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      Comprehensive Knowledge, Attitudes, Behaviors, and Associated Factors of HIV/AIDS in Gondar City Public Health Facilities Among HIV Testing and Counselling Service Users, Northwest Ethiopia, 2022; an Ordinal Logistic Regression Analysis [Letter]

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      1 , 2
      HIV/AIDS (Auckland, N.Z.)
      Dove

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          Abstract

          Dear editor We were very impressed with the article entitled “Comprehensive Knowledge, Attitudes, Behaviors, and Associated Factors of HIV/AIDS in Gondar City Public Health Facilities Among HIV Testing and Counselling Service Users, Northwest Ethiopia, 2022; an Ordinal Logistic Regression Analysis”. The results of this research have advantages, namely: 1) This study was conducted in Gondar City, in the northwestern region of Ethiopia. This location may not have been the focus of much HIV/AIDS-related research, thus providing new insights into the HIV/AIDS situation in the region, 2) Collecting data on HIV/AIDS-related knowledge, attitudes, and behaviors, thus providing a more complete understanding of the factors affecting people’s understanding of HIV/AIDS, 3) Focusing on HIV testing and counseling service users, who may have different characteristics and information needs compared to the general population, 4) The use of ordinal logistic regression analysis method to evaluate factors associated with knowledge, attitudes, and behaviors related to HIV/AIDS, is an analytical approach that has not been widely used in the context of HIV/AIDS research in the region.1 However, we have also discovered several limitations that need to be corrected in the future, namely: 1) This study only included users of HIV testing and counseling (HTC) services in public health facilities in Gondar City. This may limit the representation of the wider population, such as individuals who do not use HTC services or who use services in private health facilities, 2) The use of questionnaires to collect data may have limitations in terms of accuracy and honesty of responses from participants. In addition, this study did not conduct an exploratory factor analysis of the questionnaires used, 3) Although this study noted that media had a significant influence on knowledge about HIV/AIDS, this study did not explore the type of media or media content that was most effective in disseminating information about HIV/AIDS, 4) Although the study used ordinal logistic regression analysis, it was not mentioned whether this study considered potential factors, it was not mentioned whether the study considered other potential factors that might influence knowledge, attitudes, and behaviors related to HIV/AIDS, such as social, economic, or cultural factors, 5) This study only involved public health facilities in Gondar City, so it did not include private health facilities or facilities in other regions that might have different characteristics. To obtain better results, we recommend that further research be carried out by 1) Conduct in-depth interviews, direct observation or qualitative studies to gain a deeper understanding of HIV/AIDS-related knowledge, attitudes, and behaviors among individuals who use health services and those who do not use such services, 2) Expand the scope of the study to include a wider population, including individuals in rural areas, private health facilities, and special groups such as adolescents,2 women, or other vulnerable groups, 3) Expand the analysis to consider social, economic, and cultural factors that may influence HIV/AIDS-related knowledge, attitudes, and behaviors, as well as consider interactions between these variables,3 4) Include more specific policy recommendations based on the research findings, such as intervention strategies that can be implemented to improve HIV/AIDS-related knowledge, attitudes, and behaviors in the community. In conclusion, this study makes a significant contribution to understanding the factors that influence HIV/AIDS-related knowledge, attitudes, and behaviors among health service users, and provides a basis for designing more effective intervention strategies to improve understanding and healthy behaviors related to HIV/AIDS in the community.

