Renata Karina Reis, PhD, is a Professor, Department of General and Specialized Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, Brazil. Marcela Antonini, RN, is a PhD Student, Graduate Program in Fundamental Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, Brazil. Laelson Rochelle Minanês Sousa, PhD, is a Post-Doctorate Candidate, Graduate Program in Fundamental Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, Brazil. Karyanna Alves de Alencar Rocha, MSc, is a PhD Student, Graduate Program in Fundamental Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, Brazil. Glenda Roberta Oliveira Naiff Ferreira, PhD, is a Professor, Instituto de Ciências da Saúde, University of Para, Para, Brazil. Mario Vianna Vettore, PhD, is a Professor, Department of Health and Nursing Sciences, University of Agder (UiA), Kristiansand, Norway. Elucir Gir, PhD, is a Professor, Department of General and Specialized Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, Brazil.
J Assoc Nurses AIDS Care. 2023;34(5):469-480. doi: 10.1097/JNC.0000000000000421. Epub 2023 Aug 11.
This study investigated the factors associated with amplified HIV transmission risk among people living with HIV from a city in southeast Brazil. A cross-sectional study was conducted with 397 people living with HIV recruited in infectious diseases clinics. Data on risk of HIV transmission, sociodemographic characteristics, sexual behaviors, professional counseling, serological HIV status, HIV-related clinical data, and beliefs about risk of HIV transmission were collected through interviews and medical records. Hierarchical ordered multinomial regression analyses were performed. Amplified HIV risk transmission was associated with lower age, alcohol consumption before having sex, illicit drug use before sexual intercourse, and not receiving professional counseling about HIV transmission. The belief that HIV can be transmitted to a partner not living with HIV was associated with lower likelihood of amplified risk for HIV transmission. Our findings suggest the importance of minimizing substance use before having sex, professional counseling, and beliefs about HIV transmission on amplified HIV risk transmission.
本研究调查了来自巴西东南部一城市的 HIV 感染者中与 HIV 传播风险放大相关的因素。对 397 名在传染病诊所招募的 HIV 感染者进行了横断面研究。通过访谈和病历收集了与 HIV 传播风险、社会人口统计学特征、性行为、专业咨询、血清 HIV 状态、HIV 相关临床数据和对 HIV 传播风险的信念相关的数据。进行了分层有序多项回归分析。HIV 传播风险放大与年龄较小、性行为前饮酒、性交前使用非法药物以及未接受有关 HIV 传播的专业咨询有关。认为 HIV 可以传播给未与 HIV 感染者同住的伴侣与 HIV 传播风险放大的可能性较低有关。我们的研究结果表明，在性行为前、专业咨询和 HIV 传播信念方面减少物质使用的重要性。
