HIV and risk behaviors of persons of low socio-economic status, Popayan-Colombia (2008-2009)
Abstract
Objective: To determine HIV presence and risk behaviors of persons of low socio-economic status in the city of Popayan, Colombia.
Methods: Cross-sectional study; between 2008 and 2009, 363 participants of Popayan signed informed consent and received pre and post HIV test counseling. Socio-demographic characteristics and history of STDs, risk behaviors and previous HIV testing were assessed. Descriptive statistics, correlations and multivariate logistic regression were calculated.
Results: Mean age 33.5±10.2; 66.0% women. Frequency of HIV positive patients was 3.86% (95% CI: 1.87-5.85), greater in men (7.38%; p= 0.013). Greater frequency of HIV-positive patients was observed in people age 29-37, those without a stable partner, and those with history of risky alcohol consumption (more than five drinks in 2 hrs).
Conclusions: HIV-positive patients frequency in this population was greater than national estimate for general population, aged 15-49 in Colombia, with even greater frequency in men. This study suggests that characteristics associated with low socioeconomic status, in economically active population, without a stable partner and with risky alcohol use, can potentially increase risk of HIV infection
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Keywords
- HIV
- risk factors
- health promotion
- alcohol drinking
- adults
- poverty.
References
1. WHO. World Health Statistics 2008. Geneva (Sw): WHO Press; 2008.
2. ONUSIDA. Infección por VIH/Sida en Colombia. Estado del arte 2000-2005. Programa conjunto de las Naciones Unidas sobre el VIH/Sida (ONUSIDA) grupo temático para Colombia-Ministerio de la Protección Social de Colombia. Pro-Offset Editorial Ltda. 2006.
3. Cáceres CF. Intervenciones para la prevención del VIH e ITS en América Latina y Caribe: una revisión. Cad. Saúde Pública. 2004; 20(6): 1468-85.
4. Kerr-Pontes LRS, González F, Kendall C, Leão EMA, Távora FR, Caminha I, et al. Prevention of HIV infection among migrant population groups in Northeast Brazil. Cad Saúde Pública. 2004; 20: 320-8.
5. An Q, Prejean J, McDavid HK, Fang X. Association between community socioeconomic position and HIV diagnosis rate among adults and adolescents in the United States, 2005 to 2009. Am J Public Health. 2013; 103(1): 120-6.
6. Hogben M, Leichliter JS. Social determinants and sexually transmitted disease disparities. Sex Transm Dis. 2008; 35(12 Suppl): S13–8.
7. Chadborn T, Delpech V, Sabin C, Sinka K, Evans B. The late diagnosis and consequent short-term mortality of HIV-infected heterosexuals (England and Wales, 2000-2004). AIDS. 2006; 20(18): 2371-9.
8. Battegay M, Fluckiger U, Hirschel B, Furrer H. Late presentation of HIV-infected individuals. Antiviral Therapy. 2007; 12(6): 841-51.
9. Mahajan AP, Sayles JN, Patel VA, Remien RH, Ortiz D, Szekeres G, et al. Stigma in the HIV/AIDS epidemic: A review of the literature and recommendations for the way forward. AIDS. 2008; 22(Suppl 2): S67–9.
10. Mina-Rosero L. Estratificación socioeconómica como instrumento de focalización. Economía y Desarrollo. 2004; 3(1): 53-67.
11. Galindo J, Tello IC, Mueses HF, Duque JE, Shor-Posner G, Moreno G. VIH y Vulnerabilidad: una comparación de tres grupos en Cali, Colombia. Rev Fac Nac Salud Pública. 2011; 29(1): 25-33.
12. Luque-Núñez, R. Situación y tendencias epidemiológicas de la infección por VIH/SIDA en Colombia. Iatreia. 2004; 17(3-S): 297-8
13. Rosenberg E, Sullivan P, DiNenno E, Salazar L, Sanchez T. Number of casual male sexual partners and associated factors among men who have sex with men: Results from the National HIV Behavioral Surveillance system. BMC Public Health. 2011; 11(1): 189.
14. Arora P, Nagelkerke N, Jha P. A Systematic review and meta-analysis of risk factors for sexual transmission of HIV in India. Plos One. 2012; 7(8): e44094.
15. Shuper P, Neuman M, Kanteres F, Baliunas D, Joharchi N, Rehm J. Causal considerations on alcohol and HIV/AIDS—a systematic review. Alcohol Alcoholism. 2010 45(2): 159-66.
16. Chincha O, Samalvides F, Bernabé-Ortiz A, Kruger H, Gotuzzo E. Asociación entre el consumo de alcohol y la infección por virus de inmunodeficiencia humana. Rev Chil Infect. 2008; 25(1): 49-53.
17. Gardner EM, Burman WJ, Steiner JF, Anderson PL, Bangsberg DR. Antretroviral medication adherence and the development of class-specific antiretroviral resistance. AIDS. 2009; 23(9): 1035–46.
18. Weiss RD. Adherence to pharmacotherapy in patients with alcohol and opioid dependence. Addict. 2004; 99(11): 1382–92.
19. Hendershot CS, Stoner SA, Pantalone DW, Simoni JM. Alcohol use and antiretroviral adherence: review and meta-analysis. J Acquir Immune Defic Syndr. 2009; 52(2): 180-202.
20. Fox J, Fidler S. Sexual transmission of HIV-1. Antiviral Research. 2010; 85(1): 276-85.
21. CDC. Rapid HIV testing in emergency departments — Three U.S. sites, January 2005–March 2006. MMWR. 2007, 56(24): 597-601.
22. Healey LM, O’Connor CC, Templeton DJ. HIV results giving. Is it time to change our thinking?. Sex Health. 2010; 7(1): 8-10.
23. CDC. Advancing HIV prevention: new strategies for a changing epidemic United States. MMWR. 2003; 52(20): 329-32.
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