Associations of high-risk behaviour and HIV status with HIV knowledge among persons in Tallinn, Estonia

Aim: The aim of this study was to determine the associations between the level of HIV knowledge, HIV-related risk behaviours, and HIV status among persons receiving voluntary counselling and testing services in Tallinn, Estonia. Design: A cross-sectional study design was used. Methods: A total of 77...

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Bibliographic Details
Published in:Scandinavian journal of public health 2010-11, Vol.38 (7), p.748-755
Main Authors: PARKER, DAVID, RÜÜTEL, KRISTI
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Comparative analysis
Counseling
Cross-Sectional Studies
Diseases
Drug use
Educational programmes
Estonia
Estonia - epidemiology
Estonia - ethnology
Female
Health Knowledge, Attitudes, Practice
High risk
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
HIV Infections - transmission
Human viral diseases
Humans
Infectious diseases
Knowledge
Male
Medical sciences
Men
Miscellaneous
Needle Sharing
Original articles
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk
Risk behaviour
Risk-Taking
Russia - ethnology
Sexual Behavior
Sexual behaviour
Socioeconomic Factors
Surveys and Questionnaires
Unsafe Sex
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:Aim: The aim of this study was to determine the associations between the level of HIV knowledge, HIV-related risk behaviours, and HIV status among persons receiving voluntary counselling and testing services in Tallinn, Estonia. Design: A cross-sectional study design was used. Methods: A total of 772 subjects completed a 47-item questionnaire gathering information on demographics, HIV-related risk behaviours, and HIV-related knowledge. Participant's HIV status was determined by an anonymous rapid test. Only incident HIV cases were included in regression analyses. An analysis of covariance (ANCOVA) modelling evaluated associations between HIV knowledge and high-risk behaviours while multivariable logistic regression assessed association between HIV status and HIV knowledge. Results: The final ANCOVA model indicates that HIV risk behaviours are significantly associated with HIV knowledge (p = 0.01). Compared to participants with no identified high-risk behaviour, the adjusted mean score of HIV knowledge was higher among persons sharing injection equipment (p = 0.05), and persons engaging in unprotected heterosexual intercourse (p = 0.03); there was no statistical difference observed among men engaging in unprotected sex with other men. Women had higher mean scores than men (p = 0.01) and persons of "other" ethnicities had a higher mean knowledge score than ethnic Estonians (p = 0.01) and Russians (p
ISSN:1403-4948
1651-1905
DOI:10.1177/1403494810382471