What do patients consulting in a free sexual health center know about HIV transmission and post-exposure prophylaxis?
| Autor: | P. Troude, Christophe Segouin, Prescillia Piron, Elise de La Rochebrochard, Christelle Duteil |
|---|---|
| Přispěvatelé: | Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Institut national d'études démographiques (INED), Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, de La Rochebrochard, Elise |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Health Knowledge Attitudes Practice Paris Multivariate analysis Unprotected Sexual Intercourse medicine.medical_treatment Sexual Behavior HIV Infections Post-exposure prophylaxis law.invention 03 medical and health sciences 0302 clinical medicine Condom law [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases medicine Humans HEALTH_SERVICES 030212 general & internal medicine Reproductive health Free HIV and sexually transmitted infection screening center 030505 public health business.industry Public health lcsh:Public aspects of medicine Public Health Environmental and Occupational Health HIV lcsh:RA1-1270 Postexposure prophylaxis PREVENTION 3. Good health AIDS Knowledge False beliefs [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie Family medicine [SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases Observational study Female [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie HEALTH France Biostatistics Sexual Health 0305 other medical science business Research Article |
| Zdroj: | BMC Public Health, Vol 21, Iss 1, Pp 1-10 (2021) BMC Public Health BMC Public Health, BioMed Central, 2021, 21, pp.494. ⟨10.1186/s12889-021-10547-9⟩ |
| ISSN: | 1471-2458 |
| Popis: | BackgroundScreening, condom use and post-exposure prophylaxis (PEP) are among existing HIV prevention strategies. However, efficient use of these strategies requires that patients have an adequate knowledge of HIV transmission routes and awareness of risk behaviors. This study aimed to assess knowledge about HIV transmission among patients who attended a free HIV and sexually transmitted infection (STI) screening center in Paris, France, and to explore the patient profiles associated with HIV-related knowledge.MethodsThis observational cross-sectional study included 2002 patients who attended for STI testing from August 2017 through August 2018 and completed a self-administered electronic questionnaire. Based on incorrect answers regarding HIV transmission, two outcomes were assessed: lack of knowledge and false beliefs. Factors associated with these two outcomes were explored using univariate and multivariate logistic regressions.ResultsOnly 3.6% of patients did not know about HIV transmission through unprotected sexual intercourse and/or by sharing needles. More than one third of patients (36.4%) had at least one false belief, believing that HIV could be transmitted by sharing a drink (9.7%), kissing (17.6%) or using public toilets (27.5%). A low educational level and no previous HIV testing were associated in multivariate analyses with both lack of knowledge and false beliefs. Age and sexual orientation were also associated with false beliefs. Furthermore, 55.6% of patients did not know that post-exposure prophylaxis consists of taking emergency treatment as soon as possible after risky intercourse.ConclusionsAlthough the main HIV transmission routes are well known, false beliefs persist and knowledge regarding PEP needs to be improved. Prevention campaigns must focus on these themes which appear as a complementary strategy to pre-exposure prophylaxis to reduce HIV infection. |
| Databáze: | OpenAIRE |
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