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The relationship between knowledge of hiv, self-perceived vulnerability and sexual risk behavior among community clinic workers in chile

Cabieses, Baltica and Ferrer, Lilian and Ferrer, Lilian and Villarroel, Luis and Villarroel, Luis and Tunstall, Helena and Tunstall, Helena and Norr, Kathleen and Norr, Kathleen (2012) The relationship between knowledge of hiv, self-perceived vulnerability and sexual risk behavior among community clinic workers in chile. Journal of Public Health; Vol. 12, núm. 5 (2010); 777-789 Revista de Salud Pública; Vol. 12, núm. 5 (2010); 777-789 0124-0064 .

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Objective Testing the hypothesis of an association between knowledge and sexual risk behaviour (SRB) amongst community-clinic workers in Chile, explained by the confounding effect of self-perceived vulnerability to HIV. Methods A cross-sectional survey was analyzed; it was nested within a quasiexperimental study of 720 community-clinic workers in Santiago. The SRB score combined the number of sexual partners and condom use (coded as “high”/”low” SRB). Knowledge of HIV (a 25-item index) was coded as “inadequate”/”adequate” knowledge. Self-perceived vulnerability to HIV was categorised as being “high”/ ”moderate”/”low”. Control variables included socio-demographics, religiousness and educational level. Percentages/averages, Chi-square tests and logistic regression (OR-estimations) were used for descriptive, association and confounding analysis. Results Respondents were 78.2 % female, 46.8 % married and 67.6 % Catholic. Mean age was 38.9 (10.5 SD) and 69 % had university/diploma level. Self-perceived HIV vulnerability was “low” in 71.5 % cases. A negative association between knowledge and SRB was found (OR=0.55;CI=0.35–0.86), but self-perceived vulnerability did not have a confounding effect on this relationship. This relationship also persisted after being adjusted for multiple control variables (e.g. age, sex, type of primary centre, educational level, and religiousness). Conclusions Some community-clinic workers had inaccurate knowledge of HIV, which was associated with SRB. Self-perceived vulnerability did not have a confounding effect; however, future studies should further analyze occupational risk of HIV as a possible driving factor in health workers´ perception of their risk. Rev. salud pública. 12 (5): 777-789, 2010 777 REVISTA DE SALUD PÚBL 778 ICA · Volumen 12 (5), Octubre 2010 Focused training programmes should be developed to enhance basic knowledge of HIV in this group.

Tipo de documento:Artículo - Article
Palabras clave:Primary healthcare, knowledge, HIV, sexual behaviour, self-perception, confounding factor, epidemiology
Unidad administrativa:Revistas electrónicas UN > Revista de Salud Pública
Código ID:33462
Enviado por : Dirección Nacional de Bibliotecas STECNICO
Enviado el día :01 Julio 2014 09:07
Ultima modificación:18 Agosto 2014 20:19
Ultima modificación:18 Agosto 2014 20:19
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