HIV / AIDS perceptions and risky behaviors in squatter areas in Cairo, Egypt

ABSTRACT

The aim of this work was to assess HIV/AIDS perceptions and risky behaviors of adults living in squatter areas in order to take decisions about the relevant messages and health education methods that should be used to prevent HIV transmission in the studied communities. Two methods were used to collect data in this cross sectional study, focus group discussion and structured interview. The study was carried out in six squatter areas in Cairo, four of them located in west Cairo and two in east Cairo. 237 community members and community leaders shared in the study, 44.7% were males and 55.3% females, 64.1% were married and 34% single. Community members represented two-thirds of the sample while one-third were community leaders. Participants expressed strong eagerness to know more about HIV/AIDS. Poor knowledge and misconception about HIV/AIDS was remarkable. The study revealed several misconceptions regarding modes of transmission and preventive measures that could be used to protect oneself from HIV/AIDS. Heterosexual extramarital relationships and IV drug transmission were the HIV/AIDS risky behaviors considered to be prevalent in these communities. AIDS risky behaviors appear to be more prevalent in the four squatter areas in west Cairo than in the two squatter areas located in east Cairo. Adolescents were considered at high risk of contracting AIDS because of the risky behaviors they practice. Social non-acceptance of females who practice HIV/AIDS risky behaviors is much stronger than non-acceptance of males who practice the same risky behaviors. TV movies were the main source of information about HIV/AIDS. Parents played no role in providing adolescents with information about AIDS. The possible role of teachers in HIV/AIDS education is unclear because of the negative attitude of people towards teachers