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P4.01 Assessment of comprehensive hiv/aids knowledge level among in-school & community level adolescents of noakhali and lakshmipur district, bangladesh
  1. Abdur Rashid
  1. Marie Stopes and Bapsa Consortium Project, Noakhali and Lakshmipur, Bangladesh


Introduction In Noakhali and Lakshmipur, more adolescents are in school and community today than ever before; however, there are no studies that have assessed their comprehensive knowledge of HIV/AIDS. Thus, this study tried to assess the level of this knowledge and the factors associated with it among in-school and community level adolescents in Noakhali and Lakshmipur district.

Methods A cross-sectional school and community- based study was conducted using a facilitator-guided self-administered questionnaire conducted April 2016. The respondents were students attending regular school in 14 high schools and 70 community level adolescents located in 14 different Sub-districts in Noakhali and Lakshmipur district. The proportion of adolescents with comprehensive HIV/AIDS knowledge was computed and compared by sex. The investigating tool used was a prepared, pretested questionnaire. This had both open-and close-ended questions related to various aspects of HIV/AIDS. Different factors related to HIV/AIDS and information was gathered. The subjects were assessed for knowledge of various aspects of HIV/AIDS and associated risk factors. It was subsequently followed by an open discussion on HIV/AIDS with the students. The factors that were associated with the comprehensive HIV/AIDS knowledge were assessed using multivariable logistic regression.

Results Only about one in four, 677 (24.5%), in-school adolescents and community level adolescents have comprehensive HIV/AIDS knowledge. The knowledge was better among in-school adolescents from families with a relatively middle or high wealth index (adjusted OR [95% CI]=1.39 [1.03–1.87] and 1.75 [1.24–2.48], respectively), who got HIV/AIDS information mainly from friends or mass media (adjusted OR [95% CI]=1.63 [1.17–2.27] and 1.55 [1.14–2.11], respectively) and who received education on HIV/AIDS and sexual matters at school (adjusted OR [95% CI]=1.59 [1.22–2.08]). The females were less likely to have comprehensive HIV/AIDS knowledge compared to males (adjusted OR and [95% CI]=0.60 [0.49–0.75]).

Conclusion In general, only about a quarter of in-school adolescents had comprehensive HIV/AIDS knowledge. Although the female adolescents are highly vulnerable to HIV infection and its effects, they were by far less likely to have comprehensive HIV/AIDS knowledge. HIV/AIDS information, education and communication activities need to be intensified in high schools and rural community.

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