加拿大一个普通城市的非洲、加勒比和其他黑人居民获得艾滋病服务组织服务的情况。

AIDS Service Organization Access Among African, Caribbean and Other Black Residents of an Average Canadian City.

作者信息

Blot Soraya, Bauer Greta, Fraser Meredith, Nleya Mercy, Wadham Mbaka

机构信息

Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON, Canada.

Women's Studies and Feminist Research, The University of Western Ontario, London, ON, Canada.

出版信息

J Immigr Minor Health. 2017 Aug;19(4):851-860. doi: 10.1007/s10903-016-0359-5.

DOI:10.1007/s10903-016-0359-5

PMID:26895153

Abstract

Due to heightened vulnerability to HIV/AIDS, African, Caribbean and Black (ACB) communities are priority groups for prevention and intervention services in Canada. However, it is not clear which factors may affect ACB communities' access to these services. We evaluated access to the local AIDS service organization (ASO) in Middlesex-London by using data from the Black, African and Caribbean Canadian Health Study. Modified Poisson regression was used to obtain prevalence risk ratios for factors associated with three measures of access: familiarity with the ASO, willingness to access, and realized access. In adjusted analyses, older ACB community members were more likely to be familiar with the ASO, willing to access it, and have actually gone there. Canadian-born participants were less likely to have been to the ASO than recent immigrants. These results have implications for reaching specific segments of ACB communities for HIV/AIDS-related services in Canada.

摘要

由于非洲、加勒比和黑人（ACB）社区对艾滋病毒/艾滋病的易感性较高，因此在加拿大，这些社区是预防和干预服务的优先群体。然而，尚不清楚哪些因素可能影响ACB社区获得这些服务的机会。我们利用加拿大黑人、非洲和加勒比健康研究的数据，评估了米德尔塞克斯-伦敦当地艾滋病服务组织（ASO）的服务可及性。采用修正泊松回归分析来获得与三种服务可及性指标相关因素的患病率风险比，这三种指标分别为：对ASO的熟悉程度、接受服务的意愿以及实际接受服务情况。在调整分析中，年龄较大的ACB社区成员更有可能熟悉ASO，愿意接受其服务，并且实际去过那里。在加拿大出生的参与者前往ASO的可能性低于新移民。这些结果对在加拿大为ACB社区的特定群体提供与艾滋病毒/艾滋病相关服务具有启示意义。