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          Socio-Economic and Demographic Factors Associated with Knowledge and Attitude of HIV/AIDS among Women Aged 15–49 Years Old in Indonesia

          Women’s susceptibility to HIV/AIDS infection is related to socio-economic and demographic factors. This study sought to analyze socio-economic and demographic factors related to knowledge and attitude of HIV/AIDS among women aged 15–49 years old in Indonesia. We conducted a secondary data analysis using the 2017 Indonesian Demographic and Health Survey (IDHS). Among 49,627 women, our study analyzed 25,895 women aged 15–49 years familiar with HIV terminology. Multiple logistic regression was utilized to analyze associations between socio-economic and demographic factors with knowledge and attitudes toward HIV/AIDS. Women’s age, education level, wealth quintile, residential area and region, access to information, owning cell phones and autonomy were significantly associated with positive knowledge and attitudes toward HIV/AIDS. These findings revealed that several demographical and social factors contribute to knowledge and attitudes toward HIV/AIDS among women aged 15–49 years in Indonesia.
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            Comprehensive Knowledge, Attitudes, Behaviors, and Associated Factors of HIV/AIDS in Gondar City Public Health Facilities Among HIV Testing and Counselling Service Users, Northwest Ethiopia, 2022; an Ordinal Logistic Regression Analysis

            Background The primary cause of HIV transmission is a failure to deliver proper HIV/AIDS information, which is a major public health issue in low- and middle-income nations. While global health coverage continues, there is still little understanding of HIV/AIDS in Ethiopia, and there is a data gap. As a result, the aim of this study was to investigate the factors that influence comprehensive HIV/AIDS knowledge among HIV testing and counselling (HTC) service users in Gondar, northwest Ethiopia. Methods A facility-based cross-sectional study was conducted from June to July 2022. About 423 clients were included. Data on HIV/AIDS knowledge, attitude, and behavior were collected. Stata 17 was used to analyze. A pre-tested questionnaires were used. Using ordinal logistic regression model, variables having p values of 0.2 and <0.05 were chosen as a candidate variable in binary and final model. Results The total knowledge, favorable attitude, and good behaviors of HIV/AIDS were approximately 258 (61%), 220 (52%), and 210 (49.5%), respectively. Being male (AOR = 1.39, 95% CI = 1.28–3.01), age from 31 to 35 years (AOR = 2.13, 95% CI = 1.88–4.18), and above 36 years old (AOR = 2.21, 95% CI = 1.98–3.44), primary (AOR = 1.21, 95% CI = 1.67–3.20), and higher education (AOR = 1.19, 95% CI = 1.03–3.01), employed (AOR = 1.33, 95% CI = 1.09, 3.37), and media exposure (AOR = 2.02, 95% CI = 1.21, 3.61) were factors associated with comprehensive knowledge of HIV/AIDS, respectively. Conclusion The study participants’ knowledge, attitudes, and behaviors regarding HIV/AIDS were rather low. Since HIV/AIDS is still a major public health issue, if the concerned body uses and designs media effectively, encouraging females to attend school, it will have a better chance of combating HIV/AIDS by increasing their knowledge.
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              Knowledge, attitudes and behaviours towards people with HIV and AIDS among private higher education students in Johannesburg, South Africa

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                Author and article information

                Journal
                HIV AIDS (Auckl)
                HIV AIDS (Auckl)
                hiv
                HIV/AIDS (Auckland, N.Z.)
                Dove
                1179-1373
                20 December 2023
                2023
                : 15
                : 727-728
                Affiliations
                [1 ]Department of Environmental Health, Poltekkes Kemenkes Bandung , Bandung, Indonesia
                [2 ]Center of Excellence on Utilization of Local Material for Health Improvement, Bandung Health Polytechnic , Bandung, Indonesia
                Author notes
                Correspondence: Elanda Fikri, Department of Environmental Health, Poltekkes Kemenkes Bandung , Jl.Pajajaran 56, Bandung, Jawa Barat, Indonesia, Email elandafikri@yahoo.com
                Author information
                http://orcid.org/0000-0001-7196-6011
                Article
                454593
                10.2147/HIV.S454593
                10749166
                38144607
                b5a5d87d-5b27-4563-8e16-8a5095cf761a
                © 2023 Fikri.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 12 December 2023
                : 19 December 2023
                Page count
                Figures: 0, References: 3, Pages: 2
                Categories
                Letter

                Infectious disease & Microbiology
                Infectious disease & Microbiology

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