Uticaj dobrovoljnog poverljivog savetovanja i testiranja na HIV na promene u znanju, stavovima i ponašanju ispitanika
Effect of voluntary confidential counselling and testing of HIV on changes in knowledge, attitudes and behaviour of clients
Author
Paunić, Mila D.Mentor
Gledović, ZoranaCommittee members
Bjegović-Mikanović, Vesna
Jevtović, Đorđe
Janković, Slavenka
Metadata
Show full item recordAbstract
Uvod: Dobrovoljno poverljivo savetovanje i testiranje (DPST) je široko
zastupljena preventivna praksa za koju se veruje da ima potencijal da utiče na porast
znanja, promenu stavova, i smanjenje rizičnog ponašanja za HIV infekciju.
Iako se DPST u Srbiji već duže od 12 godina obavlja u skladu sa nacionalnim
protokolom i preporukama SZO i UNAIDS-a, do danas nije objavljena nijedna
opsežnija evaluaciona studija kojom je procenjeno koliko opisani način rada daje
željenih rezultata.
Cilj: U tom smislu sprovedeno je ovo istraživanje, koje je imalo cilj da ispita
povezanost prakse dobrovoljnog poverljivog savetovanja i testiranja na HIV i promena
koje nastaju u oblasti znanja, ponašanja i stavova.
Metod: Istraživanje je sprovedeno u periodu od maja 2010. godine do septembra
2011. godine. Subjekti istraživanja bili su klijenti savetovališta za dobrovoljno
poverljivo savetovanje i testiranje na HIV u Zavodu za zdravstvenu zaštitu studenata
Beograd, osobe oba pola, starosti 18-30 god...ina koje su koristile usluge ovog
savetovališta. Istraživanje je bazirano na studiji preseka u dva vremenska perioda:
prilikom prvog dolaska na DPST (N=427) tokom koga su sve osobe dobile kompletnu
uslugu DPST-a i popunile posebno konstruisan upitnik za procenu znanja, stavova i
ponašanja, i nakon perioda od 4-6 meseci (N=365) kada su klijenti popunili identičan
upitnik. Kod 17 (od 427) klijenata otkrivena je HIV infekcija (3,98%).
Statisička analiza je urađena za svaku grupu ispitanika pojedinačno i u prvoj i u drugoj
fazi isptivanja, a od statističkih testova korišćen je T-test za numeričke parametarske
varijable i Chi-kvadrat test za kategorijske varijable. Urađena je uporedna statistička
analiza podataka u smislu otkrivanja postojanja ili nepostojanja razlika u odgovorima u
znanju, stavovima i ponašanju pre i posle intervencije Mc Nemarovim testom za
kategorijske dihotomne varijable, Wilcoxon-ovim testom za ordinalne varijable i Ttestom
za vezane uzorke za numeričke varijable...
Introduction: Volontary confidential counselling and testing (VCCT/VCT) is a
widespread preventive practice that is believed to have the potential to affect increase of
knowledge, change of attitudes, and decrease of risk behavior for HIV infection.
Although VCCT in Serbia has been performed for more than 12 years in accordance
with national protocols and recommendations of the WHO and UNAIDS, to our
knowledge no extensive evaluation study has been published up to now that estimates
how are the described mode renders desired results.
Objective: In this respect, the presented research was conducted in order to
study the connection between the practice of voluntary confidential counselling and
testing for HIV and the changes that occurre in the field of knowledge, behavior, and
attitudes.
Methodology: The research was conducted during the period of May 2010 till
September 2011. The research subjects were clients of VCCT for HIV counseling centre
in the Institute for Students... Health of Belgrade, also persons of both sex, aged 18-30
years who used the services of the counselling centre. The research is based on crosssectional
studies in two time periods: at the first arrival to VCCT (N = 427), when each
person was provided with the complete VCCT service and then filled in a specially
designed questionnaire for the assessment of knowledge, attitudes, and behavior; and
the second arrival after a period of 4-6 months (N = 365) when clients filled in the
identical questionnaire. The HIV infection was detected at 17 (out of 427) clients
(3.98%).
The statistical analysis was performed for each group of respondents respectively the
first and second stage of examination, and the statistical tests used were T-test for
numerical parametric variables and Chi-square test for categorical variables. A
comparative statistical analysis of the data was performed in terms of discovering the
existence or non-existence of differences in the responses regarding knowledge,
attitudes and behavior before and after the McNemar test for dichotomous categorical
variables...