reproductive health for refugees by refugees in guinea iv peer education and hiv knowledge, attitudes, and reported practices生殖健康为难民难民在几内亚iv同伴教育和艾滋病知识、态度和实践.pdfVIP

Woodward et al. Conflict and Health 2011, 5:10 /content/5/1/10 RESEARCH Open Access Reproductive health for refugees by refugees in Guinea IV: Peer education and HIV knowledge, attitudes, and reported practices 1 1* 2 2 3 4,5 Aniek Woodward , Natasha Howard , Yaya Souare , Sarah Kollie , Anna von Roenne and Matthias Borchert Abstract Background: Both conflict and HIV affect sub-Saharan Africa, and supportive approaches for HIV prevention among refugees are crucial. Peer education has been associated with improved HIV outcomes, though relatively little research has been published on refugee settings. The primary objective of this study was to assess whether exposure to refugee peer education was associated with improved HIV knowledge, attitudes, or practice outcomes among refugees in Guinea. Secondary objectives were to assess whether gender, age, or formal education were more strongly associated than peer education with improved HIV outcomes. Methods: Data was collected by cross-sectional survey from 889 reproductive-age men and women in 23 camps in the Forest Region of Guinea. Selected exposures (i.e. peer education, gender, formal education, age) were analysed for associations with HIV outcomes using logistic regression odds ratios (OR). Results: Most participants (88%) had heard of HIV, particularly those exposed to peer or formal education. Most correctly identified ways to protect themselves, while maintaining misconceptions about HIV transmission. Women and those exposed to either peer or formal education had significantly fewer misconceptions. Half of participants considered themselves at risk of HIV, women with 52% higher odds than men (adjusted OR 1.52,