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首页> 外文期刊>AIDS care. >Social intolerance, risky sexual behaviors and their association with HIV knowledge among Ugandan adults: results from a national survey
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Social intolerance, risky sexual behaviors and their association with HIV knowledge among Ugandan adults: results from a national survey

机译：乌干达成年人之间的社会不容忍，危险性行为及其与艾滋病毒知识的关联：国家调查结果

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摘要

Understanding the link between HIV knowledge, risky sexual behaviors, and social intolerance such as stigma and discrimination is important for HIV prevention and treatment program planning. We investigated whether intolerant attitudes and practices among Ugandan adults were associated with HIV-transmission knowledge. We analyzed data from a nationally representative population-based household survey, the 2011 Uganda AIDS Indicator Survey. A total of 15,526 participants who responded to questions on HIV knowledge, social intolerance and risky sexual behavior were included in this analysis. Results show that 34.8% of respondents reported having fear of casual contact with people living with HIV (PLWA), 21% blame PLWAs for their disease, 62% would not want HIV infection in their family disclosed, while 25% reported engaging in risky sexual behaviors. After adjusting for age, sex, residence, and level of education, people with low HIV-transmission knowledge had almost three-fold higher odds of fear of casual contact with a PLWA (aOR = 2.70, 95%CI = 2.33-3.13), and had 30% higher odds of HIV-related stigmatizing attitudes (aOR = 1.29, 95%CI = 1.07-1.54). Further, they had 47% higher odds of having sex under the influence of alcohol (aOR = 1.47, 95%CI = 1.25-1.73) and 40% higher odds of having unprotected sex with any of their last three sex partners (aOR = 1.39, 95%CI = 1.06-1.89). Our findings show that intolerant attitudes such as stigma still persist, particularly among people with low HIV-transmission knowledge. Improving knowledge about HIV/AIDS can foster positive attitudes and building safe practices among populations, and is critical for improving prevention and treatment programs.
机译：了解艾滋病毒知识，危险性行为与社会不容忍之间的联系，如耻辱和歧视，对艾滋病毒预防和治疗方案规划很重要。我们调查了乌干达成年人中的不宽容性态度和实践是否与艾滋病毒传播知识有关。我们分析了来自2011年乌干达艾滋病指标调查的基于国家代表性人口的家庭调查的数据。在此分析中，共有15,526名与艾滋病毒知识，社会不耐受性和风险性行为有关的参与者。结果表明，34.8％的受访者报告害怕与艾滋病毒（PLWA）的人临时接触，21％责备他们的疾病，62％不希望在其家庭中披露的艾滋病毒感染，而25％的人据报道危险性危险行为。调整年龄，性别，居住和教育程度后，艾滋病毒传播知识低的人几乎令人担忧的担心与PLWA偶然接触的几乎三倍（AOR = 2.70,95％CI = 2.33-3-3.13），艾滋病毒相关耻辱性态度的几率较高30％（AOR = 1.29,95％CI = 1.07-1.54）。此外，它们在醇的影响下具有47％的性行为的几率（AOR = 1.47,95％CI = 1.25-1.73），与他们的最后三名性伙伴的任何患者无保护性行为的40％的含量较高（AOR = 1.39 ，95％CI = 1.06-1.89））。我们的调查结果表明，耻辱等不宽容的态度仍然存在，特别是艾滋病毒传播知识低的人群。提高有关艾滋病毒/艾滋病的知识可以促进人口中的积极态度和建立安全实践，对改善预防和治疗方案至关重要。

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