Carvalho Bárbara Joana Alvarenga, Cruz-Ferreira António Miguel da
Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Family Health Unit, USF Norton de Matos, Coimbra, Portugal.
Korean J Fam Med. 2023 Jan;44(1):35-43. doi: 10.4082/kjfm.22.0012. Epub 2023 Jan 19.
BACKGROUND: Human immunodeficiency virus (HIV), the agent responsible for acquired immunodeficiency syndrome, remains a worldwide public health problem. Therefore, this study aimed to assess Portuguese healthcare students' knowledge of HIV, identify risk behaviors for HIV transmission, and assess the frequency of HIV testing and its dissemination by general practitioners. METHODS: A cross-sectional observational study was conducted using an anonymous questionnaire published online. The questionnaire was administered to Portuguese healthcare students who voluntarily agreed to participate in the study after clarifying its objectives and procedures. RESULTS: Most students were aware of the three main HIV transmission routes; however, 66.3% were unaware of the level A recommendation for HIV screening in adolescents and adults. In addition, 59.6% of the students were never informed by their general practitioner about HIV screening tests or risk behaviors for HIV transmission. Of the sample, 78.9% had never been tested for HIV infection. Of the 74.6% of sexually active students, 82.0% had or had already had unprotected sex (without a condom). Men showed riskier sexual behaviors than women. None of the inquiries reported intravenous drug use, and most students (69.9%) never shared personal objects. CONCLUSION: General practitioners and awareness campaigns need to alert and disseminate HIV screening tests. Sexual health and risk behaviors should be addressed more frequently in schools to educate this population because prevention is the best strategy against HIV transmission/contraction.
背景:人类免疫缺陷病毒(HIV)是获得性免疫缺陷综合征的病原体,仍然是一个全球性的公共卫生问题。因此,本研究旨在评估葡萄牙医学生对HIV的了解程度,确定HIV传播的风险行为,并评估HIV检测的频率以及全科医生对其的宣传情况。 方法:采用在线发布的匿名问卷进行横断面观察性研究。该问卷面向葡萄牙医学生发放,在向他们阐明研究目的和程序后,这些学生自愿同意参与研究。 结果:大多数学生知晓HIV的三种主要传播途径;然而,66.3%的学生不知道关于青少年和成年人HIV筛查的A级推荐。此外,59.6%的学生从未从他们的全科医生那里得知过HIV筛查检测或HIV传播的风险行为。在样本中,78.9%的学生从未接受过HIV感染检测。在有性行为的学生中,74.6%的人有过或已经有过无保护性行为(未使用避孕套)。男性表现出比女性更高的危险性行为。没有询问报告静脉注射吸毒情况,并且大多数学生(69.9%)从未共用过个人物品。 结论:全科医生和宣传活动需要提醒并推广HIV筛查检测。应在学校更频繁地讨论性健康和风险行为,以教育这一群体,因为预防是预防HIV传播/感染的最佳策略。
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