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Related Experiment Videos

Knowledge, attitudes and practices concerning AIDS in Ugandans.

J K Konde-Lule1, S F Berkley, R Downing

  • 1Institute of Public Health, Makerere University, Kampala, Uganda.

AIDS (London, England)
|August 1, 1989
PubMed
Summary

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Ugandan adults know about AIDS transmission risks but hold misconceptions. HIV-1 infection prevalence was 10.8%, with higher rates in females and those with multiple partners or STDs.

Area of Science:

  • Public Health
  • Epidemiology
  • Social Sciences

Background:

  • Acquired Immunodeficiency Syndrome (AIDS) epidemic in Uganda.
  • Limited understanding of HIV transmission routes and risk factors in semi-rural communities.

Purpose of the Study:

  • To assess knowledge, attitudes, and practices regarding AIDS among Ugandans.
  • To determine the prevalence of Human Immunodeficiency Virus type 1 (HIV-1) infection.
  • To identify factors associated with HIV-1 infection.

Main Methods:

  • Cross-sectional survey of 3928 individuals in two Ugandan semi-rural communities.
  • Knowledge, attitudes, and practices questionnaire.
  • Enzyme-linked immunosorbent assay (ELISA) for HIV-1 antibody detection in 3907 participants.
Keywords:
Acquired Immunodeficiency Syndrome--transmissionAfricaAfrica South Of The SaharaAttitudeBehaviorBiologyCommunicationDemographic FactorsDeveloping CountriesDiseasesEastern AfricaEnglish Speaking AfricaHeterosexualsHiv InfectionsInfectionsKap SurveysKnowledgeMeasurementMisinformationMultiple PartnersPopulationPopulation CharacteristicsPrevalencePsychological FactorsReproductive Tract InfectionsResearch MethodologyRisk FactorsSampling StudiesSex BehaviorSex FactorsSexual PartnersSexually Transmitted DiseasesStudiesSurveysUgandaViral Diseases

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Main Results:

  • 88% knew AIDS is transmissible and multiple partners are high-risk.
  • Significant misconceptions about HIV transmission (insect bites, witchcraft, casual contact).
  • 10.8% tested HIV-1 positive; females (12.5%) more affected than males (8.8%).
  • Factors associated with HIV infection: multiple sexual partners, STDs, injections, female gender.
  • History of STDs associated with HIV infection even in monogamous individuals.

Conclusions:

  • While awareness of AIDS transmission is present, misconceptions persist.
  • HIV-1 prevalence is significant, with higher risk for females.
  • Behavioral changes lag behind information dissemination, highlighting a need for targeted interventions.