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Tan Y, Yang J, Cui Y, Zhou H, Zhao J, Ouyang L, Zhou C, Chen F. Knowledge, attitudes and practices related to AIDS amongst transgender women in Chongqing, China: a cross-sectional study. BMC Public Health 2024; 24:2522. [PMID: 39285344 PMCID: PMC11406856 DOI: 10.1186/s12889-024-19901-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2024] [Accepted: 08/27/2024] [Indexed: 09/19/2024] Open
Abstract
BACKGROUND Transgender women (TGWs) constitute one of the key populations for HIV prevention and control and constitute a high-risk group due to a lack of health services. The aim of this study was to investigate knowledge, attitudes and practices (KAPs) related to HIV and knowledge access and needs amongst transgender women in Chongqing, China. METHODS A cross-sectional study was conducted from October 2022 to March 2023. A total of 128 self-identified TGWs were recruited in Chongqing, China, via snowball sampling, and a KAP-related questionnaire was completed via Questionnaire Star. RESULTS For the 128 TGWs surveyed effectively, the total knowledge of AIDS-related knowledge was 82.03%, with significant differences in age, education level, marital status, occupation and average monthly income (p < 0.05). Significant differences were obtained in terms of personal attitudes toward AIDS and place of domicile and literacy (p < 0.05) and subjective norms in terms of literacy (p < 0.05). No significant difference was observed between the groups in terms of HIV-related practices. The corresponding values were assigned to knowledge, attitudes or practices. The total scores of the three aspects were 6.77 ± 1.47 (95% confidence interval [CI]: 3.89-9.65) (range: 0-8), 14.22 ± 2.37 (95% CI: 9.57-18.87) (range: 0-18) and 6.66 ± 1.79 (95% CI: 3.16-10.17) (range: 0-9), respectively. The main approaches for TGWs to acquire AIDS knowledge are 'Internet/smartphone' (81.68%), 'TV/radio' (49.62%) and 'special education on AIDS prevention in schools' (48.09%). TGW is more inclined to accept promotional activities such as 'WeChat push' (58.02%), 'peer education' (44.27%) and 'mobile app management' (37.40%). AIDS knowledge indicates that TGW needs to strengthen publicity, including 'transmission routes' (71.76%), 'voluntary counselling and testing knowledge' (67.94%) and 'virus-related knowledge' (64.89%). CONCLUSIONS First, the knowledge rate of AIDS amongst TGWs in Chongqing, China, still has room for improvement, and there is a gap between knowledge and behavior. Second, TGWs are tolerant of AIDS and people living with AIDS and have a strong awareness of AIDS prevention. Third, the health department should attach importance to the group of TGW over 35 years old, low-income, and low-educated, and promote social organizations and network platforms to further strengthen the health education and publicity of AIDS from the perspectives of knowledge acquisition and needs.
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Affiliation(s)
- Yangxi Tan
- School of Public Health, Chongqing Medical University, Chongqing, China
| | - Jiajie Yang
- School of Public Health, Chongqing Medical University, Chongqing, China
| | - Yuting Cui
- School of Public Health, Chongqing Medical University, Chongqing, China
| | - Hailong Zhou
- Chongqing Jiangbei District Disease Prevention and Control Centre, Chongqing, China
| | - Jing Zhao
- Chongqing Blue Sky Working Group, Chongqing, China
| | - Lin Ouyang
- Chongqing Centre for Disease Control and Prevention, Chongqing, China
| | - Chao Zhou
- Chongqing Centre for Disease Control and Prevention, Chongqing, China
| | - Fei Chen
- School of Public Health, Chongqing Medical University, Chongqing, China.
