美国非西班牙裔黑人男性中从未进行过艾滋病毒检测的相关因素:2011 - 2013年全国家庭成长调查
Correlates of Never Testing for HIV Among Non-Hispanic Black Men in the United States: National Survey of Family Growth, 2011-2013.
作者信息
Conserve Donaldson F, Oraka Emeka, Abara Winston E, Wafula Edith, Turo Angela
机构信息
Department of Health Promotion, Education, and Behavior, University of South Carolina, 915 Greene Street, Columbia, 29208, SC, USA.
ICF International, Atlanta, GA, USA.
出版信息
AIDS Behav. 2017 Feb;21(2):492-500. doi: 10.1007/s10461-016-1452-4.
Currently, the Centers for Disease Control and Prevention recommends that persons between 15 and 64 years get tested for human immunodeficiency virus (HIV) at least once in their lifetime and persons with HIV risk factors get tested more frequently. There is limited research examining factors associated with never testing for HIV among non-Hispanic Black men in the United States. The purpose of this study was to examine the prevalence of never testing for HIV, reasons for never testing for HIV, and correlates of never testing for HIV. We analyzed 2011-2013 National Survey of Family Growth data and restricted analyses to male respondents aged 15-44 years who self-identified as being non-Hispanic Black. Logistic regression models estimated adjusted prevalence ratios (APR) assessing the association between socio-demographic and behavioral factors and never testing for HIV. An estimated 31.2 % of non-Hispanic Black males aged 15-44 years have never been tested for HIV. Non-Hispanic Black men aged 15-17 years (APR 4.45; 95 % CI 2.88-6.87) or 18-24 years (APR 1.94; 95 % CI 1.21-3.13), who did not visit a doctor or healthcare provider (APR 1.43; 95 % CI 1.10-1.86), or did not report any sexual risk behaviors in the past 12 months (APR 1.83; 95 % CI 1.34-2.51) were more likely to never test for HIV compared to their respective counterparts. Continued expansion of HIV testing initiatives and prevention programs that focus on non-Hispanic Black men is critical to addressing HIV-related health disparities and the public health burden of HIV in this population.
目前,美国疾病控制与预防中心建议15至64岁的人群一生中至少进行一次人类免疫缺陷病毒(HIV)检测,有HIV风险因素的人群应更频繁地接受检测。关于美国非西班牙裔黑人男性中从未进行HIV检测的相关因素的研究有限。本研究的目的是调查从未进行HIV检测的流行情况、从未检测的原因以及与从未检测相关的因素。我们分析了2011 - 2013年全国家庭成长调查数据,并将分析范围限制在年龄为15 - 44岁、自我认定为非西班牙裔黑人的男性受访者。逻辑回归模型估计了调整后的患病率比值(APR),以评估社会人口统计学和行为因素与从未进行HIV检测之间的关联。估计有31.2%的15 - 44岁非西班牙裔黑人男性从未接受过HIV检测。与各自的对照组相比,15 - 17岁(APR 4.45;95% CI 2.88 - 6.87)或18 - 24岁(APR 1.94;95% CI 1.21 - 3.13)的非西班牙裔黑人男性、未看过医生或医疗服务提供者的男性(APR 1.43;95% CI 1.