Keith Branham D, Borders Tyrone F, Stewart Katharine E, Curran Geoffrey M, Booth Brenda M
Department of Health Management and Policy, University of Kentucky, Lexington, KY, 40536, USA.
Department of Psychology and Provost's Office, North Carolina State University, Raleigh, NC, USA.
AIDS Behav. 2017 Feb;21(2):576-586. doi: 10.1007/s10461-016-1527-2.
African Americans (AAs) who use cocaine in the Southern region of the U.S. have a relatively high risk of HIV and need for HIV testing. Among this group, those residing in rural areas may have less favorable opinions about common HIV testing sites, which could inhibit HIV testing. We examined rural/urban variations in their acceptability of multiple HIV testing sites (private physician clinic, local health department, community health center, community HIV fair, hospital emergency department, blood plasma donation center, drug abuse treatment facility, and mobile van or community outreach worker). Results from partial proportional odds and logistic regression analyses indicate that rural AA who use cocaine have lower odds of viewing local health departments (OR = 0.09, 95 % CI = 0.03-0.21), physician offices (OR = 0.19, 95 % CI = 0.09-0.42), and drug use treatment centers (OR = 0.49; 95 % CI = 0.30-0.80) as acceptable relative to their urban counterparts. The findings have implications for further targeting HIV testing toward AAs who use of cocaine, particularly those residing in the rural South.
在美国南部使用可卡因的非裔美国人感染艾滋病毒的风险相对较高，且需要进行艾滋病毒检测。在这一群体中，居住在农村地区的人可能对常见的艾滋病毒检测地点看法不太积极，这可能会阻碍艾滋病毒检测。我们研究了他们对多个艾滋病毒检测地点（私人医生诊所、当地卫生部门、社区卫生中心、社区艾滋病毒宣传活动、医院急诊科、血浆捐献中心、药物滥用治疗机构以及移动面包车或社区外展工作者）接受程度的城乡差异。部分比例优势和逻辑回归分析结果表明，与城市地区使用可卡因的非裔美国人相比，农村地区使用可卡因的非裔美国人认为当地卫生部门（比值比=0.09，95%置信区间=0.03-0.21）、医生办公室（比值比=0.19，95%置信区间=0.09-0.42）以及药物使用治疗中心（比值比=0.49；95%置信区间=0.30-0.80）可接受的几率较低。这些发现对于进一步将艾滋病毒检测目标对准使用可卡因的非裔美国人，尤其是居住在南部农村地区的人具有启示意义。
