巴西塞阿拉州艾滋病病毒感染者、血清一致和血清不一致性伴侣的自我效能和坚持使用安全套的情况。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-12-01 Epub Date: 2024-05-15 DOI:10.1080/09540121.2024.2354225
Larissa Rodrigues Siqueira, Gilmara Holanda da Cunha, Marcos Venícios de Oliveira Lopes, Maiara Bezerra Dantas, Maria Elisa Curado Gomes, Wilson Correia de Abreu, Simone de Sousa Paiva
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引用次数: 0

摘要

研究目的是评估艾滋病病毒感染者(PLHIV)的自我效能感和持续使用安全套的情况。我们在巴西塞阿拉州的门诊诊所开展了一项横断面比较研究,抽样调查了 190 名艾滋病毒感染者,其中 95 人血清不一致,95 人血清一致。采用社会人口学、临床、流行病学和易感性表格以及安全套使用自我效能量表进行了访谈。确定了描述性分析、变量之间的关联、几率比例和 95% 的置信区间。结果表明,对健康状况满意(P = 0.027)和无法获得检测(P = 0.002)的人自我效能较低,不一致使用安全套的几率是其他人的 11.5 倍(P = 0.006),而对后续健康状况满意的人不一致使用安全套的几率较低(P = 0.011)。我们的结论是,艾滋病毒感染者中坚持使用安全套的比例较低,这增加了艾滋病毒传播和感染其他性传播疾病的风险。在血清不一致的人群中,安全套的持续使用率更高,尽管不同人群在安全套使用的自我效能感方面没有差异。
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Self-efficacy and consistent condom use by people living with HIV and seroconcordant and serodiscordant sexual partners in the Ceará, Brazil.

The objectives were to assess the self-efficacy and consistent condom use by people living with HIV (PLHIV). A cross-sectional, comparative study was carried out in outpatient clinics in Ceará State, Brazil, with a sample of 190 PLHIV, 95 serodiscordant and 95 seroconcordant. Interviews were conducted using the Socio-Demographic, Clinical, Epidemiological and Vulnerability Form and the Condom Use Self-Efficacy Scale. Descriptive analysis, associations between variables, odds ratio and 95% confidence interval were determined. P < 0.05 was considered statistically significant. Of the sample, 43.1% consistently used condoms (50.5% serodiscordant and 35.7% seroconcordant). Serodiscordant PLHIV without guidance on HIV prevention (P = 0.027) and without access to testing (P = 0.002) had lower self-efficacy and 11.5 times more chances for inconsistent condom use (P = 0.006), while those satisfied with follow-up in health were less likely to use condoms inconsistently (P = 0.011). We conclude that there is low consistent use of condoms among PLHIV, which increases the risk of HIV transmission and the acquisition of other sexually transmitted infections. Consistent condom use was greater among serodiscordant individuals, although there was no difference in self-efficacy in condom use between the groups.

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