Alarcon-Ruiz Christoper A, Vargas Mariela, Heredia Paula, Huamán Manuel O, Yovera-Aldana Marlon, Mejia Christian R
Universidad Científica del Sur, Lima, Perú.
Instituto de Investigación en Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Perú.
Rev Chilena Infectol. 2020 Dec;37(6):719-727. doi: 10.4067/S0716-10182020000600719.
Reproductive-age women are a vulnerable population for HIV infection. The relationship between knowledge and practices is not well described in a context where levels of knowledge, attitudes, and practices about HIV infection are inadequate.
To determine the association between knowledge and practices about HIV infection in Peruvian reproductive-age women.
Analysis of secondary data from the 2019 Demographic and Family Health Survey. It got a probabilistic, stratified, and two-stage sample. We included reproductive-age and actively sexual women. Scores above the upper tertile of the observations were defined as "adequate knowledge" by answering 18 questions. Then, we determined the association between adequate knowledge with each of the five practices. Descriptive and inferential statistics -bivariate and multivariate- were used with the Poisson regression for survey analysis.
The mean of correct answers was 12.6 (95% CI: 12.5 - 12.7). 19.2% of Peruvian women had used a condom in the last sexual relationship. An adequate level of knowledge was associated with the use of condoms in the last sexual intercourse (PRa: 1.20; 95% CI:1.06 - 1.36), with having a sexually transmitted infection in the last year, and with having a diagnostic test for HIV infection.
Considering a low prevalence of condom use in the last sexual intercourse of Peruvian women of reproductive age, adequate general knowledge about HIV infection has associated with the accomplishment of this practice.
育龄妇女是易感染艾滋病毒的人群。在对艾滋病毒感染的知识、态度和行为水平不足的情况下,知识与行为之间的关系尚未得到充分描述。
确定秘鲁育龄妇女对艾滋病毒感染的知识与行为之间的关联。
对2019年人口与家庭健康调查的二手数据进行分析。采用概率抽样、分层抽样和两阶段抽样。纳入育龄且有性行为的妇女。通过回答18个问题,将得分高于观察值上三分位数的定义为“知识充足”。然后,我们确定了充足知识与五种行为中的每一种之间的关联。描述性和推断性统计——双变量和多变量——用于调查分析的泊松回归。
正确答案的平均值为12.6(95%置信区间:12.5 - 12.7)。19.2%的秘鲁妇女在最近一次性关系中使用了避孕套。充足的知识水平与最近一次性交中使用避孕套(调整后患病率比:1.20;95%置信区间:1.06 - 1.36)、去年患有性传播感染以及进行艾滋病毒感染诊断检测有关。
考虑到秘鲁育龄妇女在最近一次性关系中避孕套使用率较低,对艾滋病毒感染的充足常识与这种行为的实施有关。