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  • Title: AIDS related knowledge and behaviours among college students, Gondar, Ethiopia: a comparative study.
    Author: Teka T.
    Journal: Ethiop Med J; 1997 Jul; 35(3):185-90. PubMed ID: 9558757.
    Abstract:
    AIDS-related knowledge and behaviours among students at the Gondar College of Medical Sciences, Gondar, Ethiopia were evaluated based on identical surveys conducted in 1990 and 1992. One hundred three second year students provided information in 1992. Analysis indicated that 49% were engaged in sexual intercourse and only a third of these group used condom despite their improved knowledge and belief on condom compared to their previous position in 1990 (p < 0.004). On the other hand, their sexual behaviours regarding sexual contact with high risk individuals decreased compared to 1990 (p < 0.0005). Their general level of AIDS-related preventive knowledge increased over time (p < 0.002), although there was no significant difference in knowledge observed among different sexes and departments. Among the sexually active, a large proportion of students (22%) still had sexual contact with high risk individuals and only 33% of them were using safer methods. Continuing efforts, including peer education, specific health education interventions are still crucially needed to bring a positive change in sexual behaviour. Results of identical surveys administered to 164 students before their admission (1990 survey) to the Gondar College of Medical Sciences in Ethiopia and the 103 of these students who completed their second year at the school (1992 survey) were compared to investigate trends in AIDS-related knowledge and practices. The proportion of students aware that AIDS can be prevented by condom use increased from 69% in 1990 to 84% in 1992, and the percentage who considered themselves knowledgeable about current methods of AIDS prevention rose from 62% to 80%. In terms of sexual behavior, only 24% of students who were sexually active in 1990 used condoms at most recent sexual intercourse compared with 33% in 1992. The proportion whose most recent sexual partner was from a high-risk group (i.e., prostitutes) decreased from 47% in 1990 to 34% in 1992. These changes occurred in the absence of a sex education or AIDS prevention program at the university. There was no association between AIDS knowledge and condom use in either survey. The gap between Ethiopian students' knowledge of the protective effect of condom use and their actual use of condoms requires an extensive health education campaign, including peer education.
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