Gwadz Marya Viorst, Cleland Charles M, Quiles Robert, Nish David, Welch John, Michaels Lucky S, Gonzalez Jose L, Ritchie Amanda S, Leonard Noelle R
New York University College of Nursing, New York, NY 10003, USA.
AIDS Educ Prev. 2010 Aug;22(4):312-27. doi: 10.1521/aeap.2010.22.4.312.
The study's aims were to describe rapid and conventional HIV testing practices and referrals/linkages to services posttest among homeless youth in New York City. We also examined variation among service-involved youth, street youth, and "nomads." Respondent-driven sampling was used to recruit 217 homeless youth who participated in structured interviews. Almost all youth were tested in the past year (82%). Most received pretest/posttest counseling (> 77%). Rapid testing was common and conducted in diverse settings. However, youth reported that rates of referral/linkage to services posttest were low (< 44.4%). Service-involved youth were significantly more likely to receive rapid testing, be tested in the past year, and be tested at a high frequency. Street youth and nomads, those at highest risk for poor health outcomes, had less access to testing and may require creative, low-threshold services. Further, a better understanding of barriers to the use of referrals/linkages to services posttest is needed.
该研究的目的是描述纽约市无家可归青少年中快速和传统的艾滋病毒检测做法以及检测后转介/与服务机构的联系情况。我们还研究了与服务机构有接触的青少年、街头青少年和“游牧”青少年之间的差异。采用应答驱动抽样方法招募了217名参与结构化访谈的无家可归青少年。几乎所有青少年在过去一年都接受了检测（82%）。大多数人接受了检测前/检测后咨询（>77%）。快速检测很常见，且在不同场所进行。然而，青少年报告称，检测后转介/与服务机构联系的比例较低（<44.4%）。与服务机构有接触的青少年接受快速检测、在过去一年接受检测以及高频检测的可能性显著更高。健康状况最差风险最高的街头青少年和“游牧”青少年获得检测的机会较少，可能需要有创新性的、低门槛的服务。此外，需要更好地了解检测后使用转介/与服务机构联系的障碍。
