer sex compared with those who had no comprehensive knowledge on HIV/AIDS (AOR=1.31, 95% CI: 1.22–1.41). At the country level, the positive association between comprehensive knowledge on HIV/AIDS and safer sex negotiation was significant in Chad, Congo DR, Gambia, Guinea, Liberia, Ethiopia and Malawi. On the other hand, in Togo, adolescent girls and young women who had comprehensive HIV/AIDS knowledge were less likely to negotiate for safer sex. These findings can inform policies and programmes on the crucial role of comprehensive HIV/AIDS education and knowledge in increasing safer sex negotiation among adolescent girls and young women in SSA. The study recommends that Togo needs to address certain practices such as intimate partner violence against adolescent girls and young women, which prevent them from negotiating for safer sex, despite their higher knowledge on comprehensive HIV/AIDS. Lessons can be learnt from Chad, Congo DR, Gambia, Guinea, Liberia, Ethiopia and Malawi about the scale-up of programmes and interventions targeted at young women.

scholarly journals A multi-country cross-sectional study of self-reported sexually transmitted infections among sexually active men in sub-Saharan Africa

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Abdul-Aziz Seidu ◽  
Bright Opoku Ahinkorah ◽  
Louis Kobina Dadzie ◽  
Justice Kanor Tetteh ◽  
Ebenezer Agbaglo ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Hiv And Aids ◽  
Sub Saharan Africa ◽  
Outcome Variable ◽  
Sexually Active ◽  
First Sex ◽  
Sexually Transmitted ◽  
Aids Knowledge ◽  
Sub Saharan ◽  
Hiv Aids

Abstract Background Despite the importance of self-reporting health in sexually transmitted infections (STIs) control, studies on self-reported sexually transmitted infections (SR-STIs) are scanty, especially in sub-Saharan Africa (SSA). This study assessed the prevalence and factors associated with SR-STIs among sexually active men (SAM) in SSA. Methods Analysis was done based on the current Demographic and Health Survey of 27 countries in SSA conducted between 2010 and 2018. A total of 130,916 SAM were included in the analysis. The outcome variable was SR-STI. Descriptive and inferential statistics were performed with a statistical significance set at p < 0.05. Results On the average, the prevalence of STIs among SAM in SSA was 3.8%, which ranged from 13.5% in Liberia to 0.4% in Niger. Sexually-active men aged 25–34 (AOR = 1.77, CI:1.6–1.95) were more likely to report STIs, compared to those aged 45 or more years. Respondents who were working (AOR = 1.24, CI: 1.12–1.38) and those who had their first sex at ages below 20 (AOR = 1.20, CI:1.11–1.29) were more likely to report STIs, compared to those who were not working and those who had their first sex when they were 20 years and above. Also, SAM who were not using condom had higher odds of STIs (AOR = 1.35, CI: 1.25–1.46), compared to those who were using condom. Further, SAM with no comprehensive HIV and AIDS knowledge had higher odds (AOR = 1.43, CI: 1.08–1.22) of STIs, compared to those who reported to have HIV/AIDS knowledge. Conversely, the odds of reporting STIs was lower among residents of rural areas (AOR = 0.93, CI: 0.88–0.99) compared to their counterparts in urban areas, respondents who had no other sexual partner (AOR = 0.32, CI: 0.29–0.35) compared to those who had 2 or more sexual partners excluding their spouses, those who reported not paying for sex (AOR = 0.55, CI: 0.51–0.59) compared to those who paid for sex, and those who did not read newspapers (AOR = 0.93, CI: 0.86–0.99) compared to those who read. Conclusion STIs prevalence across the selected countries in SSA showed distinct cross-country variations. Current findings suggest that STIs intervention priorities must be given across countries with high prevalence. Several socio-demographic factors predicted SR-STIs. To reduce the prevalence of STIs among SAM in SSA, it is prudent to take these factors (e.g., age, condom use, employment status, HIV/AIDS knowledge) into consideration when planning health education and STIs prevention strategies among SAM.

scholarly journals What has comprehensive HIV/AIDS knowledge got to do with HIV testing among men in Kenya and Mozambique? Evidence from Demographic and Health Surveys

