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Effect of Media Use on HIV/AIDS-Related Knowledge and Condom Use in Sub-Saharan Africa: A Cross-Sectional Study

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  • Minsoo Jung
  • Monisha Arya
  • Kasisomayajula Viswanath

Abstract

It is known that the level of HIV/AIDS-related knowledge and the degree of condom use varies by socioeconomic status (SES). However, there is limited research on the effect of mass media use on HIV/AIDS-related cognitive and behavioral outcomes in low-income countries and how it might influence the association between SES and HIV-related outcomes. We investigated the moderating effect of media use on the relationship between SES and HIV/AIDS-related knowledge and condom use in sub-Saharan Africa in terms of communication inequalities. Cross-sectional data from the Demographic Health Surveys from 13 sub-Saharan countries (2004–10) were pooled. Gender-stratified multivariable poisson regression of 151,209 women and 68,890 men were used to calculate adjusted relative ratios and 95% confidence intervals for the associations between SES, media use, HIV-related outcomes, and condom use. We found significant disparities in mass media use among people from different SES groups as well as among countries. Education and wealth are strongly and positively associated with awareness of HIV/AIDS and knowledge about transmission and prevention of HIV/AIDS and are significantly associated with condom use. These associations are attenuated when the use of various types of mass media is added to the models, with newspapers showing the strongest effect. The findings of this study suggest that media use has the potential to blunt the impact of socioeconomic status though not completely eliminate it. Thus, we need to pay attention to reducing communication inequalities among social groups and countries to moderate the effect of wealth and SES on HIV/AIDS.

Suggested Citation

  • Minsoo Jung & Monisha Arya & Kasisomayajula Viswanath, 2013. "Effect of Media Use on HIV/AIDS-Related Knowledge and Condom Use in Sub-Saharan Africa: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-9, July.
    • Handle: RePEc:plo:pone00:0068359
    DOI: 10.1371/journal.pone.0068359
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    References listed on IDEAS

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    1. Jane Fortson, 2008. "The gradient in sub-saharan Africa: Socioeconomic status and HIV/AIDS," Demography, Springer;Population Association of America (PAA), vol. 45(2), pages 303-322, May.
    2. Lanouette, N.M. & Noelson, R. & Ramamonjisoa, A. & Jacobson, S. & Jacobson, J.M., 2003. "HIV and AIDS-Related Knowledge, Awareness, and Practices in Madagascar," American Journal of Public Health, American Public Health Association, vol. 93(6), pages 917-919.
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    1. Million Phiri & Musonda Lemba & Chrispin Chomba & Vincent Kanyamuna, 2022. "Examining differentials in HIV transmission risk behaviour and its associated factors among men in Southern African countries," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-12, December.
    2. Agbadi, Pascal & Tagoe, Twumwaa Eunice & Agyemang, F. Akosua & Dzomeku, Veronica Millicent & Agboh, Herman Nuake Kofi & Darkwah, Ernest, 2020. "Media exposure to family planning contents and adult support for teaching children about condom use to prevent HIV/AIDS: Findings from 2003 to 2014 Ghana Demographic Health Surveys," Children and Youth Services Review, Elsevier, vol. 118(C).
    3. Oluwaseyi Dolapo Somefun & Stephen Ojiambo Wandera & Clifford Odimegwu, 2019. "Media Exposure and HIV Testing Among Youth in Sub-Saharan Africa: Evidence From Demographic and Health Surveys (DHS)," SAGE Open, , vol. 9(2), pages 21582440198, May.

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