BACKGROUND Despite the recent increase in HIV infections among adolescents, little is known about their HIV knowledge and perceptions. This study, therefore, sought to examine the factors associated with comprehensive HIV knowledge, stigma, and HIV risk perceptions among young adolescents aged 10-14 years in Akwa Ibom State, Nigeria. Additionally, consenting parents and assenting young adolescents were tested for HIV. METHODS We used cross-sectional data from the 2017 Akwa Ibom AIDS Indicator Survey to analyze comprehensive HIV knowledge, stigma, and HIV risk perceptions among young adolescents. Demographic characteristics of young adolescents were summarized using descriptive statistics. Chi-square test (or Fisher's exact test in cases of small subgroup sample sizes) was used to elicit associations between demographics and study outcomes. Separate multivariable logistic regression models were then conducted to determine associations with the study outcomes. Sampling weights were calculated in order to adjust for the sample design. P-values less than 0.05 were considered to be significant. RESULTS A total of 1818 young adolescents were interviewed. The survey highlighted significant low levels of comprehensive HIV knowledge (9.4%) among young adolescents. Adolescent-parent discussions [AOR = 2.19, 95% C.I (1.10-4.38), p = 0.03], schools as sources of HIV information [AOR = 8.06, 95% C.I (1.70-38.33), p < 0.001], and sexual activeness [AOR = 2.55, 95% C.I (1.16-5.60), p = 0.02] were associated with comprehensive HIV knowledge. Majority (93%) of young adolescents perceived themselves not to be at risk of HIV. Overall, 81.5% of young adolescents reported stigmatizing tendencies towards people living with HIV. HIV prevalence among young adolescents was 0.6%. CONCLUSIONS Results indicate low comprehensive HIV knowledge among young adolescents. Our findings suggest that there is a need for increased attention towards young adolescents particularly in the provision of comprehensive, functional sexuality education, including HIV at the family- and school-levels. Consequently, age appropriate interventions are needed to address the epidemiological risks of young adolescents that are influenced by a myriad of social issues.

中文翻译：

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尼日利亚青年青少年的艾滋病毒综合知识和患病率：2017年阿克瓦·伊博姆艾滋病指标调查的证据。

背景技术尽管青少年中艾滋病毒感染最近有所增加，但对其艾滋病毒知识和看法知之甚少。因此，本研究试图探讨与尼日利亚阿夸伊博姆州10-14岁的青少年之间全面的HIV知识，污名和HIV风险认知相关的因素。此外，对父母双方同意并同意的青少年进行了HIV检测。方法我们使用2017年阿夸伊博姆（Akwa Ibom）艾滋病指标调查的横断面数据分析了年轻青少年的综合HIV知识，污名和HIV风险感知。使用描述性统计数据总结了青少年的人口统计学特征。卡方检验（或在亚组样本量较小的情况下采用Fisher精确检验）被用来得出人口统计学与研究结果之间的关联。然后进行单独的多变量logistic回归模型来确定与研究结果的关联。计算采样权重以适应样本设计。小于0.05的P值被认为是重要的。结果总共采访了1818名青少年。该调查强调了青少年中艾滋病毒综合知识的水平很低（9.4％）。青少年家长讨论[AOR = 2.19，95％CI（1.10-4.38），p = 0.03]，学校作为HIV信息的来源[AOR = 8.06，95％CI（1.70-38.33），p <0.001]，以及性活动[AOR = 2.55，95％CI（1.16-5.60），p = 0.02]与全面的HIV知识相关。绝大多数（93％）的青少年认为自己没有感染艾滋病毒的风险。总体而言，81。5％的青少年表示对艾滋病毒感染者有污名化的趋势。年轻人中的艾滋病毒感染率为0.6％。结论结果表明，青少年青少年对艾滋病毒的综合知识水平较低。我们的研究结果表明，需要对青少年进行更多的关注，特别是在提供全面的，功能性的性教育，包括在家庭和学校层面进行艾滋病毒的教育方面。因此，需要采取适合年龄的干预措施，以解决受众多社会问题影响的青少年的流行病学风险。我们的研究结果表明，需要对青少年进行更多的关注，特别是在提供全面的，功能性的性教育，包括在家庭和学校层面进行艾滋病毒的教育方面。因此，需要采取适合年龄的干预措施，以解决受众多社会问题影响的青少年的流行病学风险。我们的研究结果表明，需要对青少年进行更多的关注，尤其是在提供全面的功能性教育，包括在家庭和学校层面进行艾滋病毒的教育方面。因此，需要采取适合年龄的干预措施，以解决受众多社会问题影响的青少年的流行病学风险。