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Tirado V, Orsini N, Strömdahl S, Hanson C, Ekström AM. Knowledge gaps related to HIV and condom use for preventing pregnancy: a cross-sectional study among migrants in Sweden. BMC Public Health 2024; 24:2334. [PMID: 39198761 PMCID: PMC11351065 DOI: 10.1186/s12889-024-19839-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Accepted: 08/20/2024] [Indexed: 09/01/2024] Open
Abstract
BACKGROUND Information and knowledge of sexual and reproductive health and rights (SRHR) plays a crucial role in promoting safe sexual practices among young migrants. We aimed to assess the sociodemographic factors of migrants associated with knowledge of condoms and the prevention, treatment, and transmission of HIV to highlight the need for SRHR information, including comprehensive sexual health education. METHODS A cross-sectional survey was conducted (2018-2019) among migrants at Swedish language schools and high schools across Sweden. The survey included questions about knowledge of condom use for preventing pregnancy and HIV treatment and transmission. Descriptive statistics were calculated, and multivariable logistic regression analyses were performed to assess the responses to the knowledge questions and sociodemographic characteristics. RESULTS Out of 3430 respondents (median age: 35, interquartile range: 20), approximately 39% were unaware that condoms can prevent unplanned pregnancies. Only 58% of the respondents knew that condoms reduce the risk of contracting HIV. About 77% were unaware of HIV treatment, and 52% reported not knowing that a woman with HIV could transmit the virus to her baby during pregnancy or breastfeeding. Incorrect knowledge about condom use to prevent unwanted pregnancy was associated with several factors: younger age (15-19 years) adjusted odds ratio (aOR) 1.35; 95% confidence interval (CI), 1.02-1.79); female respondents (aOR: 1.68; 95% CI 1.36-2.07); lack of previous sexual health education (aOR: 2.57; 95% CI 2.11-3.13); low level of education (aOR: 1.30; 95% CI 1.04-1.61). Originating from the Americas, European, or sub-Saharan African regions was associated with a 34-42% decreased likelihood of incorrect knowledge that condoms can reduce the risk of HIV infection compared to respondents from the Middle East and North Africa (MENA). More than half (64%) of respondents reported needing more SRHR information. CONCLUSIONS We found significant knowledge gaps on HIV and condom use for preventing pregnancy among migrants in Sweden. Comprehensive sexual health education in language schools, along with information to newly arrived migrants from diverse regional backgrounds and targeted sexual health services to younger individuals, women, and those who lack sexual health education, are needed to address these information gaps and provide crucial SRHR education and information.
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Affiliation(s)
- Veronika Tirado
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
| | - Nicola Orsini
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Susanne Strömdahl
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
- Department of Medical Sciences, Infectious Diseases, Uppsala University, Uppsala, Sweden
| | - Claudia Hanson
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
- Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK
| | - Anna Mia Ekström
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
- Department of Infectious Diseases, Venhälsan/South General Hospital, Stockholm, Sweden
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Ceccarelli G, Angeletti S, Vita S, Crialesi A, Ciotti M, Spagnolello O, Pacifici LE, Fabris S, Ciccozzi M, d'Ettorre G. PROVIDING A SIMPLE AND EASILY ACCESSIBLE DIAGNOSTIC TOOL FOR HIV DIAGNOSIS DOES NOT ALWAYS MATCH SUCCESS IN SCREENING CAMPAIGNS ADDRESSED TO MIGRANT POPULATIONS. Int J Infect Dis 2022; 122:373-374. [PMID: 35718298 DOI: 10.1016/j.ijid.2022.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 06/13/2022] [Indexed: 11/28/2022] Open
Affiliation(s)
- Giancarlo Ceccarelli
- Department of Public Health and Infectious Diseases, University Hospital Policlinico Umberto I - University of Rome Sapienza (Italy); Italian Red Cross - Croce Rossa Italiana - Roma Metropolitana (Italy); Migrant and Global Health research Organization - Mi-HeRO - Rome (Italy).
