Skip to main content
Top
Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Knowledge, attitude and practices regarding HIV/AIDS among adult fishermen in coastal areas of Karachi

Authors: Mubashir Zafar, Nighat Nisar, Masood Kadir, Zafar Fatmi, Zeeshan Ahmed, Kashif Shafique

Published in: BMC Public Health | Issue 1/2014

Login to get access

Abstract

Background

Migrant populations are at high risk of Human Immuno Deficiency Virus infection (HIV) and Acquired Immunodeficiency Syndrome (AIDS). Studies of HIV/AIDS knowledge, attitudes and practices among fishermen in developing countries have shown gaps in knowledge and fear of contagion with ambivalent attitudes towards HIV/AIDS and inconsistent universal precautions adherence. The aim of this study was to determine the knowledge, attitude and practices regarding HIV/AIDS among adult fishermen in a coastal area of Karachi, Pakistan.

Methods

Community based cross sectional study was conducted among fishermen in coastal area of Karachi from June to September 2012. A total of 297 adult fishermen were selected by using simple random sampling technique from different sectors of coastal village. Data were collected using a structured validated questionnaire. The frequency distribution of both dependent and independent variables were worked out. Comparisons of knowledge, attitude and practices regarding HIV/AIDS by socio-demographic characteristics were made using logistic regression.

Results

Out of 297 fishermen, majority had in-appropriate knowledge (93.6%), negative attitude (75.8%) and less adherent sexual practices (91.6%). In univariate analysis, lower education and higher income were significantly associated (OR 2.25, 95% CI, 1.11, 4.55), (OR = 3.04 CI 1.03-9.02, p value 0.04) with negative attitude and un-safe practices towards HIV/AIDS respectively, whereas no significant association of socio-economic characteristics with knowledge, attitude and practices were observed in multivariate analysis.

