Skip to main content
Erschienen in: AIDS and Behavior 7/2012

01.10.2012 | Original Paper

Social Disparities, Communication Inequalities, and HIV/AIDS-Related Knowledge and Attitudes in India

verfasst von: Leland K. Ackerson, Shoba Ramanadhan, Monisha Arya, Kasisomayajula Viswanath

Erschienen in: AIDS and Behavior | Ausgabe 7/2012

Einloggen, um Zugang zu erhalten

Abstract

Promoting awareness, increasing knowledge, and eliminating stigma is important for stopping the spread of HIV/AIDS. The relation of social determinants and communication inequalities with HIV/AIDS-related cognitive processes has not been studied previously in India. Gender-stratified Poisson regression models of 123,459 women and 73,908 men in the 2005–2006 National Family Health Survey were used to calculate relative risk estimates and 95% confidence intervals for these associations. Results indicated that there are significant inequalities in mass media use among different social classes. Education and wealth are strongly and positively associated with awareness of HIV/AIDS and knowledge about prevention and transmission of AIDS and negatively associated with HIV/AIDS-related stigma. These associations attenuated when use of various mass media types were added to the models with television showing the strongest effect. Mass media may be helpful in reducing social disparities in HIV/AIDS outcomes.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat National AIDS Control Organisation. Annual Report, 2008–2009. New Delhi: Ministry of Health and Family Welfare, Government of India; 2009. National AIDS Control Organisation. Annual Report, 2008–2009. New Delhi: Ministry of Health and Family Welfare, Government of India; 2009.
2.
Zurück zum Zitat UNAIDS. 2007 AIDS epidemic update: Asia. Geneva: Joint United Nations Programme on HIV/AIDS; 2008. UNAIDS. 2007 AIDS epidemic update: Asia. Geneva: Joint United Nations Programme on HIV/AIDS; 2008.
3.
Zurück zum Zitat Cohen J. HIV/AIDS. India slashes estimate of HIV-infected people. Science. 2007;317(5835):179–81.PubMedCrossRef Cohen J. HIV/AIDS. India slashes estimate of HIV-infected people. Science. 2007;317(5835):179–81.PubMedCrossRef
4.
Zurück zum Zitat Kumaraswamy N, Venkatesh KK, Mayer KH, Freedberg K. Financial burden of health services for people with HIV/AIDS in India. Indian J Med Res. 2007;126(6):509–17. Kumaraswamy N, Venkatesh KK, Mayer KH, Freedberg K. Financial burden of health services for people with HIV/AIDS in India. Indian J Med Res. 2007;126(6):509–17.
5.
Zurück zum Zitat Perkins JM, Khan KT, Subramanian SV. Patterns and distribution of HIV among adult men and women in India. PLoS One. 2009;4(5):e5648.PubMedCrossRef Perkins JM, Khan KT, Subramanian SV. Patterns and distribution of HIV among adult men and women in India. PLoS One. 2009;4(5):e5648.PubMedCrossRef
6.
Zurück zum Zitat Fishbein M, Cappella J. The role of theory in developing effective health communications. J Commun. 2006;56(Suppl.):S1–17.CrossRef Fishbein M, Cappella J. The role of theory in developing effective health communications. J Commun. 2006;56(Suppl.):S1–17.CrossRef
7.
Zurück zum Zitat Randolph W, Viswanath K. Lessons learned from public health mass media campaigns: marketing health in a crowded media world. Annu Rev Public Health. 2004;25:419–37.PubMedCrossRef Randolph W, Viswanath K. Lessons learned from public health mass media campaigns: marketing health in a crowded media world. Annu Rev Public Health. 2004;25:419–37.PubMedCrossRef
8.
Zurück zum Zitat Viswanath K, Ramanadhan S, Kontos EZ. Mass media. In: Galea S, editor. Macrosocial determinants of population health. New York: Springer; 2007. p. 275–94.CrossRef Viswanath K, Ramanadhan S, Kontos EZ. Mass media. In: Galea S, editor. Macrosocial determinants of population health. New York: Springer; 2007. p. 275–94.CrossRef
9.
Zurück zum Zitat Snyder LB, Hamilton MA, Mitchell EW, Kiwanuka-Tondo J, Fleming-Milici F, Proctor D. A meta-analysis of the effect of mediated health communication campaigns on behavior change in the United States. J Health Commun. 2004;9(Suppl 1):71–96.PubMedCrossRef Snyder LB, Hamilton MA, Mitchell EW, Kiwanuka-Tondo J, Fleming-Milici F, Proctor D. A meta-analysis of the effect of mediated health communication campaigns on behavior change in the United States. J Health Commun. 2004;9(Suppl 1):71–96.PubMedCrossRef
