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Abstract
The objectives of this research were: (a) to relate sexual risk, knowledge, and attitudes towards HIV testing in Colombian university students; and (b) to describe the perceived barriers in those who had not been tested, analyzing the differences according to sex. A crosssectional study was carried out, in which 1057 Colombian university students participated. The instruments applied were the Cuestionario Confidencial Vida Sexual Activa (CCVSA, for its Spanish acronym), the tests Barreras Hacia la Prueba del VIH, Escala de Actitudes hacia el VIH-Sida and an ad hoc questionnaire on knowledge about the test. The students who were tested (n = 214) reported a lower age of sexual initiation (p < .01), a higher number of sexual partners (p = .01), and a lower use of condoms in the first (p = .02) and last (p = .04) sexual intercourse. They also reported more knowledge about HIV testing (p < .001). The main barriers were associated with low risk perception of the disease (29.8 %), trust in sexual partners (29.2 %), and lack of offer of the test (25.2 %). In conclusion, being tested for HIV is related to exposure to risky sexual behaviors and to knowledge about the test, but not to attitudes towards it. The identification of the associated psychosocial factors could contribute to the design of interventions aimed at the prevention and timely treatment of the disease.
Keywords:
References
Arrivillaga, M., Hoyos, P. A., Tovar, L. M., Zapata, H., Varela, M. T., & Correa, D. (2012). HIV Testing and Counseling in Colombia: Evidence from a National Health Survey and Recommendations for Public Policy. International Journal of STD & AIDS, 23(11), 815-821. doi: 10.1258/ijsa.2012.011468
Becky, L. W., Walsh, J., Raysam, S., Pathman, D. E., Adimora, A. A., & Golin, C. E. (2015). What Makes Me Screen for HIV? Perceived Barriers and Facilitators to Conducting Recommended Routine HIV Testing among Primary Care Physicians in the Southeastern United States. Journal of the International Association of Providers of AIDS Care, 14(2), 127-135. doi: 10.1177/2325957414524025
Begley, K., McLaws, M. L., Ross, M. W., & Gold, J. (2008). Cognitive and Behavioral Correlates of Non–Adherence to HIV Anti–Retroviral Therapy: Theoretical and Practical Insight for Clinical Psychology and Health Psychology. Clinical Psychologist, 12(1), 9-17. doi: 10.1080/13284200802069043
Belza, M. J., Figueroa, C., Rosales, M. E., Ruiz, M., Vallejo, F., & de la Fuente, L. (2014). Low Knowledge and Anecdotal Use of Unauthorized Online HIV Self-Test Kits among Attendees at a Street-Based HIV Rapid Testing Programme in Spain. International Journal of Infectious Diseases, 25, 196-200. doi: 10.1016/j.ijid.2014.03.1379
Bilardi, J. E., Walker, S., Read, T., Prestage, G., Chen, M. Y., Guy, R., … Fairley, C. K. (2013). Gay and Bisexual Men’s Views on Rapid Self-Testing for HIV. AIDS and Behavior, 17(6), 2093-2099. doi: 10.1007/s10461-012-0395-7
Black, S., Wallace, M., Middelkoop, K., Robbertze, D., Bennie, T., Wood, R., & Bekker, L. G. (2014). Improving HIV Testing Amongst Adolescents through an Integrated Youth Centre Rewards Program: Insights from South Africa. Children and Youth Services Review, 45(C), 98-105. doi: 10.1016/j.childyouth.2014.03.025
Bolsewicza, K., Vallelyb, A., Debattistad, J., Whittakere, A., & Fitzgeralda, L. (2015). Factors Impacting HIV Testing: A Review - Perspectives from Australia, Canada, and the UK. AIDS Care, 27(5), 570-580. doi: 10.1080/09540121.2014.986050
Bradley, H., Tsui, A., Kidanu, A., & Gillespie, D. (2011). Client Characteristics and HIV Risk Associated with Repeat HIV Testing among Women in Ethiopia. AIDS and Behavior, 15(4), 725-733. doi: 10.1007/s10461-010-9765-1
Brooks, R. A., Lee, S. J., Stover, G. N., & Barkley, T. W. (2011). HIV testing perceived vulnerability and correlates of HIV sexual risk behaviors of Latino and African American young male gang members. International Journal of STD & AIDS, 22(1), 19-24. doi: 10.1258/ijsa.2010.010178
Castel, A. D., Befus, M., Willis, S., Griffin, A., West, T., Hader, S., … Greenberg, A. E. (2012). Use of the Community Viral Load as a Population-Based Biomarker of HIV Burden, Washington, DC. AIDS, 26(3), 345-353. doi: 10.1097/QAD.0b013e32834de5fe
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences. Nueva York, Estados Unidos: Routledge.
