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P4.001 Gender Differences in Determinants of HIV/AIDS Transmission in Albania: Do They Exist?
  1. A Thind1,
  2. B Hoti2,
  3. R Bani3,
  4. M Rab1
  1. 1University of Western Ontario, London, ON, Canada
  2. 2UNDP, Tirana, Albania
  3. 3Institute of Public Health, Tirana, Albania


Albania is a low HIV prevalence country with a strong focus on preventing the spread of HIV/AIDS. We used the 2008–09 Albania Demographic Health Survey (DHS) to investigate if there are gender differences in determinants of knowledge about HIV transmission. The Albania DHS is a nationally representative survey of 7584 women and 3013 men. The survey showed that the vast majority of Albanians (93%) have heard of AIDS. Responses to questions assessing correct knowledge about modes of transmission (during pregnancy, delivery, breastfeeding, sexual intercourse, single partner, condom use, mosquito bites, and sharing food) were used to create a score, which was dichotomized by a median split to create a binary ‘knowledge’ (poor/good) variable. Men were more like to have poor knowledge (OR = 0.66) about the correct modes of transmission compared to women. To assess if there are any difference in the predictors of this knowledge, separate logistic regression models were constructed for men and women. Higher educational level (OR = 3.37), greater media exposure (OR = 1.15), being resident in Tirana (OR = 1.49), greater wealth (OR = 2.07) having health insurance (OR = 1.18) and having a smaller number of children (OR = 0.87) were associated with good knowledge of transmission modes in women. In males, being resident in Tirana (OR = 1.69), higher educational level (OR = 2.56), greater media exposure (OR = 1.10), having health insurance (OR = 1.58) and having a smaller number of children (OR = 0.90) were associated with good knowledge of transmission modes. In contrast to women, wealth was not a significant predictor in men. Both regression models controlled for respondent’s age, marital status, employment, rural/urban location, religion, and contact with the health care system. In conclusion, with the exception of wealth, there are no significant gender differences in the determinants of knowledge about HIV transmission in Albania.

  • Albania
  • gender difference
  • HIV/AIDS knowledge

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