10.
Zurück zum Zitat Green, Singhal A, Rogers E. Entertainment education: a communication strategy for social change. Mahwah: Lawrence Erlbaum Association; 1999. Green, Singhal A, Rogers E. Entertainment education: a communication strategy for social change. Mahwah: Lawrence Erlbaum Association; 1999.
11.
Zurück zum Zitat Vidanapathirana J, Abramson MJ, Forbes A, Fairley C. Mass media interventions for promoting HIV testing. Cochrane Database Syst Rev. 2005(3):CD004775. Vidanapathirana J, Abramson MJ, Forbes A, Fairley C. Mass media interventions for promoting HIV testing. Cochrane Database Syst Rev. 2005(3):CD004775.
12.
Zurück zum Zitat Noar SM, Palmgreen P, Chabot M, Dobransky N, Zimmerman RS. A 10-year systematic review of HIV/AIDS mass communication campaigns: have we made progress? J Health Commun. 2009;14(1):15–42.PubMedCrossRef Noar SM, Palmgreen P, Chabot M, Dobransky N, Zimmerman RS. A 10-year systematic review of HIV/AIDS mass communication campaigns: have we made progress? J Health Commun. 2009;14(1):15–42.PubMedCrossRef
13.
Zurück zum Zitat Cohen DA, Wu SY, Farley TA. Comparing the cost-effectiveness of HIV prevention interventions. J Acquir Immune Defic Syndr. 2004;37(3):1404–14.PubMedCrossRef Cohen DA, Wu SY, Farley TA. Comparing the cost-effectiveness of HIV prevention interventions. J Acquir Immune Defic Syndr. 2004;37(3):1404–14.PubMedCrossRef
14.
Zurück zum Zitat NACO. National AIDS Control Programme: response to the HIV epidemic in India. New Delhi: National AIDS Control Organisation, Indian Ministry of Health; 2010. NACO. National AIDS Control Programme: response to the HIV epidemic in India. New Delhi: National AIDS Control Organisation, Indian Ministry of Health; 2010.
15.
Zurück zum Zitat Finnegan J, Viswanath K. Communication theory and health behavior change: the media studies framework. In: Glanz K, Rimer B, Viswanath K, editors. Health behavior and health education: theory, research, and practice. San Francisco: Jossey-Bass; 2008. Finnegan J, Viswanath K. Communication theory and health behavior change: the media studies framework. In: Glanz K, Rimer B, Viswanath K, editors. Health behavior and health education: theory, research, and practice. San Francisco: Jossey-Bass; 2008.
16.
Zurück zum Zitat Bertrand JT, O’Reilly K, Denison J, Anhang R, Sweat M. Systematic review of the effectiveness of mass communication programs to change HIV/AIDS-related behaviors in developing countries. Health Educ Res. 2006;21(4):567–97.PubMedCrossRef Bertrand JT, O’Reilly K, Denison J, Anhang R, Sweat M. Systematic review of the effectiveness of mass communication programs to change HIV/AIDS-related behaviors in developing countries. Health Educ Res. 2006;21(4):567–97.PubMedCrossRef
17.
Zurück zum Zitat Kaiser Family Foundation. Survey of Americans on HIV/AIDS: summary of findings on the domestic epidemic. Menlo Park: The Henry J. Kaiser Family Foundation; 2009. Kaiser Family Foundation. Survey of Americans on HIV/AIDS: summary of findings on the domestic epidemic. Menlo Park: The Henry J. Kaiser Family Foundation; 2009.
18.
Zurück zum Zitat Babalola S, Fatusi A, Anyanti J. Media saturation, communication exposure and HIV stigma in Nigeria. Soc Sci Med. 2009;68(8):1513–20.PubMedCrossRef Babalola S, Fatusi A, Anyanti J. Media saturation, communication exposure and HIV stigma in Nigeria. Soc Sci Med. 2009;68(8):1513–20.PubMedCrossRef
19.
Zurück zum Zitat Makhlouf Obermeyer C, Pulerwitz J, Michaelis A, Carrieri P, Roche M, Sarna A. HIV testing, treatment and prevention: generic tools for operational research. Geneva: World Health Organization; 2009. Makhlouf Obermeyer C, Pulerwitz J, Michaelis A, Carrieri P, Roche M, Sarna A. HIV testing, treatment and prevention: generic tools for operational research. Geneva: World Health Organization; 2009.
20.
Zurück zum Zitat Boer H, Emons PA. Accurate and inaccurate HIV transmission beliefs, stigmatizing and HIV protection motivation in northern Thailand. AIDS Care. 2004;16(2):167–76.PubMedCrossRef Boer H, Emons PA. Accurate and inaccurate HIV transmission beliefs, stigmatizing and HIV protection motivation in northern Thailand. AIDS Care. 2004;16(2):167–76.PubMedCrossRef
21.
