A cross-sectional study to assess knowledge about HIV/AIDS transmission and prevention measures in company workers in Ecuador

BMC Public Health

Adelin Albert³  Teresa Borja¹  Nadia Dardenne³  Marco Fornasini²  María C Cabezas⁴ 

[1]Psychology School, Universidad San Francisco de Quito (USFQ), Av. Diego de Robles y Vía Interoceánica, Cumbaya, Quito, Ecuador

[2]Translational Research Center, Universidad de las Américas (UDLA), Av. de los Granados y Colimes, Quito, Ecuador

[3]Department of Medical Informatics and Biostatistics, University of Liège, Sart Tilman, B23, 4000, Liège, Belgium

[4]Public Health Department, University of Liège, Sart Tilman, B23, 4000, Liège, Belgium

关键词: Educational;    Transmission;    Prevention;    Ecuador;    HIV/AIDS;   

Others  :  1162540
DOI  :  10.1186/1471-2458-13-139

 received in 2012-09-18, accepted in 2013-02-08,  发布年份 2013

【 摘 要 】

Background

HIV/AIDS was first reported in Ecuador in 1984 and its prevalence has been increasing ever since. In 2009, the National AIDS Program reported 21,810 HIV/AIDS cases and confirmed that the worker population was amongst the most affected groups. The objective of this study was to assess knowledge about HIV transmission and prevention measures in company workers in Ecuador.

Methods

A cross-sectional survey based on a random sample of 115 companies (1,732 workers), stratified by three large provinces and working sectors (commerce, manufacturing and real estate) was conducted. A validated instrument developed by Family Health International was used to evaluate HIV prevention knowledge and common local misconceptions about HIV transmission. Descriptive statistics, chi square test and logistic regression analysis were performed using SAS.

Results

Incorrect knowledge about HIV/AIDS transmission were found in 49.1% (95% CI: 46.6–51.6) of subjects. Incorrect knowledge was higher among males (OR = 1.73 [1.39–2.15]), older subjects (OR = 1.35 [1.02–1.77]), subjects with lower education (OR = 3.72 [2.44–5.65]), manual labor workers (OR = 2.93 [1.82–4.73]) and subjects without previous exposure to HIV intervention programs (OR = 2.26 [1.79–2.86]). Incorrect knowledge about preventive measures was found among 32.9% (95%CI: 30.6–35.2) of respondents. This proportion was higher among subjects with lower education (OR = 2.28 [1.52–3.43]), married subjects (OR = 1.34 [1.07–1.68]), manual labor workers (OR = 1.80 [1.34–2.42]), and subjects not previously exposed to HIV intervention programs (OR = 1.44 [1.14–1.83]).

Conclusions

HIV intervention programs targeting company workers are urgently needed to improve knowledge and reduce HIV transmission in Ecuador.

【 授权许可】

   
2013 Cabezas et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Gottlieb M: Pneumocystis pneumonia-Los Angeles. Am J Public Health 1981, 96(6):982-983.
• [2]UNAIDS: AIDS epidemic update. In WHO Library Cataloguing-in-Publication Data. Edited by WHO. Geneva: UNAIDS; 2009:1-100. vol. 1, AIDS epidemic update : November 2009 edn
• [3]UNAIDS: Global Report. Geneva: UNAIDS; 2010. vol. 1, WHO Library Cataloguing-in-Publication Data edn
• [4]UNAIDS: Global Report. In UNAIDS. 2nd edition. Edited by Library W. Geneva: UNAIDS; 2011:16-61. vol. 2.
• [5]UNAIDS: DECLARACION DE COMPROMISO SOBRE VIH-SIDA, UNGASS. Informe del Gobierno del Ecuador Relativo al Período 2006–2007. In UNGASS 2008 Ecuador. Edited by Library W. Geneva: UNAIDS; 2008:1-88. vol. 1.
• [6]CARE: Reunión de Empresarios Comprometidos. Quito: Reunión de Empresarios Comprometidos; 2008; 2008:1-25.
• [7]Ministerio de Salud Pública del Ecuador O: Plan Estratégico Multisectorial de la Respuesta Nacional al VIH/SIDA 2007–2015. 1st edition. Edited by OIT. Ministerio de Salud Pública del Ecuador; 2007:1-170. OIT page web.
• [8]CDC: Social NetworksTesting. A Community-Based Strategy for Identifying Persons with Undiagnosed HIV Infection. 1st edition. Atlanta: Centers for Diseases Control and Prevention; 2006.
• [9]Ministerio de Salud Pública del Ecuador O: Informe Nacional Sobre los Progresos Realizados en la Aplicación del UNGASS- Ecuador. Enero de 2008- Diciembre de 2009. 1st edition. UNAIDS; 2010:1-234.
• [10]International FH: Behavioural Survellance Survey: Guidelines for Repeated Behavioral Surveys in Populations at Risk of HIV. Arlington: Family Health International; 2000.
• [11]UNAIDS: GLOBAL HIV/AIDS RESPONSE: Epidemic update and health sector progress towards Universal Access. In Progress Report 2011. 1st edition. Edited by UNAIDS. Geneva: UNAIDS; 2011:1-224.
• [12]CARE: Presentation" Programa Empresarial en el Sector Privado 2006-2009". In Programa Empresarial en el Sector Privado 2006-2009. 2009 edition. Quito: CARE; 2009:1-38.
• [13]Trabajo OI: Políticas y programas sobre VIH/SIDA en el lugar del trabajo. In Políticas y programas sobre VIH/SIDA en el lugar del trabajo. Edited by OIT. Lima: OIT; 2007:14-27.
• [14]Cabieses B, Ferrer L, Villarroel L, Cianelli R, Sarah Miner S, Bernales M: HIV/AIDS knowledge and occupational risk in primary care health workers from Chile. In Investigación y Educación en Enfermería. Medellin: Investigación y Educación en Enfermería, Volume 29; 2011:212-221.
• [15]Kitungulu B, Tegang S, Suji O, Jervase A: Behavioral Monitoring Survey for HIV/STI/FP/Malaria/GBV in Juba, Morobo and Rumbek Southern Sudan. Nairobi: Family Health International; 2009.
• [16]Commission SSA: SOUTHERN SUDAN HIV Epidemic and Response Review Report, Volume 1. Sudan: Southern Sudan AIDS Commission; 2011.
• [17]USAID: Evaluation of knowledge, attitudes, and practices of health care providers toward HIV-positive patients in Tanzania. 1st edition. Bethesda: USAID; 2007.
• [18]Hentgen V, Jaureguiberry S, Ramiliarisoa A, Andrianantoandro V, Belec M: Connaissances, attitudes et pratiques du personnel de santé en matière de VIH/sida à Tamatave (Madagascar). Bull Soc Pathol Exot 2002, 95:114.