Modelling Predictive Factors of Knowledge, Attitudes and Practices towards HIV/AIDS Transmission and Their Interlinked Role: A Facility-Based Cross-Sectional Study Among HIV/AIDS Patients in Lahore, Pakistan
Knowledge, Attitudes, and Practices on HIV/AIDS Transmission
DOI:
https://doi.org/10.54393/pjhs.v5i10.2395Keywords:
Knowledge-Attitude-Practice, Binary Logistic Regression, Odds Ratio, Confidence Interval, Predictive ModelAbstract
HIV/AIDS remains a significant global health challenge that disproportionately affects low and middle-income countries, including Pakistan. Understanding Knowledge, Attitudes, And Practices (KAPs) and their interlinked role in preventing HIV/AIDS was of utmost importance for effective prevention and control efforts. Objective: To explore the current state of KAP related to HIV/AIDS in Pakistan, emphasizing the interlinkage of these factors with each other. Methods: The present study was a facility-based cross-sectional study carried out with a sample size of 114 HIV patients who were enquired about their KAP using a predesigned questionnaire. The data were entered and analyzed using SPSS (version 24.0), chi-square tests, and binary logistic regression. Results: Approximately half of the respondents had good knowledge (43.9%) and attitudes (48.1%), while slightly more of them reported good practices (56.1%) regarding HIV/AIDS. The predictive model of KAP regarding HIV/AIDS showed that males (OR=4.25; 95%CI=1.42-12.73), females (OR=3.69; 95%CI=1.05-12.95), literate individuals (OR=2.90; 95%CI=1.35-6.25), and employed individuals (OR=2.35; 95%CI=1.08-5.13) were more likely to have sufficient levels of knowledge, with patients with good knowledge 2.54- and 3.30-fold more likely to have better attitudes (95%CI=1.19-5.44) and better practices (95%CI=1.50-7.28), respectively, and patients with better attitudes 12.59-fold more likely to have better practices (OR=12.59; 95%CI=5.06-31.29) regarding HIV/AIDS. Conclusions: Conclusively, the trends of KAP related to HIV/AIDS were taking a positive turn in Pakistan; however, there was still a large gap that has yet to be filled. There was a need to destigmatize the disease by disseminating the right information with concerted efforts.
References
Uwishema O, Taylor C, Lawal L, Hamiidah N, Robert I, Nasir A et al. The syndemic burden of HIV/AIDS in Africa amidst the COVID‐19 pandemic. Immunity, Inflammation and Disease. 2022 Jan; 10(1): 26-32. doi: 10.1002/iid3.544.
Qashqari FS, Alsafi RT, Kabrah SM, AlGary RA, Naeem SA, Alsulami MS et al. Knowledge of HIV/AIDS transmission modes and attitudes toward HIV/AIDS infected people and the level of HIV/AIDS awareness among the general population in the kingdom of Saudi Arabia: A cross-sectional study. Frontiers in Public Health. 2022 Sep; 10: 955458. doi: 10.3389/fpubh.2022.955458.
Ali H, Zakar R, Junaid K, Khan A, Fischer F. Frequency and reasons for delayed treatment initiation after HIV diagnosis: cross-sectional study in Lahore, Pakistan. BioMed Central Public Health. 2021 May; 21(1): 1000. doi: 10.1186/s12889-021-11031-0.
Teshale AB, Tessema ZT, Alem AZ, Yeshaw Y, Liyew AM, Alamneh TS et al. Knowledge about mother to child transmission of HIV/AIDS, its prevention and associated factors among reproductive-age women in sub-Saharan Africa: Evidence from 33 countries recent Demographic and Health Surveys. PloS one. 2021 Jun; 16(6): e0253164. doi: 10.1371/journal.pone.0253164.
Rehan M, Waheed U, Sarwar M, Arshad M, Satti HS, Zaheer HA. Knowledge, attitude, practices and awareness regarding HIV/AIDS among university students of Islamabad and Rawalpindi, Pakistan. Annals of PIMS. 2016; 1815: 2287.
Khan AH, Niazi K, Abbas A, Gillani SN. Knowledge and Awareness of Sexually Transmitted Diseases among Men and Women of Pakistan. Journal of Positive School Psychology. 2023 May: 1773-90.
