Social Determinants of Poor Knowledge on HIV Among Nepalese Males: Findings from National Survey 2011

Journal of Community Health - Tập 38 - Trang 1147-1156 - 2013
Vishnu Khanal1, Mandira Adhikari2, Rajendra Karkee3
1Sauraha Pharsatikar Village Development Committee-1, Rupandehi, Nepal
2Population Services International, Kathmandu, Nepal
3School of Public Health and Community Medicine, BP Koirala Institute of Health Sciences, Dharan, Nepal

Tóm tắt

Since the first case detection in Nepal in 1988, the number of cases of Human Immunodeficiency Virus (HIV) are increasing. Limited studies exist concerning the knowledge on HIV among the Nepalese men. This study aimed to examine the social determinants of poor knowledge on HIV among Nepalese men aged 15–49 years based on Nepal Demographic and Health Survey (NDHS), 2011. This study is based on the secondary data of NDHS 2011. HIV knowledge was assessed by using structured qustionnaire. A Chi square test followed by logistic regression was performed to find the association of social determinants with outcome variables. Of the 3,991 participants, 1,217 (30.5 %) had comprehensive knowledge and the majority (69.5 %) had poor knowledge on HIV. More than half (54.6 %) reported that mosquito bite can transmit HIV and 26.5 % reported that sharing food can transmit HIV. Respondents who were uneducated [aOR 10.782; 95 % CI (6.673–17.421)], were manual workers [aOR 1.442; 95 % CI (1.152–1.804)], were poor [aOR 1.847; 95 % CI (1.350–2.570)]; lived in the the Eastern region [aOR 2.203(1.738–2.793)], or in the Mountain [aOR 1.542; 95 % CI (1.132–1.864)]; did not read newspaper/magazine at all [aOR 1.454; 95 % CI (1.142–1.851)] and did not listen to the radio at all [aOR 1.354; 95 % CI (1.046–1.752)] were likely to have poor knowledge of HIV. HIV prevention programs should include men incorporating appropriate educatoinal intervention to increase their knowledge.

