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Impact evaluation of HIV/AIDS education in rural Henan province of China

Journal of Huazhong University of Science and Technology [Medical Sciences] volume 33, pages 905–911 (2013)Cite this article

Summary

Nowadays, there is a trend of HIV prevalence transmitting from high-risk group to average-risk group in China. Rural China is the weak link of HIV prevention, and rural areas of Henan province which is one of the most high-risk regions in China have more than 60% of the AIDS patients in the province. Thus, improving the HIV awareness and implementing health education become the top-priority of HIV/AIDS control and prevention. A multistage sampling was designed to draw 1129 people living with HIV/AIDS (PLWHAs) and 1168 non-PLWHAs in 4 prevalence counties of Henan province. A health promoting and social-psychological support model was constructed to improve the health knowledge of participants. Chi-square tests and unconditional logistic regression were performed to determine the intervention effect and influencing factors. All groups had misunderstandings towards the basic medical knowledge and the AIDS transmission mode. Before the intervention, 59.3% of the HIV/AIDS patients and 74.6% of the healthy people had negative attitudes towards the disease. There was statistically significant difference in the improvement of knowledge, attitude and action with regards to HIV prevention before and after intervention (P<0.05). PLWHAs who were males (OR=1.731) and had higher education level (OR=1.910) were found to have better HIV/AIDS health knowledge, whereas older PLWHAs (OR=0.961) were less likely to have better HIV/AIDS health knowledge. However, the intervention effect was associated with the expertise of doctors and supervisors, the content and methods of education, and participants’ education level. It was concluded that health education of HIV/AIDS which positively influences the awareness and attitude of HIV prevention is popular in rural areas, therefore, a systematic and long-term program of HIV control and prevention is urgently needed in rural areas.

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Author information

Affiliations

  1. School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China

    Ben-yan Lv, Yuan-xi Xiang & Zhan-chun Feng

  2. Management Institute, Xinxiang Medical University, Xinxiang, 453003, China

    Ben-yan Lv

  3. School of Public Policy and Management, Tsinghua University, Beijing, 100084, China

    Rui Zhao

  4. Henan Provincial Medical Academy, Zhengzhou, 450003, China

    Shu-ying Liang & Yu-ming Wang

Authors
  1. Ben-yan Lv
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  2. Yuan-xi Xiang
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  3. Rui Zhao
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  4. Zhan-chun Feng
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  5. Shu-ying Liang
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  6. Yu-ming Wang
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Corresponding author

Correspondence to Zhan-chun Feng.

Additional information

This project was supported by grants from the Major National Science and Technology Programs in 11th Five-year plan (No. 2009ZX10001-017), and the National Natural Science Foundation of China (No. 71273097).

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Lv, By., Xiang, Yx., Zhao, R. et al. Impact evaluation of HIV/AIDS education in rural Henan province of China. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 33, 905–911 (2013). https://doi.org/10.1007/s11596-013-1220-x

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  • DOI: https://doi.org/10.1007/s11596-013-1220-x

Key words

  • AIDS/HIV
  • health education
  • intervention
  • Henan province