Cooney, N., Hiransuthikul N., & Lertmaharit, S. (2015). HIV in Young People: Characteristics and Predictors for Late Diagnosis of HIV. AIDS Care, 27(5), 561-569. doi: 10.1080/09540121.2014.986049
Dai, S., Liu, J., Fan, Y., Shan, G., Zhang, H., & Li, M. (2015). Prevalence and Factors Associated with Late HIV Diagnosis. Journal of Medical Virology, 87(6), 970-977. doi: 10.1002/jmv.24066
Decker, M. R., Rodney, R., Chung, S., Jennings, J. M., Ellen, J. M., & Sherman, S. G. (2015). HIV Testing among Youth in a High-Risk City: Prevalence, Predictors, and Gender Differences. AIDS Care, 27(5), 555-560. doi: 10.1080/09540121.2014.986048
Deblonde, J., De Koker, P., Hamers, F. F., Fontaine, J., Luchters, S., & Temmerman, M. (2010). Barriers to HIV Testing in Europe: A Systematic Review. The European Journal of Public Health, 20(4), 422-432. doi: 10.1093/eurpub/ckp231
Encuesta Nacional de Demografía y Salud [ENDS]. (2015). Conocimiento de ITS y del VIH/ Sida: formas de prevención. Recuperado de http://profamilia.org.co/docs/ENDS%20TOMO%20II.pdf
Espada, J., Ballester, R., Huedo, T., Secades, R., Orgilés, M., & Martínez, M. (2013). Development of a new instrument to assess AIDS-related attitudes among Spanish Youngsters. Anales de Psicología, 29(1), 83-89. doi: 10.6018/analesps.29.1.132301
Espada, J. P., Escribano, S., Morales, A., & Orgile, M. (2017). Two-Year Follow-Up of a Sexual Health Promotion Program for Spanish Adolescents. Evaluation & the Health Professions, 40(4), 1-22. doi: 10.1177/0163278716652217
Espada, J. P., Escribano, S., Orgilés, M., Morales, A., & Guillén, A. (2015). Sexual risk behaviors increasing among adoles- cents over time: comparison of two cohorts in Spain. AIDS Care, 27(6), 783-788. doi: 10.1080/09540121.2014.996516
Flowers, P., Knussen, C., Li, J., & McDaid, L. (2013). Has Testing Been Normalized? An Analysis of Changes in Barriers to HIV Testing among Men Who Have Sex with Men between 2000 and 2010 in Scotland, UK. HIV Medicine, 14(2), 92- 98. doi: 10.1111/j.1468-1293.2012.01041.x
Fuster, M. J., Molero, F., Nouvilas, E., Arazo, P., & Dalmau, D. (2014). Determinants of Late Diagnosis of HIV Infection in Spain. Psychosocial Intervention, 23(3), 177-185. doi: 10.1016/j.psi.2014.07.011
García, P., Reyes, J. M., & Caylà, J. A. (2012). Retraso diagnós- tico de la infección por VIH. Revista Española de Sanidad Penitenciaria, 14(1), 28-35. Recuperado de http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1575-06202012000100005&lng=es&nrm=iso&tlng=es
Hampanda, K., Ybarra, M., & Bull, S. (2014). Perceptions of Health Care Services and HIV-Related Health-Seeking Behavior among Uganda Adolescents. AIDS Care, 26(10), 1-9. doi: 10.1080/09540121.2014.894612
Hernández, R., Fernández, C., & Baptista, P. (2010). Definición del alcance de la investigación a realizar: exploratoria, descriptiva, correlacional o explicativa. En R. Hernández, C. Fernández y P. Baptista (eds.), Metodología de la investigación (pp. 76 - 88). México D. F.: Mc-Graw-Hill.
Hoyos, J., de la Fuente, L., Fernández, S., Gutiérrez, J., Rosales, M. E., & de Olalla, P. G. (2012). La oferta de la prueba rápi- da del VIH en la calle dentro del ámbito universitario: ¿una estrategia prioritaria? Gaceta Sanitaria, 26(2), 131-137. doi: 10.1016/j.gaceta.2011.07.009
Hoyos, J., Fernández, S., de la Fuente, S., Sordo, L., Ruiz, M., Barrio, G., & Belza, M. J. (2013). Never Tested For HIV in Latin-American Migrants and Spaniards: Prevalence and Perceived Barriers. Journal of the International AIDS Society, 16(1), 1-8. doi: 10.7448/IAS.16.1.18560
Hoyos, P. A., Sanabria, J. P., Orcasita, L. T., Valenzuela, A. L., González, M., & González, T. (2019). Social representa- tions associated with HIV/AIDS in Colombian university students. Saúde e Sociedade, 28(2), 227-238. doi: 10.1590/ S0104-12902019180586.
