Conceptualizations of climate-related health risks among health experts and the public in Ghana.

One major area that has gathered public attention in relation to climate change is health risks. Studies into risk perceptions have acknowledged differences between public and expert knowledge. What is less known is how perceptions of climate change related health risk vary between the public and health experts and how these differentiated perceptions are shaped and modified by everyday complex climate change narratives from multiple actors, and contextual ecologies of social and physical spaces. A concurrent mixed-methods approach was used to elucidate climate change knowledge and awareness of climate-related health risks among health experts and the public. Qualitative and quantitative data were collected on community members (n = 927) and health experts (n = 99) in Savelugu-Nanton and Ada East Districts in Ghana. The results showed that both groups were likely to report climate change-related health concerns, of which disease was the top concern. However, differences exist in public and experts' perceptions of climate change health linkage. Community members were less likely to link climate change to health risks compared with health experts (OR = 0.02, p ≤ 0.000). The contrasting climate change health risk perceptions between health experts and the public adds to the literature on the health dimensions of global environmental change. The findings from this study highlight limited knowledge about climate change health related risks among the public. Hence, in building sustainable communities in light of persistent climate change impacts, it is crucial to improve climate change adaptation by implementing climate change sensitization programs. In addition, health infrastructure, decision-making and management should be strengthened for effective response to emerging climate-health risks in Ghana and similar contexts.

Persistent misconceptions about HIV transmission among males and females in Malawi.

BACKGROUND: The prevalence of HIV in Malawi is one of the highest in sub-Saharan Africa, and misconceptions about its mode of transmission are considered a major contributor to the continued spread of the virus. METHODS: Using the 2010 Malawi Demographic and Health Survey, the current study explored factors associated with misconceptions about HIV transmission among males and females. RESULTS: We found that higher levels of ABC prevention knowledge were associated with lower likelihood of endorsing misconceptions among females and males (OR = 0.85, p < 0.001; OR = 0.85, p < 0.001, respectively). Compared to those in the Northern region, both females and males in the Central (OR = 0.54, p < 0.001; OR = 0.53, p < 0.001, respectively) and Southern regions (OR = 0.49, p < 0.001; OR = 0.43, p < 0.001, respectively) were less likely to endorse misconceptions about HIV transmission. Moreover, marital status and ethnicity were significant predictors of HIV transmission misconceptions among females but not among males. Also, household wealth quintiles, education, religion, and urban-rural residence were significantly associated with endorsing misconceptions about HIV transmission. CONCLUSION: Based on our findings, we recommend that education on HIV transmission in Malawi should integrate cultural and ethnic considerations of HIV/AIDS.