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HIV/AIDS-Related Knowledge and Behaviors Among Most-at-Risk Populations in Vietnam
- Source :
- The Open AIDS Journal
- Publication Year :
- 2012
- Publisher :
- Bentham Open, 2012.
-
Abstract
- The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) has supported the Vietnamese Ministry of Health (MOH) in implementing behavior change strategies to slow the HIV epidemic. These programs target commercial sex workers (CSW), injection drug users (IDU), and men who have sex with men (MSM). Using data from a program evaluation to assess effectiveness of the PEPFAR intervention, we conducted a sub-analysis of HIV/AIDS knowledge, sexual behaviors, and injection drug risk behaviors among 2,199 Vietnamese respondents, including those reporting recent contact with an outreach worker and those who did not report contact. We found overall high levels of HIV/AIDS knowledge, low rates of needle sharing, and moderate to high rates of inconsistent condom use. Average knowledge scores of IDU were significantly higher than non-IDU for antiretroviral treatment knowledge, while MSM had significantly less knowledge of treatment compared to non-MSM. HIV/AIDS-related knowledge was not significantly associated with needle-sharing practices. Knowledge was modestly but significantly associated with more consistent use of condoms with primary and commercial sex partners, even after controlling for contact with an outreach worker. Contact with an outreach worker was also an independent predictor of more consistent condom use. Outreach programs appear to play a meaningful role in changing sexual behavior, though the effect of outreach on IDU risk behaviors was less clear. More research is needed to understand the relationship between outreach programs and skill development, motivation, and use of referral services by most-at-risk populations in Vietnam.
- Subjects :
- Program evaluation
Gerontology
Referral
Vietnamese
men who have sex with men
health communications
Article
Men who have sex with men
Acquired immunodeficiency syndrome (AIDS)
Virology
Environmental health
Medicine
most-at-risk populations
Needle sharing
business.industry
commercial sex workers
Behavior change
Public Health, Environmental and Occupational Health
injection drug users
virus diseases
medicine.disease
language.human_language
Outreach
Infectious Diseases
Vietnam
sex behavior
language
HIV/AIDS
business
Subjects
Details
- Language :
- English
- ISSN :
- 18746136
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- The Open AIDS Journal
- Accession number :
- edsair.doi.dedup.....99bc00a23c2751c4aea5e164e1e7e232