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HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries
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| Zeitschriftentitel: | Journal of the International AIDS Society |
|---|---|
| Personen und Körperschaften: | , |
| In: | Journal of the International AIDS Society, 21, 2018, 7 |
| Format: | E-Article |
| Sprache: | Englisch |
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Wiley
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| Schlagwörter: |
| author_facet |
Chan, Brian T Tsai, Alexander C Chan, Brian T Tsai, Alexander C |
|---|---|
| author |
Chan, Brian T Tsai, Alexander C |
| spellingShingle |
Chan, Brian T Tsai, Alexander C Journal of the International AIDS Society HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries Infectious Diseases Public Health, Environmental and Occupational Health |
| author_sort |
chan, brian t |
| spelling |
Chan, Brian T Tsai, Alexander C 1758-2652 1758-2652 Wiley Infectious Diseases Public Health, Environmental and Occupational Health http://dx.doi.org/10.1002/jia2.25169 <jats:title>Abstract</jats:title><jats:sec><jats:title>Introduction</jats:title><jats:p>Population‐level improvements in knowledge about <jats:styled-content style="fixed-case">HIV</jats:styled-content> may reduce the stigma attached to <jats:styled-content style="fixed-case">HIV</jats:styled-content> and ensure maximal uptake of <jats:styled-content style="fixed-case">HIV</jats:styled-content> prevention initiatives. The extent to which levels of <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge in the general population of sub‐Saharan Africa have changed in the current era of antiretroviral therapy (<jats:styled-content style="fixed-case">ART</jats:styled-content>) scale‐up remains unknown.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Data on <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge in the general population were drawn from the 2003 to 2015 Demographic and Health Surveys (<jats:styled-content style="fixed-case">DHS</jats:styled-content>) and <jats:styled-content style="fixed-case">AIDS</jats:styled-content> Indicator Surveys (<jats:styled-content style="fixed-case">AIS</jats:styled-content>) of 33 countries in sub‐Saharan Africa. The <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> contain five questions on <jats:styled-content style="fixed-case">HIV</jats:styled-content> prevention and transmission that have been used by the Joint United Nations Programme on HIV/AIDS (<jats:styled-content style="fixed-case">UNAIDS</jats:styled-content>) as a core indicator of <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge. We created a composite <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge variable equal to the number of correct responses to these five questions; a participant was considered to have comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> (yes/no) if he/she answered all five questions correctly. We fitted negative binomial regression models with cluster‐correlated robust standard errors and country fixed effects, adjusted for socio‐demographic variables, specifying <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge as the dependent variable and year as the explanatory variable. As an alternative parameterization, we also fitted a multivariable linear probability model with cluster‐correlated robust standard errors and country fixed effects specifying comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> as the dependent variable.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 791,186 women and 395,891 men participating in 75 <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> were included in the analyses. The mean <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge score was 3.7 among women and 3.9 among men (<jats:italic>p</jats:italic> < 0.001). Only 35% of women and 41% of men (<jats:italic>p</jats:italic> < 0.001) had a comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content>. We estimated a modest but statistically significant positive association between year of <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> and <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge (adjusted <jats:italic>b</jats:italic> = 0.005; 95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>), 0.001 to 0.009). Similarly, we estimated a statistically significant positive association between year of <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> and comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> (adjusted <jats:italic>b</jats:italic> = 0.011; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content>, 0.005 to 0.017), suggesting an approximately 1% relative increase per year in the percentage of the general population who possess a comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content>.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>There have been minimal improvements over time in <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge across sub‐Saharan Africa.</jats:p></jats:sec> HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries Journal of the International AIDS Society |
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10.1002/jia2.25169 |
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2018 |
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Journal of the International AIDS Society |
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49 |
| title |
HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| title_unstemmed |
HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| title_full |
HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| title_fullStr |
HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| title_full_unstemmed |
HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| title_short |
HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| title_sort |
hiv knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐saharan african countries |
| topic |
Infectious Diseases Public Health, Environmental and Occupational Health |
| url |
http://dx.doi.org/10.1002/jia2.25169 |
| publishDate |
2018 |
| physical |
|
| description |
