Associations of high-risk behaviour and HIV status with HIV knowledge among persons in Tallinn, Estonia

Parker, R. David

doi:10.1177/1403494810382471

Cited by 6 publications

(6 citation statements)

References 23 publications

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“…Still consistent with the UK study is a study which was conducted among 772 subjects in Estonia. They found that higher knowledge scores were not associated with lower HIV infection rates (29). This affirms that while knowledge is a key component of behaviour change models, by itself it is often insufficient to effect behaviour change.…”

Section: Discussionmentioning

confidence: 99%

Sexually transmitted infection knowledge levels, socio-demographic characteristics and sexual behaviour among men who have sex with men: results from a cross-sectional survey in Nairobi, Kenya

Nyasani

Lunani²,

Oino

et al. 2023

Preprint

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Background: High rates of sexually transmitted infections (STIs) among men who have sex with men (MSM) have been reported, there is little research on their STI knowledge. Our study sought to characterize knowledge and awareness of STIs among MSM in Nairobi, Kenya. Methods We mobilized MSM aged ≥18 years from Nairobi into a cross-sectional study. To determine their understanding about STIs, a pre-tested structured questionnaire was administered. Knowledge score was generated by summing up the number of responses answered correctly by a participant. We dichotomized scores as “low” and “high”, by splitting the group at <12 and ≥12 which was the mean. Results A total of 404 participants were interviewed between the month of March and August 2020. The mean age was 25.2 (SD=6.4) years. Majority were single (80.4%) and Christians (84.2%). All participants had some formal education ranging from primary to tertiary; the majority (92.3%) had secondary education or more. Most (64.0%) were employed and their monthly income ranged from <50->150 USD. Almost all (98.5%) were Kenyans. Of the 404 (90.6%) self-identified as male and (47.5%) reported to be exclusively top partners. Many (39.9%) reported being both bottom and top, while those reporting to be bottom partners were, (12.6%). The last 12 months, (55.4%) of the participants reported having sex with men only and (88.6%) reported to have had more than one sexual partner. Participants scored an average of 12.2, out of 29 SD 4.5. The multivariable modelling revealed that participants aged ≥25 years were more likely to have a higher knowledge score compared with the participants aged 18-24 years (aOR=0.973, CI: 0.616-1.538). Regarding education and occupation, participants who had tertiary education and those who were employed were more likely to have a higher knowledge score compared with the participants who had primary education and were not employed ( aOR=2.627, CI:1.142-6.043) (aOR=0.922, CI: 0.401-2.117). Participants who were earning (USD >150) were more likely to have a higher knowledge score compared to the ones who were not earning (aOR=2.520, CI: 0.900-7.055). Further bisexual men were more likely to have a higher knowledge score compared with the participants who were having sex with men only (aOR= 1.550, CI: 1026-2.342) Conclusion Participant’s knowledge level regarding STIs was low. We recommend health care workers to continue educating patients about STIs.

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Section: Discussionmentioning

confidence: 99%

Sexually transmitted infection knowledge levels, socio-demographic characteristics and sexual behaviour among men who have sex with men: results from a cross-sectional survey in Nairobi, Kenya

Nyasani

Lunani²,

Oino

et al. 2023

Preprint

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“…A recent study among Estonian populations also evaluated the associations between the level of HIV knowledge and both HIV-related risk behaviors and HIV status among different at-risk groups (6). This study, as well as ours, indicated that HIV knowledge was higher among HIV positive participants and described that higher HIV knowledge was not associated with lower risk behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…Information may be sufficient for prevention when risk reduction behavior requires a relatively uncomplicated change. Even when a number of studies have revealed that information alone is not sufficient for HIV risk reduction, it is nevertheless necessary (6). Previous research studies allude to the need for HIV risk reduction interventions that focus on informational, motivational and behavioral skill that facilitate prevention (7).…”

Section: Introductionmentioning

confidence: 99%

HIV Knowledge and Beliefs Among Men Who Have Sex With Men (MSM) in Buenos Aires, Argentina

et al. 2013

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Five hundred men who have sex with men (MSM), recruited through Respondent Driven Sampling in Buenos Aires, Argentina, were interviewed in order to assess knowledge and beliefs about HIV infection. The mean proportion of HIV correct knowledge answers was 62%; however participants whose sexual partners in the prior year included women (MSM&W) had lower frequencies of correct answers than participants with no women partners. Men with previous HIV testing experience and those who were HIV positive had higher HIV knowledge. In relation to HIV beliefs, less than half of participants responded correctly to each of the scenarios presented. Accurate answers for all items were more likely among those who only have sex with men. Men have basic HIV knowledge but also many misconceptions about transmission and prevention. Furthermore, MSM&W have less information than those who are exclusively MSM, probably related to the fact that information campaigns specifically targeted gay identified men.

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“…Fifty-eight people received a positive test result during this study, all of whom were at the SEP. Of these, 46 were new cases, 30 reported no previous HIV test, 52 reported injecting drug use in last 12 months, and 22 reported sharing syringes and/or other injecting equipment within last 12 months. HIV-related knowledge and behaviours of persons tested are summarised in detail elsewhere [15–17].…”

Section: Resultsmentioning

confidence: 99%

“…HIV rapid testing was performed using Determine HIV-1/2 (Abbott) rapid test system and the preliminary test results were available in 15 minutes. Determine HIV-1/2 sensitivity is estimated to be 100% and specificity 99.75% [15].…”

Section: Methodsmentioning

confidence: 99%

Piloting HIV rapid testing in community-based settings in Estonia

Ustina

Parker

2012

Scand J Public Health

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Associations of high-risk behaviour and HIV status with HIV knowledge among persons in Tallinn, Estonia

Abstract: In this sample, higher knowledge scores were not associated with lower infection rates. These results indicate the importance of targeting all high-risk groups in HIV prevention and education programmes.

Cited by 6 publications

References 23 publications

Sexually transmitted infection knowledge levels, socio-demographic characteristics and sexual behaviour among men who have sex with men: results from a cross-sectional survey in Nairobi, Kenya

Sexually transmitted infection knowledge levels, socio-demographic characteristics and sexual behaviour among men who have sex with men: results from a cross-sectional survey in Nairobi, Kenya

HIV Knowledge and Beliefs Among Men Who Have Sex With Men (MSM) in Buenos Aires, Argentina

Piloting HIV rapid testing in community-based settings in Estonia

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