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2020-01-27Zeitschriftenartikel DOI: 10.25646/6467
Knowledge, information needs and behavior regarding HIV and sexually transmitted infections among migrants from sub-Saharan Africa living in Germany: Results of a participatory health research survey
dc.contributor.authorKoschollek, Carmen
dc.contributor.authorKuehne, Anna
dc.contributor.authorMüllerschön, Johanna
dc.contributor.authorAmoah, Stephen
dc.contributor.authorBatemona-Abeke, Helene
dc.contributor.authorBursi, Taty Dela
dc.contributor.authorMayamba, Pierre
dc.contributor.authorThorlie, Adama
dc.contributor.authorMputu Tshibadi, Christina
dc.contributor.authorWangare Greiner, Virginia
dc.contributor.authorBremer, Viviane
dc.contributor.authorSantos-Hövener, Claudia
dc.date.accessioned2020-01-30T11:28:40Z
dc.date.available2020-01-30T11:28:40Z
dc.date.issued2020-01-27none
dc.identifier.other10.1371/journal.pone.0227178
dc.identifier.urihttp://edoc.rki.de/176904/6470
dc.description.abstractBackground: A total of 3,419 new HIV diagnoses were reported in Germany in 2016, with migrants from sub-Saharan Africa (misSA) accounting for 14.1%. To understand the driving factors behind the epidemiological situation, we conducted a quantitative cross-sectional survey on knowledge, attitudes, behavior, and practices regarding HIV and sexually transmitted infections (STIs) among misSA living in six German cities utilizing participatory health research. Methods: Participants were recruited by peer researchers. Levels of knowledge, information needs, and preferred methods of information dissemination were analyzed to inform future prevention planning. Additionally, we analyzed sexual behavior and other risk factors for contracting HIV and STIs. The results may facilitate the formulation of targeted prevention messages in the future. Results: We included 2,432 participants in the analysis. General knowledge about HIV was adequate, as 86.9% were aware of the presented information. Statements about HIV co-infections were prior knowledge for 53.4% of the participants and about German HIV policies and HIV testing for 54.7%. Knowledge about other STIs differed, ranging from 69.6% who have ever heard of gonorrhea to 23.8% who have ever heard of genital warts. Groups with particular knowledge gaps were i) younger misSA, ii) recent migrants, iii) misSA without regular access to the German health care system, iv) misSA of lower socioeconomic status, and v) misSA with Muslim religious affiliation. The majority of participants reported information needs (72.8%), and 71.3% wanted to obtain this information from health professionals. Male misSA were more likely to report five or more sexual partners compared to females. Less than half of participants reported always using condoms with non-steady sexual partners (46.8%). Reasons for not using condoms differed between males and females. A considerable proportion of females (16.3%) and males (6.8%) experienced sexualized violence. More than one fourth of women (26.9%) were affected by female genital mutilation/cutting. Discussion: Future prevention planning should focus on sub-groups with particular knowledge gaps, recognizing their preferred methods of information dissemination. Prevention messages for male misSA should focus on their own risk perception and for female misSA on empowerment, e.g. to negotiate condom use.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.relation.hasparthttps://doi.org/10.25646/6457
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleKnowledge, information needs and behavior regarding HIV and sexually transmitted infections among migrants from sub-Saharan Africa living in Germany: Results of a participatory health research surveynone
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:0257-176904/6470-1
dc.identifier.doihttp://dx.doi.org/10.25646/6467
dc.type.versionpublishedVersionnone
local.edoc.container-titlePLoS ONEnone
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227178none
local.edoc.container-publisher-namePublic Library of Sciencenone
local.edoc.container-volume15none
local.edoc.container-issue1none
local.edoc.container-reportyear2020none
local.edoc.container-firstpage1none
local.edoc.container-lastpage21none
local.edoc.rki-departmentInfektionsepidemiologienone
dc.description.versionPeer Reviewednone

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