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Relevance of students’ demographic characteristics, sources of information and personal attitudes towards HIV testing for HIV knowledge: evidence from a post-conflict setting

Published online by Cambridge University Press:  28 January 2020

Marija Milic Open the ORCID record for Marija Milic [Opens in a new window] ,
Jelena Dotlic ,
Jasmina Stevanovic ,
Milan Parlic ,
Katarina Mitic ,
Desmond Nicholson ,
Aleksandra Arsovic  and
Tatjana Gazibara
Marija Milic
Affiliation:
Department of Epidemiology, School of Medicine, University of Pristina temporarily seated in Kosovska Mitrovica, Kosovska Mitrovica, Kosovo, Serbia
Jelena Dotlic
Affiliation:
Clinic for Obstetrics and Gynecology, Clinical Centre of Serbia, Belgrade, Serbia School of Medicine, University of Belgrade, Belgrade, Serbia
Jasmina Stevanovic
Affiliation:
Department of Epidemiology, School of Medicine, University of Pristina temporarily seated in Kosovska Mitrovica, Kosovska Mitrovica, Kosovo, Serbia
Milan Parlic
Affiliation:
Department of Epidemiology, School of Medicine, University of Pristina temporarily seated in Kosovska Mitrovica, Kosovska Mitrovica, Kosovo, Serbia
Katarina Mitic
Affiliation:
Program Coordinator of the Emergency Relief Project ‘Solidarity’, SOS Children’s Villages, Serbia
Desmond Nicholson
Affiliation:
Department of Regional Health Services Region Five, Ministry of Public Health, Georgetown, Guyana
Aleksandra Arsovic
Affiliation:
Department of Microbiology, School of Medicine, University of Pristina temporarily seated in Kosovska Mitrovica, Kosovska Mitrovica, Kosovo, Serbia
Tatjana Gazibara*
Affiliation:
Institute of Epidemiology, School of Medicine, University of Belgrade, Belgrade, Serbia
*
*Corresponding author. Email: [email protected]
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Abstract

Although studies on HIV knowledge have previously been conducted in central Serbia and southern Kosovo, none has included the Serbian population residing in the northern part of the Kosovo province. The aim of this study was to assess HIV-related knowledge and to estimate factors contributing to a higher HIV-related knowledge level among Serbian university students in the Kosovo province. A cross-sectional study including 1017 first- and fourth-year students enrolled at the University of Pristina temporarily seated in Kosovska Mitrovica was carried out during the academic year 2013–2014. The students completed a 31-item questionnaire comprising demographic data, HIV transmission knowledge and attitude towards HIV testing. Data were statistically analysed. Students demonstrated good knowledge of HIV (average 32.8 ± 3.3 out of a maximum 42). Only 5% of the students reported having been tested for HIV. Factors associated with being more knowledgeable about HIV were studying health-related disciplines (β = −0.09; 95% confidence interval [CI] −0.13, 0.00), using the internet as a source of information about HIV (β = −1.09; 95% CI −1.65, −0.52), having a positive attitude towards HIV testing (β = −0.43; 95% CI −0.59, −0.26), having a low self-perceived risk for HIV infection (β = 0.41; 95% CI 0.23, 0.56) and the position that one would keep the same level of contact with an HIV-positive person after learning their HIV status (β = 0.38; 95% CI 0.21, 0.55). Setting up specialized classes on this topic at high schools and universities could help to increase the awareness of HIV infection and promote HIV testing and a positive attitude towards HIV-positive persons.

Keywords

HIVKnowledgeUniversity
Type
Research Article
Information
Journal of Biosocial Science , Volume 53 , Issue 1 , January 2021 , pp. 1 - 19
Copyright
© Cambridge University Press 2020