Conclusions

This study suggests that fishermen had very poor knowledge, negative attitudes towards HIV and AIDS and had unsafe sexual practices which suggest that they lack the basic understanding of HIV/AIDS infection. Extensive health education campaign should be provided to the vulnerable sections of the society for the control of HIV/AIDS.
Literature
2.
go back to reference Excler JL, Parks CL, Ackland J, Rees H, Gust ID, Koff WC: Replicating viral vectors as HIV vaccines. Biologicals. 2009, 38 (4): 511-521.CrossRef Excler JL, Parks CL, Ackland J, Rees H, Gust ID, Koff WC: Replicating viral vectors as HIV vaccines. Biologicals. 2009, 38 (4): 511-521.CrossRef
3.
go back to reference Nico J, Arora P, Jha P, Williams B, Mackinon L, Vlas S: The rise and fall of HIV in high-prevalence countries: a challenge for mathematical modeling. PLoS Comput Biol. 2014, 10 (3): 30459- Nico J, Arora P, Jha P, Williams B, Mackinon L, Vlas S: The rise and fall of HIV in high-prevalence countries: a challenge for mathematical modeling. PLoS Comput Biol. 2014, 10 (3): 30459-
4.
go back to reference David W, Brian A, Blair W, Jane M: A systematic review of the frequency and correlates of partner abuse in HIV-infected women and Men Who partner with Men. J Assoc Nurses AIDS Care. 2014, 25 (1): 15-35. 10.1016/j.jana.2013.04.003.CrossRef David W, Brian A, Blair W, Jane M: A systematic review of the frequency and correlates of partner abuse in HIV-infected women and Men Who partner with Men. J Assoc Nurses AIDS Care. 2014, 25 (1): 15-35. 10.1016/j.jana.2013.04.003.CrossRef
7.
go back to reference Kissling E, Allison EH, Seeley JA, Russell S, Bachmann M, Musgrave SD, Heck S: Fisherfolk are among groups most at risk of HIV: cross-country analysis of prevalence and numbers infected. AIDS. 2005, 19 (17): 1939-10.1097/01.aids.0000191925.54679.94.CrossRefPubMed Kissling E, Allison EH, Seeley JA, Russell S, Bachmann M, Musgrave SD, Heck S: Fisherfolk are among groups most at risk of HIV: cross-country analysis of prevalence and numbers infected. AIDS. 2005, 19 (17): 1939-10.1097/01.aids.0000191925.54679.94.CrossRefPubMed
8.
go back to reference Allison EH, Seeley JA: HIV and AIDS among Fisherfolk: a threat to ‘responsible fisheries’?. Fish Fisheries. 2004, 5 (3): 215-234. 10.1111/j.1467-2679.2004.00153.x.CrossRef Allison EH, Seeley JA: HIV and AIDS among Fisherfolk: a threat to ‘responsible fisheries’?. Fish Fisheries. 2004, 5 (3): 215-234. 10.1111/j.1467-2679.2004.00153.x.CrossRef
9.
go back to reference Nagoli J, Holvoet K, Remme M: HIV and AIDS vulnerability in fishing communities in Mangochi district, Malawi. Afr J AIDS Res. 2010, 9 (1): 71-80. 10.2989/16085906.2010.484575.CrossRefPubMed Nagoli J, Holvoet K, Remme M: HIV and AIDS vulnerability in fishing communities in Mangochi district, Malawi. Afr J AIDS Res. 2010, 9 (1): 71-80. 10.2989/16085906.2010.484575.CrossRefPubMed
10.
go back to reference Olowosegun T, Sule AM, Sanni OA, Onimisi HU, Olowosegun OM: Awareness of HIV/AIDS pandemic in selected fishing communities in North Central Nigeria. Asian J Epidemiol. 2008, 1 (1): 17-23. 10.3923/aje.2008.17.23.CrossRef Olowosegun T, Sule AM, Sanni OA, Onimisi HU, Olowosegun OM: Awareness of HIV/AIDS pandemic in selected fishing communities in North Central Nigeria. Asian J Epidemiol. 2008, 1 (1): 17-23. 10.3923/aje.2008.17.23.CrossRef
12.
go back to reference Sheikh NS, Sheikh AS: Awareness of HIV and AIDS among fishermen in coastal areas of Baluchistan. J Coll Phys Surg Pak. 2003, 13 (4): 192- Sheikh NS, Sheikh AS: Awareness of HIV and AIDS among fishermen in coastal areas of Baluchistan. J Coll Phys Surg Pak. 2003, 13 (4): 192-
13.
go back to reference Setiawan IM, Patten JH: The organization of STI/HIV risk-taking among long-line fishermen in Bali, Indonesia. Int Marit Health. 2010, 62 (4): 201-PubMed Setiawan IM, Patten JH: The organization of STI/HIV risk-taking among long-line fishermen in Bali, Indonesia. Int Marit Health. 2010, 62 (4): 201-PubMed
