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Assessing of HIV Knowledge in Comparison to Urban and Rural in Malaysia: Findings of National Health Morbidity Survey in 2020

Mohamad Hazrin Hasim1*, Mohamad Shaiful Azlan Kassim1, Fazila Haryati Ahmad1, Norhafizah Sahril1, Chan Ying Ying1, Chan Yee Mang1, Nur Liana Majid1, Syamlina Che Abdul Rahim1, Mohd Ruhaizie Riyadzi1, Ahmad Ali Zainuddin1, Mohamad Aznuddin Abd Razak1, Anita Suleiman2

Introduction: Human Immunodeficiency Virus (HIV) is a retrovirus that targets the CD4+ of human T-lymphocyte cells of the immune system. The weakening immune system causes susceptibility to multiple infective diseases and cancers. This study is aimed to determinant the knowledge regarding HIV/AIDS and to identify the associated factors of the HIV/AIDS knowledge among the urban and rural Malaysian young people.

Methods: Data was collected using Computer Assisted Telephone Interviewing (CATI) method. HIV knowledge was assessed using the UNGASS indicators, which contain five questions on HIV prevention and transmission. There were two questions regarding the association between HIV transmission with sexual practice and behaviour. The remainder was one question, each related to insect bite, meal sharing, and knowledge about the physical appearance of someone with HIV infection. Respondents who correctly answer all five questions were considered to have adequate knowledge about HIV/AIDS.

Results: The result from a questionnaire revealed the prevalence of the young people HIV/AIDS knowledge in urban area was 14.7% (95% CI: 9.96, 21.28) whereas in rural area was 10.9% (95% CI: 6.83, 16.89) in 2020. The results revealed significant difference of misconceptions on healthy-looking person have HIV where urban was 71.7% (95% CI: 66.46, 76.37) and rural was 59.8% (95% CI: 56.05, 63.41). Furthermore, there are significant difference of misconceptions on person get HIV by sharing food with someone who is infected whereas urban was 64.8% (95% CI: 60.48, 68.98) while rural was 52.6% (95% CI: 48.67, 56.50).

Conclusion: The findings from this survey have important implications for the development of primary HIV/AIDS prevention programs and HIV educational campaigns to increase knowledge and dispel misconceptions about HIV.