Program Evaluation Branch, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, MS E-59, Atlanta, GA 30333, USA.
Am J Public Health. 2010 Apr 1;100 Suppl 1(Suppl 1):S152-8. doi: 10.2105/AJPH.2009.166355. Epub 2010 Feb 10.
We sought to determine whether Hispanic-White HIV testing disparities exist and to identify characteristics associated with newly diagnosed HIV among Hispanics.
We used 2007 HIV Counseling and Testing System data to compare test-level records of Hispanics and non-Hispanic Whites, and we conducted a multivariate logistic regression analysis to identify characteristics associated with newly diagnosed HIV.
Relative to Whites, Hispanics were more likely to have had a positive HIV test result (1.2% versus 0.8%), to have newly diagnosed HIV (0.8% versus 0.6%), and to have test results returned and receive posttest counseling more than 2 weeks after testing (24.3% versus 21.5%). Newly diagnosed HIV among Hispanics was most strongly associated with being a man who has sex with men (MSM; adjusted odds ratio [AOR] = 6.8; 95% confidence interval [CI] = 6.1, 7.6), being both an MSM and an injection drug user (AOR = 3.7; 95% CI = 2.6, 5.3), and being aged 40 to 49 years (AOR = 6.4; 95% CI = 4.9, 8.2).
Hispanic-White disparities exist with respect to rates of positive HIV test results and late return of results. HIV prevention strategies such as rapid testing should focus on Hispanic MSM.
我们旨在确定西班牙裔-白人 HIV 检测是否存在差异，并确定与西班牙裔人群新诊断 HIV 相关的特征。
我们使用 2007 年 HIV 咨询和检测系统数据，比较西班牙裔和非西班牙裔白人的检测记录，并进行多变量逻辑回归分析，以确定与新诊断 HIV 相关的特征。
与白人相比，西班牙裔更有可能出现 HIV 检测阳性结果（1.2%比 0.8%）、新诊断 HIV（0.8%比 0.6%），以及检测结果返回和接受检测后 2 周以上的咨询（24.3%比 21.5%）。西班牙裔新诊断 HIV 与男性与男性发生性行为（MSM；调整后的优势比 [AOR] = 6.8；95%置信区间 [CI] = 6.1，7.6）、同时为 MSM 和注射吸毒者（AOR = 3.7；95% CI = 2.6，5.3）以及年龄在 40 到 49 岁之间（AOR = 6.4；95% CI = 4.9，8.2）关系最密切。
在 HIV 检测阳性结果率和结果延迟返回方面，存在西班牙裔-白人差异。HIV 预防策略，如快速检测，应重点关注西班牙裔 MSM。