Ullah S and Naz A. Diseases Related Stigmatization and Discrimination: Investıgating the Perspectives and Experıences of HIV/AIDS Patients in Khyber Pakhtunkhwa, Pakistan. Multidisciplinary Approaches to Research: Volume 2: 27. 2022 Sep; 29(3): 230–237. doi: 10.4103/jfcm.jfcm_136_22.
Tarkang EE, Lutala PM, Dzah SM. Knowledge, attitudes and practices regarding HIV/AIDS among senior high school students in Sekondi-Takoradi metropolis, Ghana. African Journal of Primary Health Care and Family Medicine. 2019 Jan; 11(1): 1-1. doi: 10.4102/phcfm.v11i1.1875.
Iqbal S, Maqsood S, Zafar A, Zakar R, Zakar MZ, Fischer F. Determinants of overall knowledge of and attitudes towards HIV/AIDS transmission among ever-married women in Pakistan: evidence from the Demographic and Health Survey 2012-13. BioMed Central Public Health. 2019 Dec; 19: 1-4. doi: 10.1186/s12889-019-7124-3.
John A, Rana MS, Hanif A, Faridi TA, Noor S, Zahid S et al. Knowledge, Attitudes and Practices of Male Transgenders in Transmission of Human Immunodeficiency Virus in Lahore, Pakistan: Male Transgenders in Transmission of HIV. Pakistan BioMedical Journal. 2021 Jun; 4(1). doi: 10.54393/pbmj.v4i1.84.
Lobo D, Sams LM, Fernandez SL. Correlation between health professionals' knowledge, attitude and practice about infection control measures. Journal of Medical & Allied Sciences. 2019; 9(1): 26-31. doi: 10.5455/jmas.17740.
Nubed CK and Akoachere JF. Knowledge, attitudes and practices regarding HIV/AIDS among senior secondary school students in Fako Division, South West Region, Cameroon. BioMed Central Public Health. 2016 Dec; 16: 1-0. doi: 10.1186/s12889-016-3516-9.
Agyemang S, Buor D, Tagoe-Darko E. The extent of knowledge about HIV/AIDS among young people in the Ejura-Sekyedumase district of Ghana. 2021 Jan; 4 (11), 241-247.
Banagi Yathiraj A, Unnikrishnan B, Ramapuram JT, Thapar R, Mithra P, Madi D et al. HIV-related knowledge among PLWHA attending a tertiary care hospital at Coastal South India-a facility-based study. Journal of the International Association of Providers of AIDS Care. 2017 Nov; 16(6): 615-9. doi: 10.1177/2325957417742671.
Raberahona M, Lidamahasolo Z, Andriamamonjisoa J, Andriananja V, Andrianasolo RL, Rakotoarivelo RA et al. Knowledge, attitudes, perception and practices regarding antiretroviral therapy among HIV-infected adults in Antananarivo, Madagascar: a cross-sectional survey. BioMed Central Health Services Research. 2019 Dec; 19: 1-9. doi: 10.1186/s12913-019-4173-3.
Aizaz M, Abbas FA, Abbas A, Tabassum S, Obeagu EI. Alarming rise in HIV cases in Pakistan: Challenges and future recommendations at hand. Health Science Reports. 2023 Aug; 6(8): e1450. doi: 10.1002/hsr2.1450.
Nasir JA, Khan MD, Zaidi SA. Factor Associated with HIV/AIDS knowledge among males: Findings from 2017-18 Pakistan Demographic and Health Survey. Journal of Biosocial Science. 2023 Nov; 55(6): 1169-77. doi: 10.1017/S0021932022000542.
Rabold EM, Ali H, Fernandez D, Knuth M, Schenkel K, Asghar RJ et al. Systematic review of reported HIV outbreaks, Pakistan, 2000-2019. Emerging Infectious Diseases. 2021 Apr; 27(4): 1039. doi: 10.3201/eid2704.204205.
Hussain A, Rahim A, Rajput F. The quality of life of HIV positive Transgender and homosexual population in Karachi, Pakistan. Pakistan Journal of Medical Sciences. 2023 Jul; 39(4): 1202. doi: 10.12669/pjms.39.4.6445.
Banerjee A, La Ferrara E, Orozco-Olvera VH. The entertaining way to behavioral change: Fighting HIV with MTV. National Bureau of Economic Research; 2019 Jul. doi: 10.1596/1813-9450-8998
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments