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Colombia Médica
versão On-line ISSN 1657-9534
Resumo
MUESES-MARIN, Héctor Fabio; TELLO-BOLIVAR, Inés Constanza; GALINDO-ORREGO, María Isabel e GALINDO-QUINTERO, Jaime. Perceptions about sexual risk, HIV and HIV-testing in Cali, Colombia. Colomb. Med. [online]. 2018, vol.49, n.2, pp.139-147. ISSN 1657-9534. https://doi.org/10.25100/cm.v49i2.2945.
Introduction:
In Colombia, 20%-54% of the population with sexual practices at higher risk for HIV infection (men who have sex with men, transgender women, women sex workers) has sometime been tested.
Objective:
To describe perceptions of sexual risk, HIV and HIV testing in people with risky sexual practices and people who identify themselves as heterosexual.
Methods:
Between 2012 and 2014, it was carried a descriptive study using HIV screening out in Cali-Colombia with the voluntary participation of 940 people aged over 18 years. There were used: informed consent, structured questionnaire and HIV testing. Descriptive, bivariate and multivariate Poisson regression models were performed.
Results:
Average age 28.5 ±10.9 years; 50% men. 357 (38%) were people from the traditional risk group for HIV infection; and 583 (62%) corresponded to the non-traditional risk group (heterosexual men and women). Likewise, 62% and 41% respectively had HIV test. 51% to 53% reported having sex when they consumed liquor; commercial sex was higher in the group with risky sexual practices (32% vs 3%), as well as anal relations (77% vs 23%), consistent use of condom (32% vs 9%), and HIV positive test (14.3% vs 1.6%). The multivariate analysis showed for both groups that having HIV test was associated with being older than 25 years and a history of sexually transmitted infection.
Conclusions:
Differentiated education strategies are needed based on risky sexual behaviors and that consider the importance of regular HIV tests for early diagnosis and timely enrollment in care and treatment.
Palavras-chave : HIV; Colombia; risky behavior; unsafe sex; Screening.