2021 ◽  
pp. 1-14
Author(s):  
Eugene Budu ◽  
Abdul-Aziz Seidu ◽  
Ebenezer Kwesi Armah-Ansah ◽  
Aliu Mohammed ◽  
Collins Adu ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Health Surveys ◽  
Scale Up ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Odds Ratios ◽  
African Countries ◽  
Aids Knowledge ◽  
Sub Saharan ◽  
Hiv Aids

Abstract People living with undiagnosed HIV are big contributors to the transmission of the virus. Although measures have been made to scale up HIV prevention and voluntary counselling and testing in sub-Saharan Africa, testing coverage remains low in many sub-Saharan African countries, including Mozambique and Kenya, where most people live with HIV/AIDS. Studies have shown that, in most countries in sub-Saharan Africa, men are less likely to test for HIV compared with women. This study examined the relationship between comprehensive HIV/AIDS knowledge and HIV testing among men in Kenya and Mozambique. Data were from the men’s re-code file of the Demographic and Health Surveys of Mozambique and Kenya. Binary logistic regression models were generated and the results presented as crude odds ratios (cOR) and adjusted odds ratios (aOR). The prevalences of HIV testing in Kenya and Mozambique were 80.1% and 46.7%, respectively. Men in Mozambique who had comprehensive HIV/AIDS knowledge (aOR=1.26, CI: 1.07–1.47) were more likely to test for HIV compared with their counterparts who had no comprehensive HIV/AIDS knowledge. In Kenya, men who had comprehensive HIV/AIDS knowledge (aOR=1.23, CI: 1.09–1.39) were more likely to test for HIV compared with their counterparts who had no comprehensive HIV/AIDS knowledge. This study found a statistically strong significant association between comprehensive HIV/AIDS knowledge and HIV testing among men in Kenya and Mozambique. To improve HIV testing rate among men, it is important that interventions are geared towards improving men’s comprehensive HIV/AIDS knowledge, perhaps by expanding HIV/AIDS education programmes and campaigns. This could improve HIV testing rates and ensure the realization of the global HIV/AIDS target of 95-95-95 by the year 2030.

scholarly journals Factors Influencing HIV/AIDS and Risky Sexual Behaviour Among Learners in South Africa

2018 ◽  
Vol 10 (5) ◽  
pp. 197 ◽  
Author(s):  
Pelonomi F. Malga ◽  
Boitumelo Marilyn Setlalentoa ◽  
Choja Oduaran ◽  
Nopasika Maforah
Keyword(s):  
Attitude Change ◽  
Sexual Behaviour ◽  
Teenage Pregnancy ◽  
Risky Sexual Behaviour ◽  
Health Concern ◽  
Mixed Method Research ◽  
Key Factor ◽  
Unwanted Pregnancies ◽  
Training Programmes ◽  
Hiv Aids

HIV/AIDS is a global health concern and young people are more at risk of being infected. The explored factors that contribute to HIV/AIDS and risky sexual behaviour among learners aged 12-18 years in Vuyolwethu High School. The study focused on learners who were in Grade 10-12. This study employed a mixed method research. Quantitative phase was limited to learners while the qualitative phase focused on life-orientation teachers. The total study sample is 150, and the gender distribution is equally distributed at 50% for both males and females. The dominating age and grade among respondents is age 17-18 years and grade 11. Quantitative data were subjected to descriptive analyses while thematic analysis is employed for analysis of qualitative data. Overall, about 51.3% of the respondents strongly agreed that engaging in sexual intercourse without protection is risky, and that unprotected sexual activity can lead to unwanted sexual encounters, unwanted teenage pregnancy and HIV/AIDS. Similarly, substance abuse is found to be a key factor that influences risky sexual behaviour among adolescents, thus resulting to unwanted pregnancies and HIV/AIDS infection. The main conclusion drawn from the findings is that while adolescents seem to be knowledgeable on the factors that contribute to risky sexual behaviour, this knowledge does not lead to attitude change. It is therefore recommended, based on the study’s findings, that there should be more focused training programmes directed not only at knowledge but also attitude and behaviour change.

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