Factores asociados al conocimiento de los universitarios sobre el VIH y las profilaxis pre y post exposición

Lima, Ana Luísa Serrano; Sesnik, Heitor Hortensi; Lima, Lucas Vinícius de; Pavinati, Gabriel; Merino, Maria de Fátima Garcia Lopes; Paiano, Marcelle; Gil, Nelly Lopes de Moraes; Magnabosco, Gabriela Tavares

Ana Luísa Serrano Lima

conception or design of the study/research

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Estadual de Maringá. Maringá, Paraná, Brazil

https://orcid.org/0009-0008-7396-9185

Heitor Hortensi Sesnik

conception or design of the study/research

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Estadual de Maringá. Maringá, Paraná, Brazil

https://orcid.org/0009-0004-5836-244X

Lucas Vinícius de Lima Corresponding author Lucas Vinícius de Lima, E-mail: lucvinidelima@gmail.com

conception or design of the study/research

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Estadual de Maringá. Maringá, Paraná, Brazil

https://orcid.org/0000-0002-9582-9641

Gabriel Pavinati

conception or design of the study/research

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Estadual de Maringá. Maringá, Paraná, Brazil

https://orcid.org/0000-0002-0289-8219

Maria de Fátima Garcia Lopes Merino

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Estadual de Maringá. Maringá, Paraná, Brazil

https://orcid.org/0000-0001-6483-7625

Marcelle Paiano

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Estadual de Maringá. Maringá, Paraná, Brazil

https://orcid.org/0000-0002-7597-784X

Nelly Lopes de Moraes Gil

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Estadual de Maringá. Maringá, Paraná, Brazil

https://orcid.org/0000-0002-4790-8396

Gabriela Tavares Magnabosco

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Estadual de Maringá. Maringá, Paraná, Brazil

https://orcid.org/0000-0003-3318-6748

Corresponding author
Lucas Vinícius de Lima, E-mail: lucvinidelima@gmail.com

EDITOR IN CHIEF

Antonio José de Almeida Filho

ASSOCIATE EDITOR

Ana Fátima Fernandes

Variable		Category
HIV	Q1: The only way to get infected with HIV is through unprotected sexual relations.	Agree; disagree^* * correct answer. ; don’t know
	Q2: The use of a condom is the only measure capable of preventing HIV infection.	Agree; disagree^* * correct answer. ; don’t know
	Q3: HIV infection depends on the sex and/or sexual orientation of the person.	Agree; disagree^* * correct answer. ; don’t know
	Q4: A person with HIV stops transmitting the virus with the correct use of oral antiretroviral medications.	Agree^* * correct answer. ; disagree; don’t know
PrEP	Q5: PrEP consists of the use of oral antiretrovirals before exposure to the virus, as a prevention strategy to reduce the risk of infection.	Agree^* * correct answer. ; disagree; don’t know
	Q6: I can take PrEP at any time before having sexual intercourse.	Agree; disagree^* * correct answer. ; don’t know
	Q7: PrEP is available to the entire sexually active population over 15 years old.	Agree^* * correct answer. ; disagree; don’t know
	Q8: A person using PrEP is also protected from other sexually transmitted infections, in addition to HIV.	Agree; disagree^* * correct answer. ; don’t know
	Q9: PrEP is offered for free in the Unified Health System.	Agree^* * correct answer. ; disagree; don’t know
	Q10: Considering that a person using PrEP is not sick, they do not need monitoring by health professionals.	Agree; disagree^* * correct answer. ; don’t know
PEP	Q11: PEP consists of the use of oral antiretrovirals after exposure to the virus, as a prevention strategy to reduce the risk of infection.	Agree^* * correct answer. ; disagree; don’t know
	Q12: PEP is indicated for situations such as accidents with sharp objects, sexual violence, etc., or on demand after perceiving a risk.	Agree^* * correct answer. ; disagree; don’t know
	Q13: PEP must be taken for 28 days uninterrupted.	Agree^* * correct answer. ; disagree; don’t know
	Q14: If a condom breaks during my sexual intercourse, I can request the use of PEP from the Unified Health System.	Agree^* * correct answer. ; disagree; don’t know
	Q15: The sooner PEP is started, the greater the chances of preventing HIV infection.	Agree^* * correct answer. ; disagree; don’t know
	Q16: The maximum timeframe to start PEP is 72 hours after exposure to HIV.	Agree^* * correct answer. ; disagree; don’t know

