Knowledge, Attitudes, and Practice Around HIV/AIDS and other STIs Among Syrians: A Cross-Sectional Study

Hidar Alibrahim, S. Swed, H. Bohsas, K. Albakri, B. Sawaf, Mohamed Elsayed
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Abstract

Background:  Over 1 million new Sexual transmitted disease (STIs) are acquired daily throughout the globe, according to WHO data, with the majority of cases being asymptomatic. In Syria, statistics on STI awareness, attitude, and practice are few, and there is little information on Syrians' sexual and reproductive health concerns. The present research aims to determine which individuals factors best predict knowledge, attitudes, and behaviours about HIV/AIDS and other STIs in a Syrian population.   Method: In the Syrian governorates between August 15 and September 16, 2022, a descriptive community-based cross-sectional survey was carried out. Syrian nationality, male or female, aged at least 18 years, citizen of any Syrian governorate, and willingness to engage in the survey were the study's inclusion criteria. Based on a previous study, a modified online semi-structured questionnaire was made on Google Form and used to collect the data. The questionnaire was divided into five main section that socio-demographic information, knowledge and practice relating STIs, knowledge and practice relating HIV/AIDS, attitude toward HIV/AIDS and attitude toward STIs.   Results: The research involved 1076 individuals in total. More over half (55%) of them were women, with the majority (86%) of them being between the ages of 18 and 30. Only 739 respondents (67%) were aware of voluntary counselling and testing (VCT), and only 35% were aware of the means by which HIV infection may be prevented. The most often mentioned AIDS/HIV-related statistic was that those who have several sex partners have a greater chance of contracting HIV (92%). Furthermore, just 66% and 44%, respectively, of respondents knew how STDs are transmitted. In general, individuals' understanding of STDs was rated at 56%. Furthermore, 50% of the individuals had a positive attitude about the STD information. We used a logistic model to tease out the role of demographics and found that men were 1.43 times more likely to be aware of AIDS/HIV than women were. Additionally, residents of cities were 1.42 times more likely than residents of rural areas to be knowledgeable about STDs.   Conclusion: According to this research, Syrians' knowledge, attitudes, and behaviors about STIs, HIV, and other diseases were generally insufficient. This provides definitive evidence that HIV programmes need to verify that Syrian people have access to basic information about HIV/AIDS and other STIs. As a result, the health organizations should conduct both international and local helpful interventions in order to address this medical problem and enhance the awareness of the Syrian community about HIV/AIDS and other STIs illnesses as soon as possible.
叙利亚人对艾滋病毒/艾滋病和其他性传播感染的知识、态度和做法:一项横断面研究
背景:根据世卫组织的数据,全球每天有超过100万新的性传播疾病(STIs),其中大多数病例无症状。在叙利亚,关于性传播感染的认识、态度和做法的统计数据很少,关于叙利亚人的性健康和生殖健康问题的信息也很少。目前的研究旨在确定哪些个体因素最能预测叙利亚人口中关于艾滋病毒/艾滋病和其他性传播感染的知识、态度和行为。方法:在2022年8月15日至9月16日期间,在叙利亚各省进行了描述性社区横断面调查。叙利亚国籍,男性或女性,年龄至少18岁,叙利亚任何省份的公民,并愿意参与调查是该研究的纳入标准。在前人研究的基础上,我们在谷歌Form上制作了一份修改后的在线半结构化问卷来收集数据。问卷分为社会人口统计信息、性传播疾病知识与实践、艾滋病知识与实践、艾滋病态度和性传播疾病态度五个主要部分。结果:该研究共涉及1076人。其中超过一半(55%)是女性,其中大多数(86%)年龄在18到30岁之间。只有739名应答者(67%)知道自愿咨询和检测(VCT),只有35%知道可以预防艾滋病毒感染的手段。最常被提及的与艾滋病/艾滋病毒相关的统计数据是,那些有多个性伴侣的人感染艾滋病毒的几率更大(92%)。此外,分别只有66%和44%的受访者知道性病是如何传播的。总体而言,个人对性病的了解程度为56%。此外,50%的人对性病信息持积极态度。我们使用逻辑模型来梳理人口统计数据的作用,发现男性对艾滋病/艾滋病毒的认识是女性的1.43倍。此外,城市居民对性病的了解程度是农村居民的1.42倍。结论:根据本研究,叙利亚人对性传播感染、艾滋病毒等疾病的知识、态度和行为普遍不足。这提供了明确的证据,表明艾滋病毒规划需要核实叙利亚人民是否能够获得有关艾滋病毒/艾滋病和其他性传播感染的基本信息。因此,卫生组织应开展国际和地方有益的干预措施,以解决这一医疗问题,并尽快提高叙利亚社区对艾滋病毒/艾滋病和其他性传播疾病的认识。
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