Zurück zum Zitat Hutchinson PL, Mahlalela X, Yukich J. Mass media, stigma, and disclosure of HIV test results: multilevel analysis in the Eastern Cape, South Africa. AIDS Educ Prev. 2007;19(6):489–510.PubMedCrossRef Hutchinson PL, Mahlalela X, Yukich J. Mass media, stigma, and disclosure of HIV test results: multilevel analysis in the Eastern Cape, South Africa. AIDS Educ Prev. 2007;19(6):489–510.PubMedCrossRef
22.
Zurück zum Zitat Mahajan AP, Sayles JN, Patel VA, Remien RH, Sawires SR, Ortiz DJ, et al. Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward. AIDS. 2008;22:S67–79.PubMedCrossRef Mahajan AP, Sayles JN, Patel VA, Remien RH, Sawires SR, Ortiz DJ, et al. Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward. AIDS. 2008;22:S67–79.PubMedCrossRef
25.
Zurück zum Zitat Government of India. Census of India 2001. New Delhi: Office of the Registrar General, Ministry of Home Affairs; 2001. Government of India. Census of India 2001. New Delhi: Office of the Registrar General, Ministry of Home Affairs; 2001.
26.
Zurück zum Zitat Viswanath K. Public communications and its role in reducing and eliminating health disparities. In: Thomson GE, Mitchell F, Williams MB, editors. Examining the health disparities research plan of the national institutes of health: unfinished business. Washington, D.C.: Institute of Medicine; 2006. p. 215–53. Viswanath K. Public communications and its role in reducing and eliminating health disparities. In: Thomson GE, Mitchell F, Williams MB, editors. Examining the health disparities research plan of the national institutes of health: unfinished business. Washington, D.C.: Institute of Medicine; 2006. p. 215–53.
27.
Zurück zum Zitat Tichenor PJ, Donohue GA, Olien CN. Mass media flow and differential growth in knowledge. Public Opin Quart. 1970;34(2):159–70.CrossRef Tichenor PJ, Donohue GA, Olien CN. Mass media flow and differential growth in knowledge. Public Opin Quart. 1970;34(2):159–70.CrossRef
28.
Zurück zum Zitat Pallikadavath S, Sreedharan C, Stones RW. Sources of AIDS awareness among women in India. AIDS Care. 2006;18(1):44–8.PubMedCrossRef Pallikadavath S, Sreedharan C, Stones RW. Sources of AIDS awareness among women in India. AIDS Care. 2006;18(1):44–8.PubMedCrossRef
29.
Zurück zum Zitat Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Geneva: World Health Organization; 2008. Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Geneva: World Health Organization; 2008.
30.
Zurück zum Zitat Institute of Medicine. Unequal treatment: confronting racial and ethnic disparities in healthcare. Washington, DC: National Academies Press; 2003. Institute of Medicine. Unequal treatment: confronting racial and ethnic disparities in healthcare. Washington, DC: National Academies Press; 2003.
31.
Zurück zum Zitat Berkman L, Kawachi I. A historical framework for social epidemiology. In: Berkman L, Kawachi I, editors. Social epidemiology. New York: Oxford University Press; 2000. p. 3–12. Berkman L, Kawachi I. A historical framework for social epidemiology. In: Berkman L, Kawachi I, editors. Social epidemiology. New York: Oxford University Press; 2000. p. 3–12.
32.
Zurück zum Zitat IIPS. Macro-International. National Family Health Survey (NFHS-3), 2005–2006, India: volume I. Mumbai: International Institute for Population Sciences; 2007. IIPS. Macro-International. National Family Health Survey (NFHS-3), 2005–2006, India: volume I. Mumbai: International Institute for Population Sciences; 2007.
33.
Zurück zum Zitat UNAIDS. National AIDS programmes: a guide to monitoring and evaluation. Geneva: Joint United Nations Programme on HIV/AIDS; 2000. UNAIDS. National AIDS programmes: a guide to monitoring and evaluation. Geneva: Joint United Nations Programme on HIV/AIDS; 2000.
34.
Zurück zum Zitat Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization; 2008. Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization; 2008.
35.
Zurück zum Zitat Singh MB, Chaudhary RC, Haldiva KR. Knowledge and attitudes of pregnant women regarding AIDS in a semi arid area of Rajasthan. J Commun Dis. 1997;29(2):139–44.PubMed Singh MB, Chaudhary RC, Haldiva KR. Knowledge and attitudes of pregnant women regarding AIDS in a semi arid area of Rajasthan. J Commun Dis. 1997;29(2):139–44.PubMed
36.
Zurück zum Zitat Filmer D, Pritchett LH. Estimating wealth effects without expenditure data—or tears: an application to educational enrollments in states of India. Demography. 2001;38(1):115–32.PubMed Filmer D, Pritchett LH. Estimating wealth effects without expenditure data—or tears: an application to educational enrollments in states of India. Demography. 2001;38(1):115–32.PubMed
