Por actividades de mantenimiento no es posible acceder a algunos documentos. No se podrán enviar documentos para su publicación durante este fin de semana.
Se restaurará el servicio el 22 de agosto. --
Due to maintenance activities it is not possible to access some documents. Documents cannot be submitted for publication during this weekend.
Service will be restored on August 22.
Relationship between knowledge of hiv, self-perceived vulnerability and sexual risk behaviours among community clinic workers in chile
Objective: To test the hypothesis of an association between knowledge and sexual risk behaviours (SRB) among community-clinic workers in Chile, explained by the confounding effect of self-perceived vulnerability to HIV. Methods: Analysis of a cross-sectional survey, nested within a quasi-experimental study of 720 community-clinic workers in Santiago. The SRB score combined number of sexual partners and condom use, coded as “high”/“low” SRB. The Knowledge of HIV, a 25-item index, was coded as “inadequate”/“adequate” knowledge. Self-perceived vulnerability to HIV was categorised as “high”/“moderate”/“low”. Control variables included socio-demographics, educational level, and occupation. Descriptive, association and confounding analysis was developed through proportions/averages, Chi-square tests, and logistic regression (OR-estimations). Results: Respondents were 78,2% female, 46,8% married, 67,6% Catholic, mean age 38,9 years(d.s.=10.5), 69% had University/Diploma level and 58,7% reported occupational risk of HIV. An adequate level of Knowledge (75% sample) was associated with educational level (OR=2.5,CI=1.7-3.4) and occupational risk (OR=3.3,CI=2.2-5.0). Self-perceived 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. Conclusions: Some community-clinic workers had inaccurate knowledge of HIV, which was associated to SRB. Self-perceived vulnerability did not have a confounding effect, however, future studies should further analyse occupational risk of HIV as possible driving factor in health workers´ perception of their risk. Focused training programmes should be developed to enhance basic knowledge of HIV in this group.