Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Health Sciences Campus, Brick S. Miller Hall, Room 105, 101 Buck Road, Athens, GA, 30602, USA,
AIDS Behav. 2014 Jul;18(7):1247-55. doi: 10.1007/s10461-013-0638-2.
This study examined racial/ethnic differences in rationale for intending to test for HIV. Data were analyzed from 98,971 adults from the 2007-2010 National Health Interview Survey. An estimated 38.5 % of respondents previously tested for HIV. Testing as part of a medical checkup or procedure was the most common reason for being tested among studied racial/ethnic groups. Non-Hispanic whites (80.7 %) and non-Hispanic Asians (71.2 %) had higher proportions (p < 0.001) of respondents that have not been tested for HIV due to believing they were unlikely exposed. Non-Hispanic blacks (ARR: 2.55; 95 % CI 2.39-2.72) and Hispanics (ARR: 1.81; 95 % CI 1.68-1.95) who ever tested for HIV were significantly more likely to report positive future testing intentions compared to non-Hispanic whites. Additional efforts to increase the availability of HIV tests by making HIV testing a routine part of medical care and increasing knowledge of HIV transmission, risk-perception, and treatment may reduce racial/ethnic disparities in HIV testing.
本研究考察了不同种族/族裔群体在打算进行 HIV 检测的理由方面的差异。数据来自于 2007 年至 2010 年的全国健康访谈调查中的 98971 名成年人。估计有 38.5%的受访者之前曾接受过 HIV 检测。在研究的种族/族裔群体中,作为医疗检查或程序的一部分进行检测是接受检测的最常见原因。与未接受过 HIV 检测的人群相比,未接受过 HIV 检测的非西班牙裔白人(80.7%)和非西班牙裔亚裔(71.2%)比例更高(p<0.001),他们认为自己不太可能接触到 HIV。与非西班牙裔白人相比,曾接受过 HIV 检测的非西班牙裔黑人(ARR:2.55;95%CI 2.39-2.72)和西班牙裔(ARR:1.81;95%CI 1.68-1.95)更有可能报告未来有进行 HIV 检测的意愿。通过将 HIV 检测作为医疗保健的常规部分,以及增加对 HIV 传播、风险感知和治疗的了解,增加 HIV 检测的可及性,可能会减少 HIV 检测方面的种族/族裔差异。