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References

American College Health Association (2009) American College Health Association-National College Health Assessment Spring 2008 Reference Group Data Report (abridged): the American College Health Association. Journal of American College Health 57(5), 477–488.CrossRefGoogle Scholar
Baytner-Zamir, R, Lorber, M and Hermoni, D (2014) Assessment of the knowledge and attitudes regarding HIV/AIDS among pre-clinical medical students in Israel. BMC Research Notes, 7, 168.CrossRefGoogle ScholarPubMed
Blagojevic, L, Petrovic, B, Kocic, B, Rancic, N and Deljanin, Z (2013) Students’ knowledge about AIDS and their attitudes and behaviours towards HIV-positive or diseased persons in Niš, Serbia [in Italian]. Epidemiologia e Prevenzione 37(2–3), 161–167.Google Scholar
Brener, ND, Demissie, Z, McManus, T, Shanklin, SL, Queen, B and Kann, L (2017) School Health Profiles 2016: Characteristics of Health Programs Among Secondary Schools. Centers for Disease Control and Prevention, Atlanta.Google Scholar
Cai, Y, Hong, H, Shi, R, Ye, X, Xu, G, Li, S and Shen, L (2008) Long-term follow-up study on peer-led school-based HIV/AIDS prevention among youths in Shanghai. International Journal of STD & AIDS 19(12), 848–850.CrossRefGoogle ScholarPubMed
Center for Disease Control and Prevention (2018) HIV/AIDS – HIV Among Youth. URL: https://www.cdc.gov/hiv/group/age/youth/index.html (accessed 29th December 2018).Google Scholar
Chen, M, Liao, Y, Liu, J, Fang, W, Hong, N, Ye, X et al. (2016) Comparison of sexual knowledge, attitude, and behavior between female Chinese college students from urban areas and rural areas: a hidden challenge for HIV/AIDS control in China. BioMed Research International 2016, 8175921.Google ScholarPubMed
Chew, BH and Cheong, AT (2013) Assessing HIV/AIDS knowledge and stigmatizing attitudes among medical students in Universiti Putra Malaysia. Medical Journal of Malaysia 68, 24–29.Google ScholarPubMed
Choudhary, HA, Ali, RA and Altaf, S (2015) Knowledge, behaviour and attitudes regarding HIV/AIDS among undergraduate students in an Irish university. International Journal of Surgery and Medicine 1(2), 58–66.CrossRefGoogle Scholar
Country Mission Report (2006) UN Administered Province of Kosovo, Most-at-risk Adolescents and Young People, HIV and Substance Use. URL: http://rhrn.ro/wp-content/uploads/2016/05/country-report-kosovo-1.pdf (accessed 5th January 2019).Google Scholar
Cousins, S (2018) HIV in Serbia: stigma and a stagnant HIV response. The Lancet HIV 5(7), e343–e344.CrossRefGoogle Scholar
Department for Healthcare Promotion and Prevention (2018) Institute for Students’ Health Care. URL: http://zzzzsbg.rs/en/sluzba-za-unapredenje-i-ocuvanje-zdravlja (accessed 5th January 2019).Google Scholar
Gao, X, Wu, Y, Zhang, Y, Zhang, N, Tang, J, Qiu, J et al. (2012) Effectiveness of school-based education on HIV/AIDS knowledge, attitude, and behavior among secondary school students in Wuhan, China. PLoS One 7(9), e44881.CrossRefGoogle ScholarPubMed
Gokengin, D, Oprea, C, Begovac, J, Horban, A, Zeka, AN, Sedlacek, D et al. (2018) HIV care in Central and Eastern Europe: how close are we to the target? International Society for Infectious Diseases 70, 121–130.CrossRefGoogle ScholarPubMed
Gullette, DL and Lyons, MA (2006) Sensation seeking, self-esteem, and unprotected sex in college students. Journal of the Association of Nurses in AIDS Care 17(5), 23–31.Google ScholarPubMed
Gupta, GR, Parkhurst, JO, Ogden, JA, Aggleton, P and Mahal, A (2008) Structural approaches to HIV prevention. The Lancet 372(9640), 764–775.CrossRefGoogle ScholarPubMed