Hyden, C., Allegrante, J. P., & Cohall, A. T. (2014). HIV Testing Sites’ Communication about Adolescent Confidentiality: Potential Barriers and Facilitators to Testing. Health Promotion Practice, 15(2), 173-180. doi: 10.1177/1524839913499347.
Infosida. (2016). Preguntas frecuentes sobre VIH. Recuperado de https://www.infosida.es/preguntas-frecuentes-vih
Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: A Decade Later. Health Education & Behavior, 11(1), 1-47. doi: 10.1177/109019818401100101
Kaai, S., Bullock, S., Burchell, A. N., & Major, C. (2012). Factors that Affect HIV Testing and Counseling Services among Heterosexuals in Canada and the United Kingdom: An Integrated Review. Patient Education and Counseling, 88(1), 4-15. doi: 10.1016/j.pec.2011.11.011
Kall, M. M., Smith, R. D., & Delpech, V. C. (2012). Late HIV Diagnosis in Europe: A Call for Increased Testing and Awareness among General Practitioners. European Journal of General Practice, 18(3), 181-186. doi:10.3109/13814788.2012.685069
Kurth, A. E., Lally, M. A., Choko, A. T., Inwani, I. W., & Fortenberry, J. D. (2015). HIV Testing and Linkage to Services for Youth. Journal of the International AIDS Society, 18(Sup. 1), 23-28. doi: 10.7448/IAS.18.2.19433
Lopera, M. M., Martínez, J., & Ray, T. (2011). Acceso de las personas con VIH al sistema de salud colombiano y sus costos relacionados desde una perspectiva individual y fa- miliar, Bogotá, 2010. Revista Gerencia y Políticas de Salud, 10(20), 81-96. Recuperado de http://www.scielo.org.co/pdf/rgps/v10n20/v10n20a06.pdf
Ministerio de Salud y Protección Social. (1997). Cuestionario Confidencial sobre Vida Sexual Activa. Bogotá, Colombia: Ministerio de Salud de Colombia.
Ministerio de Salud y Protección Social. (2011). Resolución 2338 de 2013. Recuperado de http://www.alcaldiabogota.gov.co/sisjur/normas/Norma1.jsp?i=53670
Ministerio de Salud y Protección Social. (2015). Guía para el manejo del VIH/Sida. Basado en la evidencia. Recuperado de https://www.minsalud.gov.co/Documentos%20y%20Publicaciones/GUIA%20PARA%20EL%20MANEJO%20DE%20VIH%20SIDA.pdf
Morales, A., Espada, J. P., & Orgilés, M. (2016). Barreras hacia la prueba de detección del VIH en adolescentes en España. Psychosocial Intervention, 25(3), 135-141. doi: 10.1016/j.psi.2016.06.002
Newman, C., Kidd, M., Kippax, S., Reynolds, R., Canavan, P., & de Wit, J. (2013). Engaging non HIV Specialist General Practitioners with New Priorities in HIV Prevention and Treatment: Qualitative Insights from Those Working in the Field. Sexual Health, 10(3), 193-198. doi: 10.1071/sh12157
Organización Mundial de la Salud [OMS]. (2012). Orientaciones clínicas aplicables a lo largo de todo el proceso asistencial: diagnóstico del VIH y uso de ARV con fines preventivos. Recuperado de http://www.who.int/hiv/pub/guidelines/arv2013/clinical/arv2013_chapter05_es.pdf
Peralta, L., Deeds, B. G., Hipszer, S., & Ghalib, K. (2007). Barriers and Facilitators to Adolescent HIV Testing. AIDS Patient Care and STDs, 21(6), 400-408. doi: 10.1089/ apc.2006.0112
Profamilia. (2017). Preguntas y respuestas sobre VIH. Recuperado de https://profamilia.org.co/preguntas-y-respuestas/vihsida/?id=14
Schnall, R., Rojas, M., & Travers, J. (2015). Understanding HIV Testing Behaviors of Minority Adolescents: A Health Behavior Model Analysis. Journal of the Association of Nurses in Aids Care, 26(3), 246-258. doi: 10.1016/j.jana.2014.08.005
Sevilla, T. M., Sanabria, J. P., Orcasita, L. T., & Palma, D. M. (2016). Consistencies and Discrepancies in Communication between Parents and Teenage Children about Sexuality. Paidéia (Ribeirão Preto), 26(64), 139-147. doi: 10.1590/1982-43272664201601