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. 2018 Jun 30;49(2):139-147.
doi: 10.25100/cm.v49i2.2945.

Perceptions about sexual risk, HIV and HIV-testing in Cali, Colombia

Héctor Fabio Mueses-Marín  1 , Inés Constanza Tello-Bolívar  1 , María Isabel Galindo-Orrego  1 , Jaime Galindo-Quintero  1
Affiliations

Perceptions about sexual risk, HIV and HIV-testing in Cali, Colombia

Héctor Fabio Mueses-Marín et al. Colomb Med (Cali). .

Abstract
in English, Spanish

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.

Introducción: En Colombia, 20%-54% de la población con prácticas sexuales de mayor riesgo para infección por VIH (Hombres que tienen sexo con hombres, mujeres transgénero, mujeres trabajadoras sexuales) se ha hecho la prueba alguna vez.

Objetivo: Describir las percepciones sobre riesgo sexual, VIH y prueba del VIH, en personas con prácticas sexuales de riesgo y personas que se identifican heterosexuales.

Métodos: Entre 2012 y 2014 se hizo en Cali-Colombia un estudio descriptivo mediante tamizaje para VIH con participación voluntaria de 940 personas mayores de 18 años. Fueron utilizados: consentimiento informado, cuestionario estructurado y prueba VIH. Se realizaron análisis descriptivos, bivariado y modelo de regresión multivariada Poisson.

Resultados: Edad promedio 28.5 ±10.9 años, 50% hombres. 357(38%) eran personas de grupos tradicionales de riesgo para infección VIH y 583(62%) correspondían a grupo no tradicional de riesgo (hombres y mujeres heterosexuales). Así mismo, 62% y 41% respectivamente, tenían prueba de VIH. Reportaron tener relaciones sexuales cuando consumieron licor 51% a 53%; sexo comercial fue mayor en grupo con prácticas sexuales de riesgo (32% vs 3%), igual que relaciones anales (77% vs 23%), uso consistente de condón (32% vs 9%) y prueba VIH positiva (14.3% vs 1.6%). El análisis multivariado mostro para ambos grupos, que tener prueba de VIH se asoció con ser mayor de 25 años y antecedente de infección de transmisión sexual.

Conclusiones: Se necesitan estrategias de educación diferenciadas según comportamientos sexuales de riesgo y que consideren la importancia de las pruebas regulares del VIH para el diagnóstico temprano e inscripción oportuna en la atención y tratamiento.

Keywords: Colombia; HIV; Screening; risky behavior; unsafe sex.

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Conflict of interest statement

Conflict of interests: The authors declare no conflict of interest.

References

    1. INS . Informe del comportamiento en la notificación de VIH-SIDA hasta el periodo epidemiológico XII del año 2016. Bogota: Instituto Nacional de Salud; 2016.
    1. UNAIDS-Colombia . HIV and AIDS estimate (2013) UNAIDS; 2015.
    1. Arrivillaga M, Hoyos P, Tovar L, Varela M, Correa D, Zapata H. HIV testing and counselling in Colombia evidence from a national health survey and recommendations for health-care services. Int J STD AIDS. 2012;23(11):815–821. - PubMed
    1. Mendoza MLR, Jacobson JO, Morales-Miranda S, Alarcón CÁS, Núñez RL. High HIV Burden in men who have sex with men across Colombia's largest cities Findings from an integrated biological and behavioral surveillance study. PloS One. 2015;10(8):e0131040. - PMC - PubMed
    1. Zea MC, Reisen CA. María del Río-González A.Bianchi FT.Ramirez-Valles J.Poppen PJ HIV prevalence and awareness of positive serostatus among men who have sex with men and transgender women in Bogotá, Colombia. Am J Public Health. 2015;105(8):1588–1595. - PMC - PubMed

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