Haroun, D, El Saleh, O, Wood, L, Mechli, R, Al Marzouqi, N and Anouti, S (2016) Assessing knowledge of, and attitudes to, HIV/AIDS among university students in the United Arab Emirates. PLoS One 11(2), e0149920.Google ScholarPubMed
Institute of Public Health of Serbia (2014) Results of the National Health Survey of Serbia, 2013. Institute of Public Health of Serbia “Dr. Milan Jovanović Batut”, Belgrade. URL: http://www.batut.org.rs/download/publikacije/2013SerbiaHealthSurvey.pdf (accessed 29th December 2018).Google Scholar
Institute of Public Health of Serbia (2016) Annual Report on Communicable Diseases. Institute of Public Health of Serbia “Dr. Milan Jovanović Batut”, Belgrade. URL: http://www.batut.org.rs/download/izvestaji/zarazneBolestiGodisnjiIzvestaj2016.pdf (accessed 29th December 2018).Google Scholar
Inungu, J, Mumford, V, Younis, M and Langford, S (2009) HIV knowledge, attitudes and practices among college students in the United States. Journal of Health and Human Services Administration 32(3), 259–277.Google ScholarPubMed
James, TG and Ryan, SJ (2018) HIV knowledge mediates the relationship between HIV testing history and stigma in college students. Journal of American College Health 66(7), 561–569.Google ScholarPubMed
Kann, L, McManus, T, Harris, WA, Shanklin, SL, Flint, KH, Queen, B et al. (2018) Youth Risk Behavior Surveillance – United States, 2017. MMWR. Surveillance summaries: morbidity and mortality weekly report. Surveillance summaries/CDC 67 (No. SS-8), 1–114.CrossRefGoogle Scholar
Ketting, E and Ivanova, O (2018) Sexual Education in Europe and Central Asia: State of the Art and Recent Developments. Commissioned by the Federal Centre for Health Education, BYgA and the International Planned Parenthood Federation European Network. IPPF EN, Cologne. URL: https://www.ippfen.org/sites/ippfen/files/2018-05/Comprehensive%20Country%20Report%20on%20CSE%20in%20Europe%20and%20Central%20Asia_0.pdf (accessed 22nd September 2019).Google Scholar
Kingori, C, Nkansah, MA, Haile, Z, Darlington, KA and Basta, T (2017) Factors associated with HIV related stigma among college students in the Midwest. AIMS Public Health 4(4), 347–363.CrossRefGoogle ScholarPubMed
Korhonen, T, Kylmä, J, Houtsonen, J, Välimäki, M and Suominen, T (2012) University students’ knowledge of, and attitudes towards, HIV and AIDS, homosexuality and sexual risk behaviour: a questionnaire survey in two Finnish universities. Journal of Biosocial Science 44(6), 661–675.CrossRefGoogle ScholarPubMed
Lin, CA, Roy, D, Dam, L and Coman, EN (2017) College students and HIV testing: cognitive, emotional self-efficacy, motivational and communication factors. Journal of Communication in Healthcare 10(4), 250–259.CrossRefGoogle ScholarPubMed
Mahajan, AP, Sayles, JN, Patel, VA, Remien, RH, Sawires, SR, Ortiz, DJ et al. (2008) Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward. AIDS 22 (Supplement 2), S67–79.CrossRefGoogle ScholarPubMed
Ministry of Health of Serbia and Institute of Public Health of Serbia “Dr Milan Jovanovic Batut” (2013) Research Among Populations Most at Risk to HIV and Among People Living with HIV. Key Findings, 2013. URL: http://www.aidsinfoonline.org/kpatlas/document/SRB/SRB_2008_2010_2012_2013_IBBS_SW_MSM_PWID.pdf (accessed 5th January 2019).Google Scholar
Noar, SM (2011) Computer technology-based interventions in HIV prevention: state of the evidence and future directions for research. AIDS Care 23(5), 525–533.CrossRefGoogle ScholarPubMed
Nubed, CK and Akoachere, JTK (2016) Knowledge, attitudes and practices regarding HIV/AIDS among senior secondary school students in Fako Division, South West Region, Cameroon. BMC Public Health 16(1), 847.Google ScholarPubMed
