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Residence and young women's comprehensive HIV knowledge in Ethiopia
Biruk Beletew Abate1, Ayelign Mengesha Kassie2, Melese Abate Reta3,4
1Department of Nursing, College of Health Sciences Woldia University, P.O.Box 400, Woldia, Ethiopia. birukkelemb@gmail.com.
BMC Public Health
|October 24, 2020
Summary
Rural Ethiopian women who have never been tested for HIV have lower comprehensive HIV knowledge. Targeted HIV education programs in rural areas are crucial, especially where HIV testing is limited.
Area of Science:
- Public Health
- Epidemiology
- Global Health
Background:
- Human Immunodeficiency Virus (HIV) infection poses a significant global health challenge, disproportionately affecting sub-Saharan Africa.
- Youth are particularly vulnerable, accounting for half of new HIV infections annually, with inadequate knowledge potentially contributing to high rates.
- This study focuses on Ethiopian women aged 15-24 years to understand factors influencing HIV knowledge.
Purpose of the Study:
- To examine the association between place of residence and comprehensive Human Immunodeficiency Virus (HIV) knowledge among women aged 15-24 years in Ethiopia.
- To identify specific subgroups where this association is most pronounced.
- To inform targeted HIV education and awareness strategies.
Main Methods:
- Utilized nationally representative data from the 2016 Ethiopian Demographic Health Survey (n=5926).
- Employed Chi-square tests and multivariable logistic regression modeling for statistical analysis.
- Conducted subgroup analysis to explore interactions between residence, HIV testing status, and knowledge.
Main Results:
- Only 23.9% of participants possessed comprehensive HIV knowledge; 74.7% resided in rural areas.
- A significant interaction was found between place of residence and HIV testing status concerning comprehensive HIV knowledge (P=0.005).
- Rural women who had never been tested for HIV showed significantly lower odds of comprehensive HIV knowledge (OR 0.42) compared to urban counterparts. Education and region were also associated with knowledge in this subgroup.
Conclusions:
- Rural residence is negatively associated with comprehensive HIV knowledge, specifically among women who have never undergone HIV testing.
- Findings underscore the need for tailored HIV education and awareness programs in rural Ethiopian areas, particularly those with limited access to HIV testing services.
- Interventions should consider educational attainment and regional disparities to enhance HIV literacy among young women.
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