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© Borgis - New Medicine 1/2004, s. 20-23
Ewa Zimna-Walendzik, Piotr Grzybowski, Ewa Nowacka, Franciszek Szatko
Knowledge of HIV/AIDS Problems Among Łódź high school Students
Department of Hygiene and Epidemiology, Medical University of Łódź, Poland
Head of Department: Prof. Andrzej Grzybowski MD, PhD
Summary
Aim. The aim of the present study was to assess adolescents´ knowledge of HIV/AIDS problems.
Material and method. The study was conducted on a representative group of 698 high school students aged 17-20 years from Łódź high schools of various educational profiles. The study material used to assess the adolescents´ knowledge of HIV/AIDS was based on the questionnaire data collected from student respondents.
Results. The questionnaire to diagnose the HIV/AIDS knowledge comprised questions of different levels of difficulty. The students´ knowledge at the elementary level was estimated as good: with over 75% of correct answers. The advanced questions concerning the HIV retrovirus activity mechanisms and the epidemiological status were answered correctly mostly by the comprehensive high school students (62%) as compared with the vocational and technical high school students (about 46% of correct answers). More than 90% of the adolescents know the routes of HIV transmission; however an alarming fact of identification of blood donation with the possibility of HIV infection has been noted. The basic source of the adolescents´ knowledge of HIV/AIDS problems are media (80-90%), teachers (40-60%) and parents (25-40%)
Conclusion. The level of knowledge of HIV/AIDS depends on a school profile. Media are the main source of information for the students. There is a necessity of close cooperation between researchers and educators to work out the substance of the media presented programs.
INTRODUCTION
Young people are the largest group among the HIV and the AIDS patients and are susceptible to the greatest hazards. According to the Children´s Rights Convention and in cooperation with the WHO, the international educational societies have made decisions concerning health promoting programs on the HIV/AIDS issue. They assume that such programs should be an indispensable part of all school activities and should offer students reliable information and assistance in gaining the knowledge and skills necessary to make appropriate choices and types of behaviour reducing the risk of HIV infection and transmission (1, 2, 3). The educational-preventive activities in Poland only to some extent have taken into account the needs of that part of the population. The educational classes known as ´Family life education´ are treated in many schools as an optional subject and are not completed or the students do not attend them at the full consent of their own parents (4).
The lack of effective HIV pharmaceutical preparations as well as of vaccine stimulating the HIV retrovirus immunity, makes the educational activities promoting safe life style the only chance to limit HIV infections and AIDS incidence (5). In order to control the efficiency of the proposed education, the contents and update of the knowledge of HIV/AIDS infection expansion mechanisms have to be systematically monitored. The aim of the present study is to assess the knowledge level of a selected group of adolescents with an attempt to answer the following questions:
– What is the adolescents´ awareness of the sources and routes of infection, risk factors, preventive methods and treatment?
– What is the knowledge of the selected students on HIV mechanisms and effects?
– What is the important information source on those hazards and on the ways to avoid them?
MATERIAL AND METHOD
The study comprised 698 students aged 17-20 years from Łódź high schools of various educational profiles: 208 from comprehensive high schools, 277 from vocational high schools and 213 from technical high schools. The study was based on an anonymous auditory questionnaire developed for the study purpose by the Department of Hygiene and Epidemiology, Medical University of Łódź. The study was conducted on a randomly selected representative group of high school students at the age range of 17-20 years. The questionnaire was verified by a pilot trial of 25 students. The results were assessed statistically; the c2 independence test was also used with the significance level established at p<0.05.
RESULTS
The questionnaire assessing the HIV/AIDS knowledge was composed of 48 information units.
The questions were divided into 2 groups of different difficulty levels. Those concerning the course of infection, the mode of HIV dissemination and the factors increasing infection risk were qualified as elementary, the remaining questions, concerning mainly the HIV activity mechanisms and the HIV/AIDS epidemiological status were qualified as advanced. Table 1 compares the percentage of correct answers given by students of various teaching profiles to questions concerning the HIV/AIDS epidemiology. The knowledge level of the students was high, irrespective of the school profile. The only problem referred to the question whether more men or women in Poland had AIDS symptoms and the majority of students were not able to give the correct answer.
