Cardiovascular Risk-Factor Knowledge and Risk Perception... : Journal of the Association of Nurses in AIDS Care (original) (raw)

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Cardiovascular Risk-Factor Knowledge and Risk Perception Among HIV-Infected Adults

Patricia A. Cioe, PhD, is a Postdoctoral fellow, Center for Alcohol & Addictions Studies, Brown University, Providence, Rhode Island, USA.

Sybil L. Crawford, PhD, is a Professor, Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.

Michael D. Stein, MD, is a Professor, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island, USA.

Abstract

Cardiovascular disease (CVD) has emerged as a major cause of morbidity and mortality in HIV-infected adults. Research in noninfected populations has suggested that knowledge of CVD risk factors significantly influences perceptions of risk. This cross-sectional study describes CVD risk factor knowledge and risk perception in HIV-infected adults. We recruited 130 HIV-infected adults (mean age = 48 years, 62% male, 56% current smokers, mean years since HIV diagnosis, 14.7). The mean CVD risk factor knowledge score was fairly high. However, controlling for age, CVD risk factor knowledge was not predictive of perceived risk [F(1, 117) = 0.13, p > .05]. Estimated risk and perceived risk were weakly but significantly correlated; r (126) = .24, p = .01. HIV-infected adults are at increased risk for CVD. Despite having adequate risk-factor knowledge, CVD risk perception was inaccurate. Improving risk perception and developing CVD risk reduction interventions for this population are imperative.