ArticlePublic health2011
HIV knowledge and perceptions of risk in a young, urban, drug-using population.
Article in Public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 28 citations in OpenAlex.
- Characterizing and improving HIV/AIDS knowledge among cocaine-dependent outpatients using modified materials.Drug and alcohol dependence · 2013Trial
- Psychometric Evaluation of the HIV Knowledge Questionnaire-18 in a Black Canadian Population.HIV/AIDS (Auckland, N.Z.) · 2026Article
- HIV knowledge and protective factors among racial-ethnic minority youth: Moderation by Ethnic identity and LGBQ+ identity.Journal of LGBT youth · 2024Article
- The knowledge mapping of HIV/AIDS in Indonesians living on six major islands using the Indonesian version of the HIV-KQ-18 instrument.PloS one · 2023Article
- Exploring the long-term sequelae of childhood sexual abuse on risky sexual behavior among Chinese transgender women.Frontiers in psychology · 2023Article
- Exploring drivers of pre-exposure prophylaxis uptake among gay, bisexual, and other men who have sex with men in Malaysia.International journal of STD & AIDS · 2022Article
- Childhood Adversity, Impulsivity, and HIV Knowledge as Predictors of Sexual Risk Outcomes in At-Risk Female Youth.Adolescents (Basel, Switzerland) · 2021Article
- HIV Vulnerability Among Survival Sex Workers Through Sexual Violence and Drug Taking in a Qualitative Study From Victoria, Canada, With Additional Implications for Pre-exposure Prophylaxis for Sex Workers.Frontiers in sociology · 2021Article
- HIV and STI knowledge, testing, and risk among adult crack users in Mexico city: baseline findings from a feasibility study.AIDS care · 2017Article
- Factors Associated with HIV Related Stigma among College Students in the Midwest.AIMS public health · 2017Article
- Actual sexual risk and perceived risk of HIV acquisition among HIV-negative men who have sex with men in Toronto, Canada.BMC public health · 2016Article
- Risk factors for opioid overdose and awareness of overdose risk among veterans prescribed chronic opioids for addiction or pain.Journal of addictive diseases · 2016Article
- Correlates of perceived risk of HIV infection among persons who inject drugs in Tijuana, Baja California, Mexico.Salud publica de Mexico · 2015Article
- Assessment of the psychometric properties of HIV knowledge items across five countries.AIDS education and prevention : official publication of the International Society for AIDS Education · 2014Article
- Prevalence and factors associated with HIV infection among injection drug users at methadone clinics in Taipei, Taiwan.BMC public health · 2014Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundEducational programs targeted towards youth to prevent HIV transmission are based on a model that increased knowledge equals reduced risk behaviour. This study explored HIV knowledge among a cohort of young drug users, and their perceptions of HIV risk acquisition.
methodsBetween September 2005 and August 2009, youth who used illegal drugs were recruited into a prospective cohort known as the at-risk youth study (ARYS) in Vancouver, Canada. Participants completed an 18 item HIV Knowledge Questionnaire (HIV-KQ-18) and responses were scored dichotomously (i.e., ≥15 indicating high knowledge and <15 indicating low knowledge). We compared high- and low-scoring youth using Pearson's chi-square test and logistic regression. We also examined youths' perceptions of risk for acquiring HIV compared to their peers.
resultsOf 589 youth recruited into ARYS, the mean age was 22 (interquartile range [IQR]: 20-24), 186 (31.6%) were female, and 143 (24.3%) were of Aboriginal ancestry. The median score on the HIV-KQ- 18 was 15 (IQR: 12-16). Internal reliability was high (Cronbach's α=0.82). The analyses demonstrated that youth with higher HIV knowledge were more likely to be older (adjusted odds ratio [AOR]=1.08, per year older p=0.031), completed high school (AOR=1.42, p=0.054), and engage in unprotected intercourse (AOR=1.73, p=0.023). The majority of respondents (77.6%) perceived themselves to be at lower risk for acquiring HIV in comparison to their peers.
conclusionsHIV knowledge scores of participants were surprisingly low for an urban Canadian setting as was their HIV risk perception. Higher HIV knowledge was not associated with reduced sexual risk behaviour. Results demonstrate that education programs are not reaching or impacting this high-risk population. Given the complex forces that promote HIV risk behaviour, prevention programs should be fully evaluated and must recognize the unique characteristics of drug-using youth and factors that drive risk among this population.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.