Park, E and Kwon, M (2018) Health-related internet use by children and adolescents: systematic review. Journal of medical Internet research 20(4), e120.CrossRefGoogle ScholarPubMed
Parker, R and Aggleton, P (2003) HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action. Social Science & Medicine 57(1), 13–24.CrossRefGoogle Scholar
Shokoohi, M, Karamouzian, M, Mirzazadeh, A, Haghdoost, AA, Rafierad, AA, Sedaghat, A and Sharifi, H (2013) HIV knowledge, attitudes, and practices of young people in Iran: findings of a national population-based survey in 2013. PLoS One 11(9), e0161849.Google Scholar
Smith, AR, Chein, J and Steinberg, L (2013) Impact of socio-emotional context, brain development, and pubertal maturation on adolescent risk-taking. Hormones and Behavior 64(2), 323–332.CrossRefGoogle ScholarPubMed
Stephenson, R (2009) Community factors shaping HIV-related stigma among young people in three African countries. AIDS Care 21(4), 403–410.Google ScholarPubMed
Thanavanh, B, Harun-Or-Rashid, M, Kasuya, H and Sakamoto, J (2013) Knowledge, attitudes and practices regarding HIV/AIDS among male high school students in Lao People’s Democratic Republic. Journal of the International AIDS Society 16, 17387.CrossRefGoogle ScholarPubMed
The Global Fund (2018) Serbia. URL: https://www.theglobalfund.org/en/portfolio/country/list/?loc=SRB&k=230dc866-39f9-4332-9c9d-6b9145dc667a (accessed 6th January 2019).Google Scholar
Tonsaker, T, Bartlett, G and Trpkov, C (2014) Health information on the Internet: gold mine or minefield? Médecin de famille canadien 60(5), 407–408.Google ScholarPubMed
Turan, B, Hatcher, AM, Weiser, SD, Johnson, MO, Rice, WS and Turan, JM (2017) Framing mechanisms linking HIV-Rrelated stigma, adherence to treatment, and health outcomes. American Journal of Public Health 107(6), 863–869.CrossRefGoogle ScholarPubMed
UNAIDS (2015a) Joint United Nations Programme on HIV/AIDS. Republic of Serbia; Reporting Period: January–December 2014. URL: http://www.unaids.org/sites/default/files/country/documents/SRB_narrative_report_2015.pdf (accessed 1st January 2019).Google Scholar
UNAIDS (2015b) Active Involvement of Young People is Key to Ending the AIDS epidemic by 2030. URL: http://www.unaids.org/en/resources/presscentre/featurestories/2015/august/20150812_PACT (accessed 1st January 2019).Google Scholar
UNAIDS (2016) HIV and Security: Past, Present and Future. URL: http://www.unaids.org/en/resources/presscentre/featurestories/2016/june/20160607_hivandsecurity (accessed 1st January 2019).Google Scholar
Vowa, EM, Jankovic, J and Savu, T (2015) Knowledge, attitude and behaviour of Belgrade medical students related to HIV/AIDS. European Journal of Public Health 3(25), ckv176.169.Google Scholar
WHO (2018) HIV/AIDS Key Facts. URL: https://www.who.int/news-room/fact-sheets/detail/hiv-aids (accessed 29th December 2018).Google Scholar
WHO (2002) Major UN Study Finds Alarming Lack of Knowledge About HIV/AIDS Among Young People. URL: https://www.who.int/mediacentre/news/releases/who56/en/ (accessed 1st January 2019).Google Scholar
Yang, H, Li, X, Stanton, B, Fang, X, Lin, B and Naar-King, S (2006) HIV-related knowledge, stigma, and willingness to disclose: a mediation analysis. AIDS Care 18(7), 717–724.CrossRefGoogle ScholarPubMed
Ybarra, ML, Bull, SS, Prescott, TL, Korchmaros, JD, Bangsberg, DR and Kiwanuka, JP (2013) Adolescent abstinence and unprotected sex in CyberSenga, an Internet-based HIV prevention program: randomized clinical trial of efficacy. PLoS One 8(8), e70083.CrossRefGoogle Scholar
Yiu, JW, Mak, WW, Ho, WS and Chui, YY (2010) Effectiveness of a knowledge-contact program in improving nursing students’ attitudes and emotional competence in serving people living with HIV/AIDS. Social Science & Medicine 71, 38–44.CrossRefGoogle ScholarPubMed