| | - Silvia Angeletti
- Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy
| | - Serena Vita
- Migrant and Global Health research Organization - Mi-HeRO - Rome (Italy); Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy; National Institute for National Institute of Health Lazzaro Spallanzani - Rome (Italy)
| | - Antonio Crialesi
- Italian Red Cross - Croce Rossa Italiana - Roma Metropolitana (Italy)
| | - Marco Ciotti
- Virology Unit, Polyclinic Tor Vergata Foundation, Rome, Italy
| | - Ornella Spagnolello
- Department of Public Health and Infectious Diseases, University Hospital Policlinico Umberto I - University of Rome Sapienza (Italy)
| | - Laura Elena Pacifici
- UniCamillus - Saint Camillus International University of Health Sciences, Rome, Italy
| | - Sivia Fabris
- Medical Statistics and Epidemiology Unit, Department of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Massimo Ciccozzi
- Medical Statistics and Epidemiology Unit, Department of Medicine, Campus Bio-Medico University, Rome, Italy
| | - Gabriella d'Ettorre
- Department of Public Health and Infectious Diseases, University Hospital Policlinico Umberto I - University of Rome Sapienza (Italy)
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Jaspal R, Eriksson P, Nynäs P. Identity, Threat and Coping among Gay Men Living with HIV in Finland. COGENT PSYCHOLOGY 2021. [DOI: 10.1080/23311908.2021.1878980] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Affiliation(s)
- Rusi Jaspal
- Department of Psychology, Nottingham Trent University, Nottingham, UK
| | - Panda Eriksson
- Faculty of Arts, Psychology and Theology, Åbo Akademi University, Turku, Finland
| | - Peter Nynäs
- Faculty of Arts, Psychology and Theology, Åbo Akademi University, Turku, Finland
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Bouchard A, Bourdeau F, Roger J, Taillefer VT, Sheehan NL, Schnitzer M, Wang G, Judy Jean Baptiste I, Therrien R. Predictive Factors of Detectable Viral Load in HIV-Infected Patients. AIDS Res Hum Retroviruses 2021; 38:552-560. [PMID: 34538065 DOI: 10.1089/aid.2021.0106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Despite availability of effective antiretroviral therapy (ART), many HIV patients still have a detectable viral load (VL). Predictive factors of detectable VL are not well documented. This study was done at two large multidisciplinary HIV outpatient clinics at the Centre hospitalier de l'Université de Montréal (CHUM) and the McGill University Health Centre (MUHC). This is a retrospective case-control study of patients treated between 2016 and 2018. Cases had a VL ≥50 copies/mL in 2018. Controls had an undetectable VL from 2016 to 2018. Matching was based on gender and year of HIV diagnosis. Primary objective was to identify predictive factors of detectable VL. Secondary objectives included to identify predictive factors of virologic failure, low persistent viremia, and viral blip. A forward stepwise model selection by the Akaike Information Criterion of the conditional logistic regression was used to identify predictive factors. Two hundred cases were identified and matched with 200 controls. The cohort was mostly male (68.0%) with a median age of 54 years (21-83 years). Among cases, viral blip was the most common type of detectable VL (43.0%). The strong predictive factors for a detectable VL were adherence to ART and seeking health care services. Asylum seekers were less at risk of detectable VL. Adherence to ART was the only strong predictive factor for virologic failure. Three main predictive factors of detectable VL were identified in two ambulatory clinic hospitals in Montreal. Ascertaining these factors will allow for identification of patients more at risk of detectable VL.