Tài liệu tham khảo

Adhikari, R. (2010). Are Nepali students at risk of HIV? A cross-sectional study of condom use at first sexual intercourse among college students in Kathmandu. Journal of the International AIDS Society, 13, 7. doi:10.1186/1758-2652-13-7. Bärnighausen, T., Hosegood, V., Timaeus, I., & Newell, M. (2007). The socioeconomic determinants of HIV incidence: Evidence from a longitudinal, population-based study in rural South Africa. AIDS, 21(Suppl.7), S29–S38. Baral, S., Karki, D., & Newell, J. (2007). Causes of stigma and discrimination associated with tuberculosis in Nepal: A qualitative study. BMC Public Health, 7(211). doi:10.1186/1471-2458-7-211. Bennett, L., Dahal, D., & Govindasamy, P. (2008). Caste, ethnic and regional identity in Nepal: Further analysis of the 2006 Nepal Demographic and Health Survey. Calverton, Maryland, USA: Macro International Inc. Bhatta, P., Thapa, S., Neupane, S., Baker, J., & Friedman, M. (1994). Commercial sex workers in Kathmandu valley: Profile and prevalence of sexually transmitted diseases. JNMA Journal of the Nepal Medical Association, 32(111), 191–203. Dimbuene, Z. T., & Defo, B. (2011). Fostering accurate HIV/AIDS knowledge among unmarried youths in Cameroon: Do family environment and peers matter? BMC Public Health, 11(348). doi:10.1186/1471-2458-11-348. Furber, A., Newell, J., & Lubben, M. (2002). A systematic review of current knowledge of HIV epidemiology and of sexual behaviour in Nepal. Tropical Medicine & International Health, 7(2), 140–148. Gillespiea, S., Kadiyalab, S., & Greener, R. (2007). Is poverty or wealth driving HIV transmission? AIDS, 21, S5–S16. Gupta, I., & Mitra, A. (1999). Knowledge of HIV/AIDS among migrants in Delhi slums. Journal of Health and Population in Developing Countries, 2(1), 26–32. Harling, G., & Wood, R. (2007). The evolving cost of HIV in South Africa changes in health care cost with duration on antiretroviral therapy for public sector patients. Journal of Acquired Immune Deficiency Syndromes, 45(3), 348–354. Hounton, S. H., Carabin, H., & Henderson, N. J. (2005). Towards an understanding of barriers to condom use in rural Benin using the health belief model: A cross sectional survey [Research Support, US Govt, Non-P.H.S.]. BMC Public Health, 5, 8. doi:10.1186/1471-2458-5-8. Jha, C. K., & Madison, J. (2009). Disparity in health care: HIV, stigma, and marginalization in Nepal. Journal of the International AIDS Society, 12(1), 16. doi:10.1186/1758-2652-12-16. Jittimanee, S., Nateniyom, S., Kittikraisak, W., Burapat, C., Akksilp, S., Chumpathat, N., et al. (2009). Social stigma and knowledge of tuberculosis and HIV among patients with both diseases in Thailand. Plos One, 4(7). doi:10.1371/journal.pone.0006360. Joshi, S., Simkhada, P., & Prescott, G. (2011). Health problems of Nepalese migrants working in three Gulf countries. BMC International Health and Human Rights, 11(1), 3. Karmacharya, D., Yu, D., Dixit, S., Rajbhandari, R., Subedi, B., Shrestha, S., et al. (2012). A study of the prevalence and risk factors leading to HIV infection among a sample of street children and youth of Kathmandu. AIDS Research and Therapy, 9(25). doi:10.1186/1742-6405-9-25. Khanal, V., & Sauer, K. (2013). Determinants of the introduction of prelacteal feeds in rural Nepal: A cross-sectional community-based study. Breastfeeding Medicine,. doi:10.1089/bfm.2012.0115. Lin, P., Simoni, J. M., & Zemon, V. (2005). The health belief model, sexual behaviors, and HIV risk among Taiwanese immigrants [Research Support, N.I.H., Extramural Research Support, US Govt, P.H.S.]. AIDS Education and Prevention, 17(5), 469–483. doi:10.1521/aeap.2005.17.5.469. Ministry of Health and Population. (2011). Annual Report 2010/2011. Ministry of Health and Population (MOHP) [Nepal], New ERA, & ICF International Inc. (2012). Nepal Demographic and Health Survey 2011. Kathmandu, Nepal : Ministry of Health and Population, New ERA, and ICF International, Calverton, Maryland. National Centre for AIDS and STD Control. (2007). National HIV/AIDS strategy 2006–2011. Kathmandu: Ministry of Health and Population & National Centre for AIDS and STD Control. National Centre for AIDS and STD Control. (2010). National Estimates of HIV Infections: 2009 Nepal. Kathmandu [Nepal]: National Centre for AIDS and STI Control [Nepal]. National Centre for AIDS and STD Control. (2011). National HIV/AIDS strategy 2011–2016. Kathmandu: Ministry of Health and Population & National Centre for AIDS and STD Control. Pokhrel, P., Regmi, S., & Piedade, E. (2008). HIV/AIDS prevention in the Nepalese context. Evaluation and the Health Professions, 31(2), 198. Poudel, K. C., Jimba, M., Okumura, J., Joshi, A. B., & Wakai, S. (2004). Migrants’ risky sexual behaviours in India and at home in far western Nepal. Tropical Medicine & International Health, 9(8), 897–903. doi:10.1111/j.1365-3156.2004.01276.xTMI1276. Poudel, K. C., Jimba, M., Poudel-Tandukar, K., & Wakai, S. (2007). Reaching hard-to-reach migrants by letters: An HIV/AIDS awareness programme in Nepal. Health Place, 13(1), 173–178. doi:10.1016/j.healthplace.2005.11.005. Poudel, K. C., Okumura, J., Sherchand, J. B., Jimba, M., Murakami, I., & Wakai, S. (2003). Mumbai disease in far western Nepal: HIV infection and syphilis among male migrant-returnees and non-migrants. Tropical Medicine & International Health, 8(10), 933–939. Poudel, K. C., Poudel-Tandukar, K., & Jimba, M. (2006). HIV/AIDS vulnerability of Nepali migrants to India: Whose concern? Lancet, 368(9548), 1648. doi:10.1016/S0140-6736(06)69692-X. Poudel, K. C., Poudel-Tandukar, K., Yasuoka, J., Joshi, A. B., & Jimba, M. (2010). Correlates of sharing injection equipment among male injecting drug users in Kathmandu, Nepal. International Journal of Drug Policy, 21(6), 507–510. doi:10.1016/j.drugpo.2010.03.006. Puri, M., & Cleland, J. (2006). Sexual behavior and perceived risk of HIV/AIDS among young migrant factory workers in Nepal. Journal of Adolescent Health, 38(3), 237–246. doi:10.1016/j.jadohealth.2004.10.001. Rutstein, O., & Rojas, G. (2006). Guide to DHS statistics. Maryland: Measure DHS. Smith-Estelle, A., & Gruskin, S. (2003). Vulnerability to HIV/STIs among rural women from migrant communities in Nepal: A health and human rights framework. Reproductive Health Matters, 11(22), 142–151. Sreeramareddy, T., Kumar, H., & Arokiasamy, J. (2013). Prevalence of self-reported tuberculosis, knowledge about tuberculosis transmission and its determinants among adults in India: results from a nation-wide cross-sectional household survey. BMC Infectious Diseases, 13(16). doi:10.1186/1471-2334-13-16. Thanavanh, B., Harun-Or-Rashid, M., Hideki Kasuya, H., & Junichi Sakamoto, J. (2013). Knowledge, attitudes and practices regarding HIV/AIDS among male high school students in Lao People’s Democratic Republic. Journal of the International AIDS Society, 16, 17387. United Nations Children’s Fund. (2011). Nepal: Statistics Retrieved 9 May, 2011`, from http://www.unicef.org/infobycountry/nepal_nepal_statistics.html. Wasti, S. P., Simkhada, P., Randall, J., & Teijlingen, E. V. (2009). Issues and challenges of HIV/AIDS prevention and treatment programme in Nepal. Global Journal of Health Science, 1(2), 62–72.