Assessing knowledge, attitudes, and behaviors related to HIV and AIDS in Nicaragua: A community-level perspective

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Ugarte, William J.Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),International Maternal and Reproductive Health and Migration/Essén (författare)

Assessing knowledge, attitudes, and behaviors related to HIV and AIDS in Nicaragua : A community-level perspective

Artikel/kapitelEngelska2013

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Elsevier BV,2013
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LIBRIS-ID:oai:DiVA.org:uu-185012
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-185012URI
https://doi.org/10.1016/j.srhc.2012.11.001DOI

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Språk:engelska
Sammanfattning på:engelska

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Background:Nicaragua's HIV epidemic is concentrated among men who have sex with men.Nevertheless, the increasing number of HIV cases among heterosexuals, high levels of poverty andmigration rates, and incomplete epidemiological data suggest the need to improve the understanding of the epidemic.Objective:To examine the prevalence of HIV-related knowledge, attitudes, and sexual rsik-taking behaviors, and their predictors among the adult population.Methods: A community-based cross-sectional survey was conducted in 2009 among 520 participants ages 15 to 49 from an ongoing Health and Demographic Surveillance System in Nicaragua. Bivariate analysis and adjusted prevalence ratios were use to examine factors associated with HIV-related knowledge, attitudes, and sexual behavior.Results: Contributing factors for risk-taking behaviors included cognitive, psychosocial, and emotional elements. Insufficient knowledge affecting the accurate assessment of HIV risk were low educational level, poverty, and rural origin, especially among females. Recognizing risk was not sufficient to promote safer sex: 90% of the females and 70% of the males who reported being sexually active in the past year did not use condoms during their last sexual encounter. Inconsistent condom use among men was associated with older age, long-term relationships, and lack of awareness about acquiring HIV infection.Conclusions:Interventions to reduce social-structural contextual factors in Nicaragua are needed so that individuals may adopt and maintain HIV risk reduction strategies. Increased gender-specific HIV education and skills-building programs need to be implemented. Sensitive mass media messages may also increase the knowledge of HIV and AIDS, and serve to encourage protective attitudes and behaviors.

Ämnesord och genrebeteckningar

HIV/AIDS-related knowledge
attitudes
behaviors
adult population
gender
Nicaragua
Social Medicine
Socialmedicin

Biuppslag (personer, institutioner, konferenser, titlar ...)

Högberg, Ulf,1949-Uppsala universitet,Institutionen för kvinnors och barns hälsa,Obstetrisk forskning/Högberg(Swepub:uu)ulfho102 (författare)
Valladares, ElietteObstetrics and Gynecology, UNAN León (författare)
Essén, Birgitta,1961-Uppsala universitet,Institutionen för kvinnors och barns hälsa,Internationell kvinno- och mödrahälsovård och migration/Essén(Swepub:uu)bires412 (författare)
Uppsala universitetInternationell mödra- och barnhälsovård (IMCH) (creator_code:org_t)

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Ingår i:Sexual & Reproductive HealthCare: Elsevier BV4:1, s. 37-441877-57561877-5764

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Av författaren/redakt...: Ugarte, William ...; Högberg, Ulf, 19 ...; Valladares, Elie ...; Essén, Birgitta, ...

Artiklar i publikationen: Sexual & Reprodu ...

Av lärosätet: Uppsala universitet

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