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首页> 外文期刊>AIDS care. >Knowledge base and caretaker-child communication about HIV in peri-urban schoolchildren of Lusaka, Zambia.
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Knowledge base and caretaker-child communication about HIV in peri-urban schoolchildren of Lusaka, Zambia.

机译：赞比亚卢萨卡的郊区学童中有关艾滋病毒的知识库和看守儿童交流。

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Peri-urban communities, which face health risks of both urban and rural environments, have grown extensively with recent global urbanization. These communities' combination of multiple HIV risk factors with the lack of a formalized sexual education system sets the stage for high-risk behavior in peri-urban youth. We conducted a cross-sectional survey of children (ages 5-17, N=331) and accompanying caretakers in peri-urban Lusaka, Zambia, using both closed- and open-ended questions to investigate HIV knowledge and communication. We found that while 67% of children had heard of HIV, only 26% and 23% could accurately name a major mode of transmission and prevention, respectively. In a multivariate model, increasing age was the only significant demographic correlate of a child's ability to offer accurate responses to either question. Though HIV/AIDS knowledge levels were high in the eldest (14-17-year old) age group, in the 10-13-year-old age group accurate modes of transmission and prevention were provided by only 41% and 33% of study participants, respectively. Sharp instruments, particularly razor blades, were mentioned nearly as frequently as sexual intercourse with respect to both transmission and prevention, a response trend that predominated in the youngest age group but persisted into the oldest. Seventy percent of caretakers had not spoken with their child about HIV. A history of caretaker-child communication about HIV was associated with an increased likelihood of a child offering an accurate mode of transmission (OR 2.70, 95% confidence interval (CI) 1.41-5.18, p=0.0029) or prevention (OR 3.43, 95% CI 1.78-6.60, p=0.0002), in multivariate analyses. Our results demonstrate a lack of knowledge and dialog about HIV in the pre-adolescent subset of high-risk peri-urban youth, and uncover undue emphasis on razor blades as a major mode of disease transmission.
机译：面对城市和农村环境的健康风险的城郊社区随着最近的全球城市化而得到了广泛的发展。这些社区将多种艾滋病毒危险因素结合起来，缺乏正规的性教育系统，为郊区青少年提供了高风险行为的舞台。我们使用封闭式和开放式问题调查了艾滋病毒的知识和传播方式，对赞比亚卢萨卡郊区的儿童（5-17岁，N = 331）及其陪护者进行了横断面调查。我们发现，虽然67％的儿童听说过HIV，但分别只有26％和23％的人可以准确地指出主要的传播和预防方式。在多变量模型中，年龄增长是儿童对任一问题提供准确答案的能力的唯一重要的人口统计学相关因素。尽管在年龄最大（14-17岁）的人群中艾滋病毒/艾滋病知识水平较高，但在10-13岁年龄组中，只有41％和33％的研究提供了准确的传播和预防方式参与者。在传播和预防方面，几乎提到了锋利的器械，特别是剃须刀，这与性交几乎一样频繁，这种反应趋势在最年轻的年龄组中占主导地位，但一直持续到最老的年龄组。百分之七十的看护者没有与孩子谈论艾滋病毒。照顾者与儿童之间有关HIV传播的历史与儿童提供准确传播方式（OR 2.70，95％置信区间（CI）1.41-5.18，p = 0.0029）或预防（OR 3.43，95）的可能性增加相关在多变量分析中，％CI 1.78-6.60，p = 0.0002）。我们的结果表明，在高风险的城郊青少年的青春期前子集中，缺乏有关艾滋病毒的知识和对话，并且发现了过度重视剃须刀作为疾病传播的主要方式。

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