16.
go back to reference Rubin KH, Burgess KB, Dwyer KM, Hastings PD: Predicting preschoolers’ externalizing behaviors from toddler temperament, conflict, and maternal negativity. Develop Psycho. 2003, 39 (1): 164-CrossRef Rubin KH, Burgess KB, Dwyer KM, Hastings PD: Predicting preschoolers’ externalizing behaviors from toddler temperament, conflict, and maternal negativity. Develop Psycho. 2003, 39 (1): 164-CrossRef
17.
go back to reference Delobelle P, Rawlinson JL, Ntuli S, Malatsi I, Decock R, Depoorter AM: HIV/AIDS knowledge, attitudes, practices and perceptions of rural nurses in South Africa. J Adv Nurs. 2009, 65 (5): 1061-1073. 10.1111/j.1365-2648.2009.04973.x.CrossRefPubMed Delobelle P, Rawlinson JL, Ntuli S, Malatsi I, Decock R, Depoorter AM: HIV/AIDS knowledge, attitudes, practices and perceptions of rural nurses in South Africa. J Adv Nurs. 2009, 65 (5): 1061-1073. 10.1111/j.1365-2648.2009.04973.x.CrossRefPubMed
18.
go back to reference Rosenberg P, Biggar R: Trends in HIV incidence among young adults in the united states. JAMA. 1998, 279 (23): 1894-1899. 10.1001/jama.279.23.1894.CrossRefPubMed Rosenberg P, Biggar R: Trends in HIV incidence among young adults in the united states. JAMA. 1998, 279 (23): 1894-1899. 10.1001/jama.279.23.1894.CrossRefPubMed
19.
go back to reference Kohi TW, Horrocks MJ: The knowledge, attitudes and perceived support of Tanzanian nurses when caring for patients with AIDS. Int J Nurs Stu. 1994, 31 (1): 77-86. 10.1016/0020-7489(94)90009-4.CrossRef Kohi TW, Horrocks MJ: The knowledge, attitudes and perceived support of Tanzanian nurses when caring for patients with AIDS. Int J Nurs Stu. 1994, 31 (1): 77-86. 10.1016/0020-7489(94)90009-4.CrossRef
20.
go back to reference Adelekan ML, Jolayemi SO, Ndom RJ, Adegboye J, Babatunde S, Tunde M, Yusuff O, Makanjuola AB: Caring for people with AIDS in a Nigerian teaching hospital: staff attitudes and knowledge. AIDS Care. 1995, 7 (1): 63-72.CrossRef Adelekan ML, Jolayemi SO, Ndom RJ, Adegboye J, Babatunde S, Tunde M, Yusuff O, Makanjuola AB: Caring for people with AIDS in a Nigerian teaching hospital: staff attitudes and knowledge. AIDS Care. 1995, 7 (1): 63-72.CrossRef
22.
go back to reference National institute of population studies of Pakistan: Reproductive Health of Youth: Perceptions, Attitudes and Practices. 2003, [Report]; Available at http://www.nips.org.pk. Website National institute of population studies of Pakistan: Reproductive Health of Youth: Perceptions, Attitudes and Practices. 2003, [Report]; Available at http://​www.​nips.​org.​pk. Website
23.
go back to reference Ismail S, Hgiogis F, Legsse D, Alemu E, Regassa K, Abdella M, Shibeshi M: Knowledge, attitude and practice on high risk factors pertaining to HIV/AIDS in a rural community. Ethiop Med J. 1995, 33: 1-6.PubMed Ismail S, Hgiogis F, Legsse D, Alemu E, Regassa K, Abdella M, Shibeshi M: Knowledge, attitude and practice on high risk factors pertaining to HIV/AIDS in a rural community. Ethiop Med J. 1995, 33: 1-6.PubMed
24.
go back to reference Smit R: HIV/AIDS and the workplace: perceptions of nurses in a public hospital in South Africa. J Adv Nurs. 2005, 51 (1): 22-29. 10.1111/j.1365-2648.2005.03456.x.CrossRefPubMed Smit R: HIV/AIDS and the workplace: perceptions of nurses in a public hospital in South Africa. J Adv Nurs. 2005, 51 (1): 22-29. 10.1111/j.1365-2648.2005.03456.x.CrossRefPubMed
26.
go back to reference Spring AO: Globalization from below: social movements and altermundism reconceptualizing security from a Latin american perspective. Globaliz Environ Challeng. 2008, 3: 379-402. 10.1007/978-3-540-75977-5_26.CrossRef Spring AO: Globalization from below: social movements and altermundism reconceptualizing security from a Latin american perspective. Globaliz Environ Challeng. 2008, 3: 379-402. 10.1007/978-3-540-75977-5_26.CrossRef
27.
