RESUMO

El creciente conocimiento sobre la prevención de la infección por el virus de inmunodeficiencia humana (VIHsida) no ha cambiado sustancialmente las actitudes frente al VIH-sida. Se diseñó el cuestionario VIH/SIDA-65 para cuantificar conocimiento y actitudes frente a la infección. Recientemente no se ha revisado el desempeño psicométrico de este instrumento. El objetivo del estudio fue analizar el desempeño de las dimensiones que cuantifican actitudes frente a VIH-sida. Se diseñó un estudio de validación en el que participaron 190 estudiantes de psicología de dos escuelas colombianas. Las edades se observaron entre 18 y 30 años, media=21,7 (DE=3,1); 72,1% mujeres y 27,9% hombres. Los estudiantes completaron los 25 ítems de las dimensiones de actitudes del VIH-SIDA-65 (actitudes positivas, actitudes negativas, actitud frente al preservativo, susceptibilidad y auto-eficacia). El desempeño psicométrico se evaluó mediante análisis factorial exploratorio (AFE) y confirmatorio (AFC), análisis paralelo (ANP), y consistencia interna. El AFE, AFC y ANP mostraron una deficiente dimensionalidad. La consistencia interna fue muy baja (Cronbach y McDonald<0,70) para actitudes negativas, actitud frente al preservativo y susceptibilidad y excesivamente alta (Cronbach y McDonald>0,95) para actitudes positivas y autoeficacia. Se concluye que en estudiantes de psicología las dimensiones de actitudes del VIH-SIDA-65 se desempeñan inadecuadamente.

Increase in information about the prevention of human immunodeficiency virus (HIV-AIDS) infection has not changed the attitudes towards HIV-AIDS. For this reason, the HIV / AIDS-65 questionnaire was designed to quantify knowledge and attitudes towards infection. The psychometric performance of this instrument has not been lately reviewed. The objective of the study was to analyze the performance of the dimensions that quantify attitudes towards HIV-AIDS. A validation study was designed in 190 students of psychology from two Colombian schools. The students were between 18 and 30 years old, mean = 21.7 (SD = 3.1); 72.1% women and 27.9% men. The students completed the 25 items of the dimensions of HIV-AIDS-65 attitudes (positive attitudes, negative attitudes, attitude towards the condom, susceptibility and self-efficacy). The psychometric performance was assessed by exploratory factor analysis (AFE) and confirmatory (AFC), parallel analysis (ANP), and internal consistency. The AFE, AFC and ANP showed a poor dimensionality. The internal consistency was very low (Cronbach and McDonald <0.70) for negative attitudes, attitude towards the condom and susceptibility and excessively high (Cronbach and McDonald>0.95) for positive attitudes and self-efficacy.

Assuntos

RESUMO

In 2013 approximately 37,000 people were living with HIV in Ecuador (prevalence 0.4%), representing a generalized epidemic where most new infections arise from sexual interactions in the general population. Studies that examine attitudes towards people living with HIV (PLWH), individual risk perception of acquiring HIV amongst Ecuadorians, and the ways in which levels of risk perception may affect risk behaviors are lacking. This qualitative study aimed to fill this gap in the literature by investigating these issues in the rural, coastal community of Manglaralto, Ecuador, which has among the highest incidence of HIV in Ecuador. We conducted interviews with 15 patients at Manglaralto Hospital. Analysis of interview transcripts revealed widespread negative attitudes towards PLWH, prevalent risk behaviors such as multiple sex partners and lack of condom use, and low individual risk-perception of contracting HIV. These findings underscore the need for increased efforts to prevent further growth of the HIV epidemic in Ecuador.