Conserve Donaldson F, Iwelunmor Juliet, Whembolua Guy-Lucien, Sofolahan-Oladeinde Yewande, Teti Michelle, Surkan Pamela J
1 University of South Carolina, Columbia, SC, USA.
2 University of Illinois at Urbana-Champaign, IL, USA.
Am J Mens Health. 2017 Sep;11(5):1322-1330. doi: 10.1177/1557988316635247. Epub 2016 Mar 9.
HIV testing serves as the gateway to HIV prevention and treatment. However, research examining men's HIV testing behaviors in the Caribbean remains limited. The Andersen Behavioral Model of Health Services Utilization was used to examine factors associated with HIV testing among 7,354 men who participated in the 2012 Demographic and Health Survey conducted in Haiti. Few men (35%) reported having ever been tested for HIV. Logistic regression analyses revealed that HIV testing increased with education and wealth. Marital status was associated with HIV testing, with married men more likely to have been tested (adjusted odds ratio: 2.57, 95% CI [2.07, 3.19]) than unmarried men. Positive attitudes toward people living with HIV, indicated by willing to care for a relative who has HIV/AIDS, was also correlated with higher odds of having been tested (adjusted odds ratio: 1.28, 95% CI [1.08, 1.51]). Men who reported condom use during last sex were more likely to have been tested (odds ratio: 1.58, 95% CI [1.33, 1.88). The findings indicate that HIV testing rates remain low among men in Haiti and more efforts are needed to increase HIV testing among men who are not married, have low level of education, and engage in unprotected sex.
艾滋病毒检测是艾滋病毒预防和治疗的入口。然而,对加勒比地区男性艾滋病毒检测行为的研究仍然有限。利用健康服务利用的安德森行为模型,对参与2012年在海地进行的人口与健康调查的7354名男性中与艾滋病毒检测相关的因素进行了研究。很少有男性(35%)报告曾接受过艾滋病毒检测。逻辑回归分析显示,艾滋病毒检测率随着教育程度和财富水平的提高而增加。婚姻状况与艾滋病毒检测有关,已婚男性比未婚男性更有可能接受检测(调整后的优势比:2.57,95%置信区间[2.07,3.19])。对艾滋病毒感染者持积极态度,即愿意照顾感染艾滋病毒/艾滋病的亲属,也与接受检测的较高几率相关(调整后的优势比:1.28,95%置信区间[1.08,1.51])。报告在最近一次性行为中使用避孕套的男性更有可能接受检测(优势比:1.58,95%置信区间[1.33,1.88])。研究结果表明,海地男性的艾滋病毒检测率仍然很低,需要做出更多努力,以提高未婚、教育程度低且有不安全性行为的男性的艾滋病毒检测率。
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