235424 Knowledge, Attitude and Practice Regarding HIV/AIDS Among adolescent School Students in Nepal ľA cross-sectional study

Monday, October 31, 2011

Naimeswar Sinha, Professor , School of Medical Science, Kathmandu University, Dhulikhel, Nepal
Ram Kumar Adhikari, 2nd autherLecturer Community Medicine , Department of community Medicine, Kathmandu University school of Medical Sciences, Dhulikhel, Nepal
Jagdish Chataut, MD, Community Medicine , Department of Community Medicine, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
Objective: To measure the knowledge, attitude and behaviour of adolescents regarding HIV and AIDS and their sexual behaviours brought about by parents' educational and occupational status, exposure to IEC media, credit hours of health education attended in schools and other socio-cultural and demographic variables.

Methods: A cross sectional study among students of class 9 to 12 from 35 schools of 30 districts across the country was conducted using multistage random sampling technique. 3,500 students who voluntarily participated were interviewed with self-administered and structured questionnaire between September-October, 2010. Data was analysed using descriptive and inferential statistics to see the prevalence and associations with the variables of interests. Results: Around 93% of the respondents had correct knowledge. Higher parental education and occupation are significantly associated with correct knowledge and vice-versa (p<0.05). Knowledge among higher grade students, upper caste groups and Hindu population is almost universal. Quite contrarily, exposure to IEC media and increased credit hours of health education doesn't have significant effect on knowledge (p=0.719). Rural students had lower level of knowledge than urban students. However, more urban students (38%) had unsafe sexual intercourse than rural students (11%) and are statistically significant. Exposure to media, strong economic status and health education do not pose significant effect on safe sexual practice and are susceptible to HIV and AIDS (p=0.538). Conclusions: The current socio-economic, social and educational development is not playing a positive role to create positive knowledge, practice and attitudes.

Learning Areas:
Public health or related public policy

Learning Objectives:
Learning Objectives: HIV transmission prevention as well promotion of healthy sexual behavior is very important in Nepal. As It is a landlocked Himalayan least developed country with spectacular natural scenic beauties ,attracts huge influx of world tourist, are in risk to exchange the HIV/AIDS with the indigenous people. Though the wave of literacy has yet to reach its rural population but on the contrary HIV is spreading its tentacles unchecked in far flanged hilly &its mountainous region .Knowledge regarding HIV/AIDS transmission amongst adolescent both in & out of school has demonstrated very central to built a positive attitude and thereafter formulate a healthy sexual practice.IEC has also been found useful to disseminate the availability of preventive measures without revealing the confidentiality. It also revealed that adolescent under study group mostly reject person even if their parent, if indulge illicit , sex with multiple partners.or IVD use. Homosexuality also been evaluated as sin or taboo. Design a school curriculum with sexual health as credit course has yet no sanction from present prevailing socio-cultural values ðos

Keywords: Adolescent Health, Behavior Modification

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: this research is conducted by the faculty of dept. of community medicine.All data are authentic.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Kathmandu University HIV/AIDS Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.