Sullivan Christine, Lilian Ferrer L, Irarrázabal Lisette V, Villegas Natalia, Rosina Cianelli A, Peragallo Nilda
Tulane University School of Public Health and Tropical Medicine.
Escuela de Enfermería, Centro Colaborador OMS/OPS, Pontificia Universidad Católica de Chile.
Horiz Enferm. 2017;28(1):42-50.
The prevalence of HIV in Chile predominately affects the male population with the primary mode of transmission (99%) through sexual contact. In order to engage in safe sexual practices, men must have high sexual self-efficacy and perceived risk of infection, however, little research examines these variables with respect to HIV prevention. The purpose of this article is to review existing literature on self-efficacy and its connection with perceived HIV risk among Hispanic men, in order to direct future HIV prevention interventions among Chilean men. A literature search was conducted to identify studies for this review using three databases. A combination of keywords was used to conduct the search and a total of 34 articles were analyzed. All of the articles reviewed examined the Hispanic male population with respect to either self-efficacy or perceived risk, or a combination of the two. Major themes emerging from the review include: substance use, condom use, cultural norms, relationship communication, negotiation, and homonegativity. The existing studies provide evidence for preventing future HIV infection among low socioeconomic status Chilean males and begin to establish a positive relationship between self-efficacy and perceived HIV risk. While additional studies are needed to provide further support, self-efficacy and perceived risk should be integral aspects of future prevention interventions.
智利的艾滋病毒流行情况主要影响男性群体,主要传播方式(99%)为性接触。为了进行安全性行为,男性必须具备较高的性自我效能感和感染风险认知,然而,很少有研究针对艾滋病毒预防来考察这些变量。本文的目的是回顾关于自我效能感及其与西班牙裔男性艾滋病毒感染风险认知之间联系的现有文献,以便指导智利男性未来的艾滋病毒预防干预措施。通过三个数据库进行文献检索,以确定用于本次综述的研究。使用关键词组合进行检索,共分析了34篇文章。所有综述的文章均考察了西班牙裔男性群体的自我效能感、感染风险认知或两者的结合。综述中出现的主要主题包括:物质使用、避孕套使用、文化规范、关系沟通、协商和同性恋憎恶。现有研究为预防社会经济地位较低的智利男性未来感染艾滋病毒提供了证据,并开始在自我效能感和艾滋病毒感染风险认知之间建立积极关系。虽然需要更多研究提供进一步支持,但自我效能感和感染风险认知应成为未来预防干预措施的重要组成部分。