<jats:title>Abstract</jats:title><jats:sec><jats:title>Introduction</jats:title><jats:p>Population‐level improvements in knowledge about <jats:styled-content style="fixed-case">HIV</jats:styled-content> may reduce the stigma attached to <jats:styled-content style="fixed-case">HIV</jats:styled-content> and ensure maximal uptake of <jats:styled-content style="fixed-case">HIV</jats:styled-content> prevention initiatives. The extent to which levels of <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge in the general population of sub‐Saharan Africa have changed in the current era of antiretroviral therapy (<jats:styled-content style="fixed-case">ART</jats:styled-content>) scale‐up remains unknown.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Data on <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge in the general population were drawn from the 2003 to 2015 Demographic and Health Surveys (<jats:styled-content style="fixed-case">DHS</jats:styled-content>) and <jats:styled-content style="fixed-case">AIDS</jats:styled-content> Indicator Surveys (<jats:styled-content style="fixed-case">AIS</jats:styled-content>) of 33 countries in sub‐Saharan Africa. The <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> contain five questions on <jats:styled-content style="fixed-case">HIV</jats:styled-content> prevention and transmission that have been used by the Joint United Nations Programme on HIV/AIDS (<jats:styled-content style="fixed-case">UNAIDS</jats:styled-content>) as a core indicator of <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge. We created a composite <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge variable equal to the number of correct responses to these five questions; a participant was considered to have comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> (yes/no) if he/she answered all five questions correctly. We fitted negative binomial regression models with cluster‐correlated robust standard errors and country fixed effects, adjusted for socio‐demographic variables, specifying <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge as the dependent variable and year as the explanatory variable. As an alternative parameterization, we also fitted a multivariable linear probability model with cluster‐correlated robust standard errors and country fixed effects specifying comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> as the dependent variable.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 791,186 women and 395,891 men participating in 75 <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> were included in the analyses. The mean <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge score was 3.7 among women and 3.9 among men (<jats:italic>p</jats:italic> < 0.001). Only 35% of women and 41% of men (<jats:italic>p</jats:italic> < 0.001) had a comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content>. We estimated a modest but statistically significant positive association between year of <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> and <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge (adjusted <jats:italic>b</jats:italic> = 0.005; 95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>), 0.001 to 0.009). Similarly, we estimated a statistically significant positive association between year of <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> and comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> (adjusted <jats:italic>b</jats:italic> = 0.011; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content>, 0.005 to 0.017), suggesting an approximately 1% relative increase per year in the percentage of the general population who possess a comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content>.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>There have been minimal improvements over time in <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge across sub‐Saharan Africa.</jats:p></jats:sec> |
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| description | <jats:title>Abstract</jats:title><jats:sec><jats:title>Introduction</jats:title><jats:p>Population‐level improvements in knowledge about <jats:styled-content style="fixed-case">HIV</jats:styled-content> may reduce the stigma attached to <jats:styled-content style="fixed-case">HIV</jats:styled-content> and ensure maximal uptake of <jats:styled-content style="fixed-case">HIV</jats:styled-content> prevention initiatives. The extent to which levels of <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge in the general population of sub‐Saharan Africa have changed in the current era of antiretroviral therapy (<jats:styled-content style="fixed-case">ART</jats:styled-content>) scale‐up remains unknown.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Data on <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge in the general population were drawn from the 2003 to 2015 Demographic and Health Surveys (<jats:styled-content style="fixed-case">DHS</jats:styled-content>) and <jats:styled-content style="fixed-case">AIDS</jats:styled-content> Indicator Surveys (<jats:styled-content style="fixed-case">AIS</jats:styled-content>) of 33 countries in sub‐Saharan Africa. The <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> contain five questions on <jats:styled-content style="fixed-case">HIV</jats:styled-content> prevention and transmission that have been used by the Joint United Nations Programme on HIV/AIDS (<jats:styled-content style="fixed-case">UNAIDS</jats:styled-content>) as a core indicator of <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge. We created a composite <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge variable equal to the number of correct responses to these five questions; a participant was considered to have comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> (yes/no) if he/she answered all five questions correctly. We fitted negative binomial regression models with cluster‐correlated robust standard errors and country fixed effects, adjusted for socio‐demographic variables, specifying <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge as the dependent variable and year as the explanatory variable. As an alternative parameterization, we also fitted a multivariable linear probability model with cluster‐correlated robust standard errors and country fixed effects specifying comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> as the dependent variable.