文化适应对高危西班牙裔人群中艾滋病毒预防服务利用和医疗服务可及性的影响。
The impact of acculturation on utilization of HIV prevention services and access to care among an at-risk Hispanic population.
作者信息
Kinsler Janni J, Lee Sung-Jae, Sayles Jennifer N, Newman Peter A, Diamant Allison, Cunningham William
机构信息
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, USA.
出版信息
J Health Care Poor Underserved. 2009 Nov;20(4):996-1011. doi: 10.1353/hpu.0.0204.
Abstract
INTRODUCTION
HIV/AIDS disproportionately affects Hispanics in the United States, a diverse and heterogeneous population. The purpose of this study was to evaluate the relationship of acculturation with HIV and hepatitis C testing, and access to care among Hispanics at risk for HIV.
METHODS
We recruited 600 Hispanics from STD clinics, community-based organizations, and needle exchange programs in Los Angeles County.
RESULTS
Low levels of acculturation were significantly associated with having fewer HIV tests (OR 1.98, 95% CI 1.24, 3.15), no hepatitis C tests (OR 2.61, 95% CI 1.77, 3.84), testing positive for HIV (OR 2.67, 95% CI 1.04, 6.83), and low levels of access to care (beta=0.06; p<.05).
CONCLUSIONS
Low levels of acculturation are an important barrier to the use of HIV-related health care services. Our findings may inform the development of effective interventions that address the cultural and behavioral differences among Hispanic subgroups.
摘要
引言
在美国，艾滋病毒/艾滋病对西班牙裔人群的影响尤为严重，这是一个多样化且异质性的群体。本研究的目的是评估文化适应程度与艾滋病毒和丙型肝炎检测以及艾滋病毒感染风险较高的西班牙裔人群获得医疗服务之间的关系。
方法
我们从洛杉矶县的性病诊所、社区组织和针头交换项目中招募了600名西班牙裔人群。
结果
文化适应程度较低与接受艾滋病毒检测次数较少（比值比1.98，95%置信区间1.24，3.15）、未进行丙型肝炎检测（比值比2.61，95%置信区间1.77，3.84）、艾滋病毒检测呈阳性（比值比2.67，95%置信区间1.04，6.83）以及获得医疗服务的水平较低（β=0.06；p<0.05）显著相关。
结论
文化适应程度较低是使用艾滋病毒相关医疗服务的一个重要障碍。我们的研究结果可能为制定有效的干预措施提供参考，这些措施可以解决西班牙裔亚群体之间的文化和行为差异。
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