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美国出生和国外出生的西班牙裔美国人中艾滋病病毒/艾滋病知识的相关因素。

Correlates of HIV/AIDS knowledge among U.S.-born and foreign-born Hispanics in the United States.

作者信息

London A S, Driscoll A K

机构信息

Department of Sociology, Kent State University, Kent, Ohio 44242-0001, USA.

出版信息

J Immigr Health. 1999 Oct;1(4):195-205. doi: 10.1023/A:1021811917532.

Abstract

No national study of Hispanics has examined variation in HIV/AIDS-related knowledge by ethnicity, place of birth, and duration in the United States (for the foreign born) at least in part because of data constraints. Data from the 1991 and 1992 National Health Interview AIDS Supplements were used to examine the influence of these factors, and other sociodemographic and HIV/AIDS-related variables, on a 25-item HIV/AIDS knowledge scale. Descriptive and multivariate analyses indicate that foreign-born Hispanics with shorter durations in the United States have significantly lower levels of HIV/AIDS knowledge, as do those of Mexican and Cuban ethnicity. Numerous other factors, most of which are known to be associated with HIV/AIDS knowledge in the general population, were found to be significantly associated with HIV/AIDS knowledge among Hispanics in multivariate analyses; these include age, education, gender, rural residence, residence in the West, knowing a person with HIV/AIDS, personal risk for HIV/AIDS, and having been tested for HIV outside of the blood donation system. Results suggest that HIV/AIDS information campaigns targeted to Hispanics may not be equally effective in reaching foreign-born and U.S.-born subgroups or persons of differing ethnicities. Future studies should examine sources of HIV/AIDS information and the mechanisms of knowledge acquisition and transmission within specific subgroups of the Hispanic population.

摘要

至少部分由于数据限制,尚无针对西班牙裔的全国性研究考察过按种族、出生地以及在美国的居住时长(针对外国出生者)划分的艾滋病病毒/艾滋病相关知识的差异。利用1991年和1992年《国家卫生访谈艾滋病补充调查》的数据,考察了这些因素以及其他社会人口学和艾滋病病毒/艾滋病相关变量对一个包含25个项目的艾滋病病毒/艾滋病知识量表的影响。描述性分析和多变量分析表明,在美国居住时长较短的外国出生的西班牙裔以及墨西哥裔和古巴裔西班牙裔的艾滋病病毒/艾滋病知识水平显著较低。在多变量分析中还发现,许多其他因素(其中大多数在普通人群中已知与艾滋病病毒/艾滋病知识相关)与西班牙裔人群的艾滋病病毒/艾滋病知识显著相关;这些因素包括年龄、教育程度、性别、农村居住情况、居住在西部、认识艾滋病病毒/艾滋病感染者、自身感染艾滋病病毒/艾滋病的风险以及在献血系统之外进行过艾滋病病毒检测。结果表明,针对西班牙裔的艾滋病病毒/艾滋病宣传活动在覆盖外国出生和美国出生的亚群体或不同种族人群时可能效果并不相同。未来的研究应考察艾滋病病毒/艾滋病信息的来源以及西班牙裔特定亚群体内部知识获取和传播的机制。

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