Scholarlink

<p>Information, education, and communication programs to improve HIV knowledge and communication skills are critical to HIV responses. It is unclear if improved HIV knowledge translates to decreased HIV acquisition risks. We identified typologies of HIV knowledge to assess the relationship with HIV risk perceptions and prevention behaviors using data from reproductive-aged adults without previously diagnosed HIV at screening for entry into the RV393 HIV incidence cohort in Kisumu County, Kenya. Staff-administered questionnaires on sociodemographic characteristics, HIV knowledge, information sources (e.g., radio, television, community, school, etc.), and prevention/risk behaviors. HIV knowledge and information source typologies were identified using latent profile analysis (LPA). Mixture modeling was used to assess the relationship between typologies and perceived risk. Prevention/risk behaviors were compared and stratified by typology and risk perception (high or low/no risk). Of 926 participants in the analyses, 46.8% were female and 58.1% had at least a secondary education. LPA fit statistics suggested a three-class model (BIC = 7738; entropy = 0.793). Differences in latent profiles were characterized by engagement in community-sourced information. Across all classes, participants with high risk perception reported significantly greater numbers of sex partners and were more likely to exchange sex compared to those reporting low/no risk. HIV testing practices and consistent condom use were similar irrespective of typology. There was alignment between risk perception and risk/prevention behaviors, but knowledge and information typologies were not significantly associated with risk perception. Building knowledge alone may not be sufficient to improve outcomes, thus necessitating structural interventions that facilitate enabling environments for prevention services.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

HIV Knowledge, Information Sources, and Perceived Risk among Reproductive-Aged Individuals in Kisumu, Kenya: A Latent Profile Analysis

  • 期刊论文

  • 发表日期：

    2025年9月3日

查看全文
  • Talia A. Loeb,
  • K. Willis,
  • M. A. E. Roach,
  • V. Sing’oei,
  • J. Otieno,
  • R. Oyugi,
  • J. Opany,
  • C. S. Polyak,
  • T. A. Crowell,
  • J. Owuoth,
  • S. Baral,
  • K. Rucinski,
  • Rachel Adongo,
  • Rachel Aguttu,
  • Hosea Akala,
  • Julie Ake,
  • Michael Bondo,
  • Erica Broach,
  • Christine Busisa,
  • Nate Copeland,
  • Jessica Cowden,
  • Chiaka Nwoga,
  • Adam Yates,
  • Mark de Souza,
  • Leigh Anne Eller,
  • Milicent Gogo,
  • Zebiba Hassen,
  • Dale Hu,
  • Michelle Imbach,
  • Anne Juma,
  • Oscar Kasera,
  • Qun Li,
  • Margaret Mbuchi,
  • Mark Milazzo,
  • Kayvon Modjarrad,
  • Eric Ngonda,
  • Jacob Nyariro,
  • Jew Ochola,
  • Roseline Ohore,
  • Thomas Okumu,
  • Mary Omondi,
  • Timothy Omondi,
  • Linnah Ooro,
  • Beatrice Orando,
  • June Otieno,
  • Victorine Owira,
  • Roselyn Oyugi,
  • Merlin Robb,
  • Eric Rono,
  • Chi Tran

摘要

Information, education, and communication programs to improve HIV knowledge and communication skills are critical to HIV responses. It is unclear if improved HIV knowledge translates to decreased HIV acquisition risks. We identified typologies of HIV knowledge to assess the relationship with HIV risk perceptions and prevention behaviors using data from reproductive-aged adults without previously diagnosed HIV at screening for entry into the RV393 HIV incidence cohort in Kisumu County, Kenya. Staff-administered questionnaires on sociodemographic characteristics, HIV knowledge, information sources (e.g., radio, television, community, school, etc.), and prevention/risk behaviors. HIV knowledge and information source typologies were identified using latent profile analysis (LPA). Mixture modeling was used to assess the relationship between typologies and perceived risk. Prevention/risk behaviors were compared and stratified by typology and risk perception (high or low/no risk). Of 926 participants in the analyses, 46.8% were female and 58.1% had at least a secondary education. LPA fit statistics suggested a three-class model (BIC = 7738; entropy = 0.793). Differences in latent profiles were characterized by engagement in community-sourced information. Across all classes, participants with high risk perception reported significantly greater numbers of sex partners and were more likely to exchange sex compared to those reporting low/no risk. HIV testing practices and consistent condom use were similar irrespective of typology. There was alignment between risk perception and risk/prevention behaviors, but knowledge and information typologies were not significantly associated with risk perception. Building knowledge alone may not be sufficient to improve outcomes, thus necessitating structural interventions that facilitate enabling environments for prevention services.