go back to reference Poggie J, Pollnac RB, Jones S: Perceptions of vessels safety regulations: a southern New England fishery. Mar Policy. 1995, 19: 411-418. 10.1016/0308-597X(95)00015-X.CrossRef Poggie J, Pollnac RB, Jones S: Perceptions of vessels safety regulations: a southern New England fishery. Mar Policy. 1995, 19: 411-418. 10.1016/0308-597X(95)00015-X.CrossRef
28.
go back to reference Pickering H, Okongo M, Ojwiya A, Yirrell D, Whitworth J: Sexual networks in Uganda: mixing patterns between a trading town, Its rural hinter land and a nearby fishing village. Int J STD AIDS. 1997, 8: 495-500. 10.1258/0956462971920640.CrossRefPubMed Pickering H, Okongo M, Ojwiya A, Yirrell D, Whitworth J: Sexual networks in Uganda: mixing patterns between a trading town, Its rural hinter land and a nearby fishing village. Int J STD AIDS. 1997, 8: 495-500. 10.1258/0956462971920640.CrossRefPubMed
29.
go back to reference Seeley JA, Malamba SS, Nunn AJ, Mulder DW, Kengeya JF, Barton TG: Socio-economics tatus, gender and risk of HIV-1 infection in a rural community in South West Uganda. Med Anthropol Q. 1994, 8: 78-89. 10.1525/maq.1994.8.1.02a00060.CrossRef Seeley JA, Malamba SS, Nunn AJ, Mulder DW, Kengeya JF, Barton TG: Socio-economics tatus, gender and risk of HIV-1 infection in a rural community in South West Uganda. Med Anthropol Q. 1994, 8: 78-89. 10.1525/maq.1994.8.1.02a00060.CrossRef
30.
go back to reference Chua P: Governing migrants sexual behavior work HIV/AIDS and condom use campaigns in Southeast Asia. Risk, Culture, and Health Inequality: Shifting Perceptions of Danger and Blame. Edited by: Harthorn BH, Oaks L. 2005, McGraw-Hill: Westport, Connecticut, 165-184. Chua P: Governing migrants sexual behavior work HIV/AIDS and condom use campaigns in Southeast Asia. Risk, Culture, and Health Inequality: Shifting Perceptions of Danger and Blame. Edited by: Harthorn BH, Oaks L. 2005, McGraw-Hill: Westport, Connecticut, 165-184.
32.
go back to reference Nunn A, Wagner U, Okongo M, Malamba S, Kengeya JF, Mulder D: HIV-1 infection in a Ugandan town on the Trans Africa highway prevalence and risk factors. J STD AIDS. 1996, 7: 123-130. 10.1258/0956462961917320.CrossRef Nunn A, Wagner U, Okongo M, Malamba S, Kengeya JF, Mulder D: HIV-1 infection in a Ugandan town on the Trans Africa highway prevalence and risk factors. J STD AIDS. 1996, 7: 123-130. 10.1258/0956462961917320.CrossRef
33.
go back to reference Percin F, Akyol O, Davas A, Saygi H: Occupational health of Turkish Aegean small-scale fishermen. Occup Med. 2012, 62 (2): 148-151. 10.1093/occmed/kqr181.CrossRef Percin F, Akyol O, Davas A, Saygi H: Occupational health of Turkish Aegean small-scale fishermen. Occup Med. 2012, 62 (2): 148-151. 10.1093/occmed/kqr181.CrossRef
34.
go back to reference Zelnick J, Odonnell M: The impact of the HIV/AIDS epidemic on fishing community in Kwa Zulu Natal, South Africa: nurses’ perspectives and implications for health policy. J Public Health Policy. 2005, 26 (2): 163-185. 10.1057/palgrave.jphp.3200021.CrossRefPubMed Zelnick J, Odonnell M: The impact of the HIV/AIDS epidemic on fishing community in Kwa Zulu Natal, South Africa: nurses’ perspectives and implications for health policy. J Public Health Policy. 2005, 26 (2): 163-185. 10.1057/palgrave.jphp.3200021.CrossRefPubMed
36.
go back to reference Khan OA, Hyder AA: Responses to an emerging threat: HIV/AIDS policy in Pakistan. Health Policy Plan. 2001, 16 (2): 214-10.1093/heapol/16.2.214.CrossRefPubMed Khan OA, Hyder AA: Responses to an emerging threat: HIV/AIDS policy in Pakistan. Health Policy Plan. 2001, 16 (2): 214-10.1093/heapol/16.2.214.CrossRefPubMed
Metadata
Title
Knowledge, attitude and practices regarding HIV/AIDS among adult fishermen in coastal areas of Karachi
Authors
Mubashir Zafar
Nighat Nisar
Masood Kadir
Zafar Fatmi
Zeeshan Ahmed
Kashif Shafique
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-437

Other articles of this Issue 1/2014

BMC Public Health 1/2014 Go to the issue