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 791,186 women and 395,891 men participating in 75 <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> were included in the analyses. The mean <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge score was 3.7 among women and 3.9 among men (<jats:italic>p</jats:italic> < 0.001). Only 35% of women and 41% of men (<jats:italic>p</jats:italic> < 0.001) had a comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content>. We estimated a modest but statistically significant positive association between year of <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> and <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge (adjusted <jats:italic>b</jats:italic> = 0.005; 95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>), 0.001 to 0.009). Similarly, we estimated a statistically significant positive association between year of <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> and comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> (adjusted <jats:italic>b</jats:italic> = 0.011; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content>, 0.005 to 0.017), suggesting an approximately 1% relative increase per year in the percentage of the general population who possess a comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content>.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>There have been minimal improvements over time in <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge across sub‐Saharan Africa.</jats:p></jats:sec> |
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| spelling | Chan, Brian T Tsai, Alexander C 1758-2652 1758-2652 Wiley Infectious Diseases Public Health, Environmental and Occupational Health http://dx.doi.org/10.1002/jia2.25169 <jats:title>Abstract</jats:title><jats:sec><jats:title>Introduction</jats:title><jats:p>Population‐level improvements in knowledge about <jats:styled-content style="fixed-case">HIV</jats:styled-content> may reduce the stigma attached to <jats:styled-content style="fixed-case">HIV</jats:styled-content> and ensure maximal uptake of <jats:styled-content style="fixed-case">HIV</jats:styled-content> prevention initiatives. The extent to which levels of <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge in the general population of sub‐Saharan Africa have changed in the current era of antiretroviral therapy (<jats:styled-content style="fixed-case">ART</jats:styled-content>) scale‐up remains unknown.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Data on <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge in the general population were drawn from the 2003 to 2015 Demographic and Health Surveys (<jats:styled-content style="fixed-case">DHS</jats:styled-content>) and <jats:styled-content style="fixed-case">AIDS</jats:styled-content> Indicator Surveys (<jats:styled-content style="fixed-case">AIS</jats:styled-content>) of 33 countries in sub‐Saharan Africa. The <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> contain five questions on <jats:styled-content style="fixed-case">HIV</jats:styled-content> prevention and transmission that have been used by the Joint United Nations Programme on HIV/AIDS (<jats:styled-content style="fixed-case">UNAIDS</jats:styled-content>) as a core indicator of <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge. We created a composite <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge variable equal to the number of correct responses to these five questions; a participant was considered to have comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> (yes/no) if he/she answered all five questions correctly. We fitted negative binomial regression models with cluster‐correlated robust standard errors and country fixed effects, adjusted for socio‐demographic variables, specifying <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge as the dependent variable and year as the explanatory variable. As an alternative parameterization, we also fitted a multivariable linear probability model with cluster‐correlated robust standard errors and country fixed effects specifying comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> as the dependent variable.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 791,186 women and 395,891 men participating in 75 <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> were included in the analyses. The mean <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge score was 3.7 among women and 3.9 among men (<jats:italic>p</jats:italic> < 0.001). Only 35% of women and 41% of men (<jats:italic>p</jats:italic> < 0.001) had a comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content>. We estimated a modest but statistically significant positive association between year of <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> and <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge (adjusted <jats:italic>b</jats:italic> = 0.005; 95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>), 0.001 to 0.009). Similarly, we estimated a statistically significant positive association between year of <jats:styled-content style="fixed-case">DHS</jats:styled-content>/<jats:styled-content style="fixed-case">AIS</jats:styled-content> and comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content> (adjusted <jats:italic>b</jats:italic> = 0.011; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content>, 0.005 to 0.017), suggesting an approximately 1% relative increase per year in the percentage of the general population who possess a comprehensive knowledge of <jats:styled-content style="fixed-case">HIV</jats:styled-content>.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>There have been minimal improvements over time in <jats:styled-content style="fixed-case">HIV</jats:styled-content> knowledge across sub‐Saharan Africa.</jats:p></jats:sec> HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries Journal of the International AIDS Society |
| spellingShingle | Chan, Brian T, Tsai, Alexander C, Journal of the International AIDS Society, HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries, Infectious Diseases, Public Health, Environmental and Occupational Health |
| title | HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| title_full | HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| title_fullStr | HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| title_full_unstemmed | HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| title_short | HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| title_sort | hiv knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐saharan african countries |
| title_unstemmed | HIV knowledge trends during an era of rapid antiretroviral therapy scale‐up: an analysis of 33 sub‐Saharan African countries |
| topic | Infectious Diseases, Public Health, Environmental and Occupational Health |
| url | http://dx.doi.org/10.1002/jia2.25169 |