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Affiliation(s)
- Audrey Bouchard
- Pharmacy Department, University of Montreal Hospital Center, Montreal, Canada
- Pharmacy Faculty, University of Montreal, Montreal, Canada
| | - François Bourdeau
- Pharmacy Department, University of Montreal Hospital Center, Montreal, Canada
- Pharmacy Faculty, University of Montreal, Montreal, Canada
| | - Julien Roger
- Pharmacy Department, University of Montreal Hospital Center, Montreal, Canada
- Pharmacy Faculty, University of Montreal, Montreal, Canada
| | - Vincent-Thierry Taillefer
- Pharmacy Department, University of Montreal Hospital Center, Montreal, Canada
- Pharmacy Faculty, University of Montreal, Montreal, Canada
| | - Nancy L. Sheehan
- Pharmacy Faculty, University of Montreal, Montreal, Canada
- Chronic Viral Illness Service, and McGill University Health Centre, Montreal, Canada
- Pharmacy Department, McGill University Health Centre, Montreal, Canada
| | | | - Guanbo Wang
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada
| | | | - Rachel Therrien
- Pharmacy Department, University of Montreal Hospital Center, Montreal, Canada
- Pharmacy Faculty, University of Montreal, Montreal, Canada
- Chronic Viral Illness Service, University of Montreal Hospital Center, Montreal, Canada
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Youssef L, Hallit S, Sacre H, Salameh P, Cherfan M, Akel M, Hleyhel M. Knowledge, attitudes and practices towards people living with HIV/AIDS in Lebanon. PLoS One 2021; 16:e0249025. [PMID: 33765069 PMCID: PMC7993853 DOI: 10.1371/journal.pone.0249025] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Accepted: 03/09/2021] [Indexed: 11/26/2022] Open
Abstract
Background Up till today, studies carried in Lebanon have focused more on the prevalence of HIV and behaviors and quality of life of infected individuals, however, none of these studies discussed the degree of stigma towards these populations. Therefore, the aim of this study is to measure the rate of stigma in terms of knowledge, attitude and practice towards patients living with Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) (PLWHA) and examine the factors associated with this stigma. Methods A cross-sectional survey, enrolling 862 participants, was carried across the five governorates in Lebanon: Beirut, Mount Lebanon, North, South and Bekaa. The survey was a self-administered questionnaire which covered information about participants’ general demographics, their knowledge, attitudes, practices and awareness towards HIV/AIDS in Lebanon., attitudes towards PLWHA, practices related to HIV/AIDS and awareness regarding HIV/AIDS situation in Lebanon. Results The response rate to the survey was 78.36% (862 participants). Being Muslim (Beta = -2.56) or Druze (Beta = -2.64) compared to Christians were significantly associated with lower knowledge towards HIV/AIDS, whereas having a secondary (Beta = 2.71) and a university (Beta = 3.04) levels of education compared to illiteracy and higher age (Beta = 0.05) were significantly associated with higher knowledge. Higher knowledge (Beta = 0.66) was significantly associated with better attitude, whereas higher age (Beta = -0.14) and being Muslim compared to Christian (Beta = -3.44) were significantly associated with worse attitude. Better attitude (Beta = 0.02) was significantly associated with better practice, whereas females compared to males (Beta = -0.39), having a secondary level of education compared to illiteracy (Beta = -0.88) and being Muslim compared to Christian (Beta = -0.32) were significantly associated with worse practice. Conclusion Our results stress the need for educational programs, advocacy campaigns and policies to help reduce HIV stigma. This will then help start developing interventions and strategies for a possible reduction in the stigmatization level.
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Affiliation(s)
- Lara Youssef
- Department of Medicine and Medical sciences, University of Balamand (UOB), Al-Kurah, Lebanon
- * E-mail: (LY); (SH)
| | - Souheil Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
- INSPECT-LB: National Institute of Public Health, Clinical Epidemiology and Toxicology, Beirut, Lebanon
- * E-mail: (LY); (SH)
| | - Hala Sacre
- INSPECT-LB: National Institute of Public Health, Clinical Epidemiology and Toxicology, Beirut, Lebanon
| | - Pascale Salameh
- INSPECT-LB: National Institute of Public Health, Clinical Epidemiology and Toxicology, Beirut, Lebanon
- Faculty of Pharmacy, Lebanese University, Beirut, Lebanon
- Faculty of Medicine, University of Nicosia, Nicosia, Cyprus
| | - Michelle Cherfan
- INSPECT-LB: National Institute of Public Health, Clinical Epidemiology and Toxicology, Beirut, Lebanon
- School of Pharmacy, Lebanese International University, Beirut, Lebanon
| | - Marwan Akel
- INSPECT-LB: National Institute of Public Health, Clinical Epidemiology and Toxicology, Beirut, Lebanon
- School of Pharmacy, Lebanese International University, Beirut, Lebanon
| | - Mira Hleyhel
- INSPECT-LB: National Institute of Public Health, Clinical Epidemiology and Toxicology, Beirut, Lebanon
- Faculty of Public Health, Lebanese University, Fanar, Lebanon
- Faculty of Public Health, CERIPH, Center for Research in Public Health—Pharmacoepidemiology Surveillance Unit, Lebanese University, Fanar, Lebanon
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