Table 1. Percentage of student respondents providing correct answers to questions on HIV/AIDS epidemiology.
QuestionsCorrect answers in different school profiles (%)
comprehensive high schoolsvocational high schoolstechnical high schools
Only men suffer from AIDS
Number of AIDS cases steadily grows
At present more men than women have AIDS in Poland
HIV infection affects only some ethnic groups
98.6
87.0
26.9
88.0*
96.8
82.7
27.4
71.8*
99.6
87.3
26.8
68.1*
* statistically significant difference (p <0.05).
The questions on the pathogenesis of HIV infection seemed to pose a problem, especially for the students of vocational and technical high schools (Table 2).
Table 2. Percentage of correct answers on the pathogenesis of HIV retrovirus infection.
Substance of questionsNo of students (%)
comprehensive high schoolsvocational high schoolstechnical high schools
HIV virus may inhabit human body 5 or more years before detection89.980.978.9
Adjunctive T cells stimulate body defense against the virus51.9*25.3*24.9*
HIV virus imitates T cells of immune system33.727.829.6
HIV virus carrier with no infection (symptoms cannot infect others)83.7*67.9*65.3*
HIV virus carrier will remain infectious for lifetime or until effective drugs appear 94.791.792.5
* statistically significant difference (p <0.05).

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Piśmiennictwo
1. Cianciara J.: AIDS – wiedza, świadomość i tolerancja. Problemy HIV i AIDS 1999; 5,2:83-90. 2. Jasudowicz J. (red.): HIV/AIDS, standardy europejskie, wybór materiałów. TNOK Toruń 1998. 3. Pisarska A., Ostaszewski K., Malinowska-Sempruch K.: Ewaluacja szkoleń pracowników oświaty w zakresie profilaktyki HIV i AIDS. Problemy HIV i AIDS 1999; 5:9-17. 4. Grunseit A.: Wpływ edukacji seksualnej i edukacji na temat HIV na zachowania młodzieży. Raport przeglądowy. Seksuologia 1998; 4:3-4. 5. Czerniawska-Ankiersztejn M., Marzec-Bogusławska A., Nowicki W.: Zapobieganie rozprzestrzenianiu się HIV i AIDS. Polskie doświadczenia z lat 1985-2000. Zdrowie Publiczne 2001; 4:269-273. 6. Huk-Wieliczuk E.: Przekonania młodzieży wiejskiej z terenu Południowego Polesia o HIV/AIDS. Problemy HIV/AIDS 2001; 7,12:39-41. 7. Wojnarowska B., Szymańska M.M., Mazur J.: Wiedza młodzieży o HIV i AIDS i jej zmiany w latach 1990/1998. Problemy HIV/AIDS 2000; 6,1:17-23. 8. Wojnarowska B., Szymańska M.M., Mazur J.: Źródła wiedzy o HIV/AIDS, potrzeby młodzieży w tym zakresie i udział szkoły w ich zaspokajaniu. Problemy HIV i AIDS 2000; 6,1:25-29. 9. Daniluk-Kula B., Gładysz A.: Ocena wiedzy i postaw młodzieży szkół podstawowych na temat zakażeń i zapobiegania HIV i AIDS. Wyd. Poznańskie, Poznań 1998. 10. Durka B.: Postawy i opinie młodzieży wobec HIV i AIDS. Raport opracowany przez TNS OBOP dla Krajowego Centrum ds. AIDS, Warszawa 2002. 11. Kannas L., Polsonen R.: The level of AIDS knowledge among school children in Finland and in Poland 1990. Social and Health Ministry of Finland, Helsinki 1993. 12. Korczak C.: Profilaktyka i edukacja prozdrowotna młodzieży w XXI wieku. Zdrowie Publiczne 2001; 1:70-72. 13. Schenker J., Greenblah C.: Israeli youth and AIDS. Knowledge and attitude changes among high school students following an AIDS education program. Israel Journal of Medical Sciences, 1993. 14. Sunwood J., Brexumann A., Escobedo J.: School-based AIDS education for adolescents. Journal of Adolescent Health, 1995.
Adres do korespondencji:
kathig@csk.am.lodz.pl

New Medicine 1/2004
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