Behavioral and biological risks of women seeking HIV test in an anonymous testing center
| Autor: | José Eleutério Junior, Maria José Penna Maisonnette de Attayde Silva, Rose Luce Gomes do Amaral, Ana Katherine Gonçalves, Ayrton Daniel Ribeiro Filho, Paulo César Giraldo |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adult
Microbiology (medical) medicine.medical_specialty Pathology sexually transmitted diseases Sexual Behavior Concordance Human immunodeficiency virus (HIV) Vulnerability lcsh:QR1-502 HIV Infections Anonymous Testing medicine.disease_cause lcsh:Microbiology lcsh:Infectious and parasitic diseases Risk-Taking Cohen's kappa Hiv test Risk Factors Environmental health medicine Humans lcsh:RC109-216 Colposcopy Medicine(all) medicine.diagnostic_test business.industry Public health HIV General Medicine Cross-Sectional Studies Infectious Diseases Female women business |
| Zdroj: | Brazilian Journal of Infectious Diseases, Vol 15, Iss 4, Pp 360-364 (2011) Brazilian Journal of Infectious Diseases, Volume: 15, Issue: 4, Pages: 360-364, Published: AUG 2011 Brazilian Journal of Infectious Diseases, Vol 15, Iss 4, Pp 360-364 Brazilian Journal of Infectious Diseases v.15 n.4 2011 Brazilian Journal of Infectious Diseases Brazilian Society of Infectious Diseases (BSID) instacron:BSID |
| ISSN: | 1413-8670 |
| Popis: | Due to the high prevalence and morbidity sexually transmitted diseases are highly relevant to public health, especially for women. Objectives: To determine and compare the behavioral and biological risks associated with human immunodeficiency virus acquisition. Methods: A group of 253 women who voluntarily sought anonymous testing were interviewed to find out their behavioral risk. Biological risk was identified by means of gynecological exam, colposcopy as well as blood and cervicovaginal sampling for serological and microbiological exams. Using known traditional risk factors, a table of scores classified the subjects into high, low and absent for behavioral and biological risks. Frequency and percentage of each risk was tabulated and the correlation between risks was obtained by calculating the Kappa statistic. Results: 79.8% of subjects were found to have behavioral risks, and 79.1% biological risks. It was also found that 66.7% of the women (169) with high behavioral risk also had high biological vulnerability. However, 31 out of 51 women without any behavioral risk had biological vulnerability 12.2%. The Kappa statistic demonstrated low agreement between the latter risks [K = 0.05 95% CI (−0.06 to 0.17)]. Conclusion: Women who seek care in centers for anonymous testing have high biological risk, which is neither proportional nor concurrent to behavioral risk. The low concordance found between these risks suggests the need for routine gynecological investigation (clinical and microbiological) for all women. Keywords: HIV, sexually transmitted diseases, women |
| Databáze: | OpenAIRE |
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