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Comparing the awareness of and beliefs in sexually transmitted infections among university students in Madagascar and the United States of America

Authors:
  • Franklin Scholars

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Young adults have a higher risk of contracting sexually transmitted infections (STIs) than other age groups. This risk may be mediated by their social and cultural setting which can impact young adults’ awareness of, beliefs in, and risk of contracting STIs (including HIV/AIDS). In order to understand how these factors vary among young adults of different cultures, it is important to study these issues on a cross-cultural scale. This study aimed to increase understanding of the relationship between the culture of a place of study and: (1) STI awareness; (2) belief in STIs; and (3) self-reported STI prevalence in the study population. Survey data were collected from university students in Madagascar ( n = 242 surveys in 2013) and the United States of America ( n = 199 surveys in 2015). Compared to students at the American university, students at the Malagasy university: (1) did not appear to have a conclusively lower awareness of STIs; (2) did not differ in rates of belief in the existence of gonorrhea and syphilis, but had higher rates of disbelief in HIV/AIDS; and (3) were more likely to report having been infected with syphilis and gonorrhea, but not with HIV/AIDS. Students at the Malagasy university also listed different reasons than the students at the American university for why they believed in the existence of STIs. These findings highlight the need for further cross-cultural research to better adapt intervention strategies to different cultural settings.
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... nine in South Africa [24,27,29,34,37,42,46,82,84], five in each of Ghana [19,31,65,66,68] and Ethiopia [21,73,77,78,80], four in Uganda [13,55,72,75], three in Mozambique [22,26,30], two in each of Namibia [45,76]and Cameroon [59,67], one in each of Congo [25], Sudan [33], Senegal [39], Morocco [47], Gambia [50], Tanzania [53], Madagascar [71] and Egypt [74] while a Fig 2). Heterogeneity was high in all questions (I 2 more than 80%), except for the question "Is TB associated with HIV infection?" ...
... Adolescents and young people. The study participants' age were greater than 14and less than 25 years in thirteen HIV-related included studies, representing a total population of 5,908 participants; five studies were conducted in Nigeria [14,[16][17][18]63], three in Ghana [19,31,66], two in Mozambique [26,30], and one in each of Cameroon [59], Madagascar [71]and Uganda [72]. Majority of studies were toward students and adolescents (11/13) while two studies were conducted among pregnant women. ...
... Fourteen included studies assessed the awareness of 9,446 Africans in regard to HBV, three studies were conducted in each of Nigeria [61,62,64], Cameroon [20,40,58] and Ghana [12,15,28], two in Ethiopia [32,52], one in each of Kenya, Mozambique and Madagascar [26,57,71]. The oldest among the study included was conducted in 2010 while the newest was conducted in 2016 (Table 1). ...
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Sexually Transmitted Infections (STIs) are ambiguous burden of tremendous health, social and economic consequences. The current systematic review was conducted in order to determine awareness and knowledge of Africans toward sexually transmitted infections, not only concerning HIV/AIDS, but also other STIs such as gonorrhea, syphilis, HBV, HCV and HPV. A systematic review of literature was conducted, studies were retrieved and selected after fulfilling the inclusion criteria as well as passing the assessment procedure. Related data was extracted, quantitative analysis was conducted among participants who responded to questions related to HIV, HBV, HCV, HPV or STIs knowledge, sensitivity analysis as well as subgroup analysis were also conducted. Seventy four articles addressing knowledge among 35 African countries were included and 136 questions were analyzed and synthesized. The question "does using condom reduces HIV transmission?" was answered by 1,316,873 Africans in 35 countries, 66.8% [95% Cl; 62.6, 70.9] answered yes. While the question "is sexual contact a possible route of HBV transmission?" was answered by 7,490 participants in 5 countries; 42.5% [95% Cl; 20.4, 64.7] answered yes. The differences observed among populations are highlighting the possibility for improvement by directing light toward specific populations as well as addressing specific awareness knowledge to ensure that the general as well as the related specific preventive knowledge is improved.
... nine in South Africa [24,27,29,34,37,42,46,82,84], five in each of Ghana [19,31,65,66,68] and Ethiopia [21,73,77,78,80], four in Uganda [13,55,72,75], three in Mozambique [22,26,30], two in each of Namibia [45,76]and Cameroon [59,67], one in each of Congo [25], Sudan [33], Senegal [39], Morocco [47], Gambia [50], Tanzania [53], Madagascar [71] and Egypt [74] while a Fig 2). Heterogeneity was high in all questions (I 2 more than 80%), except for the question "Is TB associated with HIV infection?" ...
... Adolescents and young people. The study participants' age were greater than 14and less than 25 years in thirteen HIV-related included studies, representing a total population of 5,908 participants; five studies were conducted in Nigeria [14,[16][17][18]63], three in Ghana [19,31,66], two in Mozambique [26,30], and one in each of Cameroon [59], Madagascar [71]and Uganda [72]. Majority of studies were toward students and adolescents (11/13) while two studies were conducted among pregnant women. ...
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Sexually Transmitted Infections (STIs) are ambiguous burden of tremendous health, social and economic consequences, The current systematic review was conducted in order to determine awareness and knowledge of Africans of sexually transmitted infections, not only concerning HIV/AIDS, but also other STIs such as, gonorrhea, syphilis, HBV, HCV and HPV. A systematic review of the literature was conducted, studies were retrieved and selected after they fulfilled the inclusion criteria and passed the assessment procedure. related data was extracted, quantitative analysis was conducted among participants who responded to questions related to HIV, HBV, HCV, HPV or STIs knowledge, sensitivity analysis as well as subgroup analysis were also conducted. Seventy four articles addressing knowledge among 35 African countries were included and 136 questions were analyzed and synthesized. The question Using condom will reduce HIV transmission?'' was answered by 1,799,374 Africans in 35 countries, 66.82% [95% Cl; 62.65, 70.98] answered yes. While the question ''Is sexual contact a possible route of HBV transmission?'' was answered by 7,490 participants in 5 countries; 42.58% [95% Cl; 20.45, 64.71] answered yes. The differences observed among populations are highlighting the possibility for containment and control by directing light toward specific populations or countries as well as addressing specific awareness knowledge to ensure that the general as well as the related specific preventive awareness knowledge is improved.
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... Baek et al. 2012;Jaworski & Carey, 2007;AL-Malki 2014;Samkange-Zeeb et al. 2013). In particular, the transition from high school to college is an indispensable milestone that holds the potential for behavioral changes and opportunities to engage in a variety of risky sexual behaviors; this makes young people vulnerable to the health burdens of STDs (Fromme, Corbin & Kruse 2008;Reuter, McGinnis & Reuter 2018). In a study, 50% of the sexually active college students reported no condom use during sexual intercourse; this finding highlights the role of insufficient knowledge about sexually transmitted diseases (Steinmetz 2013). ...
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