J Assoc Nurses AIDS Care. 2014 Jan-Feb;25(1):60-9. doi: 10.1016/j.jana.2013.07.006. Epub 2013 Sep 24.
Cardiovascular disease (CVD) has emerged as a major cause of morbidity and mortality in HIV-infected adults. Research in noninfected populations has suggested that knowledge of CVD risk factors significantly influences perceptions of risk. This cross-sectional study describes CVD risk factor knowledge and risk perception in HIV-infected adults. We recruited 130 HIV-infected adults (mean age = 48 years, 62% male, 56% current smokers, mean years since HIV diagnosis, 14.7). The mean CVD risk factor knowledge score was fairly high. However, controlling for age, CVD risk factor knowledge was not predictive of perceived risk [F(1, 117) = 0.13, p > .05]. Estimated risk and perceived risk were weakly but significantly correlated; r (126) = .24, p = .01. HIV-infected adults are at increased risk for CVD. Despite having adequate risk-factor knowledge, CVD risk perception was inaccurate. Improving risk perception and developing CVD risk reduction interventions for this population are imperative.
心血管疾病（CVD）已成为感染 HIV 的成年人发病率和死亡率的主要原因。非感染人群的研究表明，对 CVD 风险因素的了解会显著影响对风险的认知。本横断面研究描述了感染 HIV 的成年人的 CVD 风险因素知识和风险认知。我们招募了 130 名感染 HIV 的成年人（平均年龄 48 岁，62%为男性，56%为当前吸烟者，HIV 诊断后平均年数为 14.7 年）。CVD 风险因素知识得分相当高。然而，控制年龄后，CVD 风险因素知识并不能预测感知风险[F（1, 117）= 0.13，p >.05]。估计风险和感知风险呈弱但显著相关；r（126）=.24，p =.01。感染 HIV 的成年人患 CVD 的风险增加。尽管具有足够的风险因素知识，但 CVD 风险认知并不准确。提高该人群的风险认知并开发 CVD 风险降低干预措施至关重要。