37.
Zurück zum Zitat Gwatkin DR, Rutstein S, Johnson K, Suliman E, Wagstaff A, Amouzou A. Socio-economic differences in health, nutrition, and population within developing countries: an overview. Niger J Clin Pract. 2007;10(4):272–82.PubMed Gwatkin DR, Rutstein S, Johnson K, Suliman E, Wagstaff A, Amouzou A. Socio-economic differences in health, nutrition, and population within developing countries: an overview. Niger J Clin Pract. 2007;10(4):272–82.PubMed
38.
Zurück zum Zitat Subramanian SV, Nandy S, Irving M, Gordon D, Lambert H, Davey Smith G. The mortality divide in India: the differential contributions of gender, caste, and standard of living across the life course. Am J Public Health. 2006;96(5):818–25.PubMedCrossRef Subramanian SV, Nandy S, Irving M, Gordon D, Lambert H, Davey Smith G. The mortality divide in India: the differential contributions of gender, caste, and standard of living across the life course. Am J Public Health. 2006;96(5):818–25.PubMedCrossRef
39.
Zurück zum Zitat Zou G. A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004;159(7):702–6.PubMedCrossRef Zou G. A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004;159(7):702–6.PubMedCrossRef
40.
Zurück zum Zitat Viswanath K, Finnegan JR. The knowledge gap hypothesis: twenty five years later. In: Burleson B, editor. Communication Yearbook 19. Thousand Oaks: Sage Publications; 1996. p. 187–227. Viswanath K, Finnegan JR. The knowledge gap hypothesis: twenty five years later. In: Burleson B, editor. Communication Yearbook 19. Thousand Oaks: Sage Publications; 1996. p. 187–227.
41.
Zurück zum Zitat Sheeran P, Abraham C, Orbell S. Psychosocial correlates of heterosexual condom use: a meta-analysis. Psychol Bull. 1999;125(1):90–132.PubMedCrossRef Sheeran P, Abraham C, Orbell S. Psychosocial correlates of heterosexual condom use: a meta-analysis. Psychol Bull. 1999;125(1):90–132.PubMedCrossRef
42.
Zurück zum Zitat Mann JM. Statement at an informal briefing on AIDS to the 42nd session of the United Nations General Assembly. New York; 1987. Mann JM. Statement at an informal briefing on AIDS to the 42nd session of the United Nations General Assembly. New York; 1987.
43.
Zurück zum Zitat Skinner D, Mfecane S. Stigma, discrimination and the implications for people living with HIV/AIDS in South Africa. SAHARA J. 2004;1(3):157–64.PubMedCrossRef Skinner D, Mfecane S. Stigma, discrimination and the implications for people living with HIV/AIDS in South Africa. SAHARA J. 2004;1(3):157–64.PubMedCrossRef
44.
Zurück zum Zitat UNAIDS. AIDS epidemic update: December 2009. Geneva: UNAIDS; 2009. UNAIDS. AIDS epidemic update: December 2009. Geneva: UNAIDS; 2009.
45.
Zurück zum Zitat Hatzenbuehler ML, Nolen-Hoeksema S, Erickson SJ. Minority stress predictors of HIV risk behavior, substance use, and depressive symptoms: results from a prospective study of bereaved gay men. Health Psychol. 2008;27(4):455–62.PubMedCrossRef Hatzenbuehler ML, Nolen-Hoeksema S, Erickson SJ. Minority stress predictors of HIV risk behavior, substance use, and depressive symptoms: results from a prospective study of bereaved gay men. Health Psychol. 2008;27(4):455–62.PubMedCrossRef
46.
Zurück zum Zitat Viswanath K, Finnegan JR. Community health campaigns and secular trends: insights from the Minnesota Heart Health Program and community trials in heart disease prevention. In: Hornik R, editor. Public health communication: evidence for behavior change. New York: Lawrence Erlbaum; 2002. p. 289–312. Viswanath K, Finnegan JR. Community health campaigns and secular trends: insights from the Minnesota Heart Health Program and community trials in heart disease prevention. In: Hornik R, editor. Public health communication: evidence for behavior change. New York: Lawrence Erlbaum; 2002. p. 289–312.
Metadaten
Titel
Social Disparities, Communication Inequalities, and HIV/AIDS-Related Knowledge and Attitudes in India
verfasst von
Leland K. Ackerson
Shoba Ramanadhan
Monisha Arya
Kasisomayajula Viswanath
Publikationsdatum
01.10.2012
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 7/2012
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-0031-y

Weitere Artikel der Ausgabe 7/2012

AIDS and Behavior 7/2012 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.