Association between expatriation and HIV awareness and knowledge among injecting drug users in Kabul, Afghanistan: A cross-sectional comparison of former refugees to those remaining during conflict
2007

HIV Awareness Among Afghan Drug Users

Sample size: 464 publication 10 minutes Evidence: moderate

Author Information

Author(s): Catherine S Todd, Abed Abdullah, Steffanie A Strathdee, Paul T Scott, Boulos A Botros, Naqibullah Safi, Kenneth C Earhart

Primary Institution: University of California, San Diego

Hypothesis

Is there a difference in HIV awareness and knowledge between Afghan injecting drug users who were refugees and those who remained in Afghanistan during conflict?

Conclusion

Former refugees had greater HIV awareness, but overall accurate HIV knowledge among Afghan IDUs is low.

Supporting Evidence

  • 46.1% of participants were aware of HIV.
  • Those who lived outside Afghanistan were more likely to have heard of HIV (48.3% vs. 31.7%).
  • Only 38.3% of those aware of HIV could name three correct transmission routes.

Takeaway

This study looked at Afghan drug users and found that those who lived outside the country knew more about HIV, but many still didn't understand how to prevent it.

Methodology

A cross-sectional study using a convenience sample of injecting drug users in Kabul, with data collected through questionnaires and serologic testing.

Potential Biases

Socially-desirable responses may have influenced reported HIV awareness and high-risk behaviors.

Limitations

Results may not be generalizable due to convenience sampling and potential social desirability bias in responses.

Participant Demographics

99% male, median age 29, most had lived or worked outside Afghanistan in the past ten years.

Statistical Information

P-Value

0.001

Confidence Interval

95% CI: 1.14 – 3.53

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1752-1505-1-5

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