玻利维亚苏克雷普通人群中关于艾滋病毒/艾滋病的知识、态度和行为以及艾滋病毒的流行情况。

Knowledge, attitudes and practices on HIV/AIDS and prevalence of HIV in the general population of Sucre, Bolivia.

作者信息

Terán Calderón Carolina, Gorena Urizar Dorian, González Blázquez Cristina, Alejos Ferreras Belén, Ramírez Rubio Oriana, Bolumar Montrull Francisco, Ortiz Rivera Marta, del Amo Valero Julia

机构信息

School of Medicine, San Francisco Xavier of Chuquisaca University, Sucre, Bolivia; Health Area, Simon Bolivar Andean University, Sucre, Bolivia.

Health Area, Simon Bolivar Andean University, Sucre, Bolivia.

出版信息

Braz J Infect Dis. 2015 Jul-Aug;19(4):369-75. doi: 10.1016/j.bjid.2015.04.002. Epub 2015 May 19.

DOI:10.1016/j.bjid.2015.04.002

PMID:26001978

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9427503/

Abstract

BACKGROUND

To analyse knowledge, attitudes and sexual practices on HIV/AIDS, and estimate HIV prevalence among residents of Sucre (Bolivia).

METHODOLOGY

Population-based survey of residents aged 15-49 randomly selected during 2008/2009. Blood samples were collected on Whatman-filter paper and tested with enzyme-linked immunosorbent assay. Knowledge on HIV/AIDS, sexual risk practices and discriminatory attitudes against people living with HIV/AIDS (PLWHA) were modelled with multiple logistic regression.

RESULTS

Of 1499 subjects, 59% were women. All subjects were HIV-negative. Inadequate knowledge of HIV/AIDS transmission and prevention was observed in 67% and risk factors varied by gender (interaction p-value<0.05). Discriminatory attitudes were displayed by 85% subjects; associated factors were: rural residence, low educational level and low income. Unsafe sex was reported by 10%; risk factors varied by residence area (interaction p-value<0.05). In urban areas, risk factors were male sex, younger age and being in common-law union.

CONCLUSIONS

Prevalence of HIV infection is very low and unsafe sex is relatively uncommon. Inadequate knowledge on HIV/AIDS and discriminatory attitudes towards PLWHA are extremely high and are associated to gender, ethnic and economic inequalities.

摘要

背景

分析关于艾滋病毒/艾滋病的知识、态度和性行为，并估计苏克雷（玻利维亚）居民中的艾滋病毒流行率。

方法

2008/2009年期间对15 - 49岁居民进行基于人群的随机抽样调查。在沃特曼滤纸上采集血样，并用酶联免疫吸附测定法进行检测。通过多元逻辑回归对艾滋病毒/艾滋病知识、性风险行为以及对艾滋病毒/艾滋病感染者（PLWHA）的歧视态度进行建模。

结果

1499名受试者中，59%为女性。所有受试者艾滋病毒检测均为阴性。67%的人对艾滋病毒/艾滋病传播和预防的知识掌握不足，且风险因素因性别而异（交互作用p值<0.05）。85%的受试者表现出歧视态度；相关因素包括：农村居住、低教育水平和低收入。10%的人报告有不安全的性行为；风险因素因居住地区而异（交互作用p值<0.05）。在城市地区，风险因素为男性、年轻和处于事实婚姻关系。