Variable	n (%)	Prevalence	cPR (95%CI)	p value^* * p value obtained by the Wald test; †minimum wage equal to 1,320.00 reais.
Gender				< 0.01
Male	170 (33.80)	37.65	Reference
Female	333 (66.20)	22.82	0.89 (0.83-0.95)
Age group				< 0.01
18 to 21 years	239 (47.52)	20.92	Reference
22 to 24 years	156 (31.01)	29.49	1.07 (0.99-1.14)
> 24 years	108 (21.47)	40.74	1.16 (1.07-1.25)
Sexual orientation				< 0.01
Heterosexual	300 (59.65)	20.33	Reference
Homosexual	72 (14.31)	51.39	1.25 (1.15-1.37)
Bisexual/pansexual/asexual	131 (26.04)	32.06	1.09 (1.02-1.17)
Race/color				0.53
Brown	91 (18.09)	21.98	Reference
Black	29 (5.77)	31.03	1.07 (0.92-1.24)
White	361 (71.77)	28.81	1.05 (0.97-1.14)
Yellow	22 (4.37)	31.82	1.08 (0.91-1.27)
Religious belief				0.02
Has religion	336 (66.80)	24.70	Reference
Does not have religion	167 (33.20)	34.13	1.07 (1.00-1.14)
Romantic relationship				0.77
No	275 (54.67)	28.36	Reference
Yes	228 (45.33)	27.19	0.99 (0.93-1.05)
Family income^†				0.40
< 2 minimum wages	110 (21.87)	27.27	Reference
2 to 4 minimum wages	179 (35.59)	31.28	1.03 (0.94-1.21)
> 4 minimum wages	214 (42.54)	25.23	0.98 (0.90-1.06)
Field of knowledge				< 0.01
Health	107 (21.27)	49.53	Reference
Agricultural and biological	61 (12.13)	18.03	0.78 (0.71-0.87)
Exact sciences and technology	116 (23.06)	19.83	0.80 (0.73-0.87)
Humanities and social sciences	219 (43.54)	24.20	0.83 (0.76-0.89)
Campus of the institution				< 0.01
Main	447 (88.87)	29.75	Reference
Other	56 (11.13)	12.50	0.86 (0.79-0.94)
Time at the institution				0.20
< 1 year	98 (19.48)	23.47	Reference
1 to 2 years	182 (36.18)	28.02	1.03 (0.95-1.12)
3 to 5 years	199 (39.57)	27.64	1.03 (0.95-1.12)
> 5 years	24 (4.77)	45.83	1.18 (1.01-1.37)
Sexual relation (last three months)				< 0.01
Had sexual relations	156 (31.01)	17.31	Reference
Did not have sexual relations	347 (68.99)	32.56	1.13 (1.06-1.20)
Sexual partnership (last three months)				< 0.01
Steady partnership	263 (52.29)	27.76	Reference
Multiple partnerships	121 (24.06)	41.32	1.10 (1.02-1.19)
No partnership	119 (23.66)	14.29	0.89 (0.83-0.95)
Underwent rapid HIV test				< 0.01
No	347 (68.99)	17.87	Reference
Yes	156 (31.01)	50.00	1.27 (1.19-1.35)
Heard about PrEP				< 0.01
No	270 (53.68)	4.81	Reference
Yes	233 (46.32)	54.51	1.47 (1.40-1.54)
Heard about PEP				< 0.01
No	249 (49.50)	5.62	Reference
Yes	254 (50.50)	49.61	1.41 (1.34-1.48)
Used PrEP				0.02
No	483 (96.02)	26.92	Reference
Yes	20 (3.98)	50.00	1.18 (1.01-1.37)
Used PEP				< 0.01
No	483 (96.02)	25.88	Reference
Yes	20 (3.98)	75.00	1.39 (1.24-1.55)
Knows what HIV is				< 0.01
No	6 (1.19)	0.00	Reference
Yes	497 (98.81)	28.17	1.28 (1.24-1.32)
Knows what PrEP is				< 0.01
No	277 (55.07)	3.61	Reference
Yes	226 (44.93)	57.52	1.52 (1.45-1.59)
Knows what PEP is				< 0.01
No	250 (49.70)	3.20	Reference
Yes	253 (50.30)	52.17	1.47 (1.40-1.54)

Variable	aPR (95%CI)	p value^* * p value obtained by the Wald test.
Age group		0.02
18 to 21 years	Reference
22 to 24 years	1.01 (0.96-1.07)
> 24 years	1.08 (1.02-1.15)
Field of knowledge		0.04
Health	Reference
Agricultural and biological	0.90 (0.83-0.98)
Exact and technology	0.93 (0.86-1.00)
Humanities and social sciences	0.93 (0.87-0.99)
Sexual relations (last three months)		< 0.01
Had sexual relations	Reference
Did not have sexual relations	1.07 (1.02-1.13)
Rapid HIV test		< 0.01
No	Reference
Yes	1.09 (1.03-1.15)
Heard about PrEP		< 0.01
No	Reference
Yes	1.11 (1.03-1.20)
Knows what PrEP is		< 0.01
No	Reference
Yes	1.18 (1.08-1.30)
Knows what PEP is		< 0.01
No	Reference
Yes	1.14 (1.07-1.22)

[1] Corresponding author
Lucas Vinícius de Lima, E-mail: lucvinidelima@gmail.com

Brasil

Brasil

Factores asociados al conocimiento de los universitarios sobre el VIH y las profilaxis pre y post exposición

RESUMEN

Objetivos:

Métodos:

Resultados:

Conclusiones: