Williams Malcolm V, Derose Kathryn Pitkin, Aunon Frances, Kanouse David E, Bogart Laura M, Griffin Beth Ann, Haas Ann C, Collins Deborah Owens
RAND Corporation, Santa Monica, CA, USA.
Harvard Medical School and Boston Children's Hospital, Boston, MA, USA.
Public Health Rep. 2016 Sep;131(5):676-684. doi: 10.1177/0033354916662641. Epub 2016 Aug 22.
Community-based human immunodeficiency virus (HIV) testing at religious congregations has been proposed as a potentially effective way to increase screening among disproportionately affected populations, such as those self-identifying as African American and Latino. Although congregations may provide reach into these communities, the extent to which church-based HIV testing alleviates access barriers, identifies new cases, and reaches people at increased risk for HIV is not well documented. We examined the results of an HIV testing program that was conducted as part of a larger intervention aimed at reducing HIV stigma at five churches in Los Angeles County, California, in 2011-2012. HIV screening identified one positive result in 323 tests but reached a substantial proportion of people who had not been tested before, including many who lacked health insurance. Although this approach may not be an efficient way to identify cases of previously unknown HIV infection, it could help achieve universal testing goals.
在宗教团体中开展基于社区的人类免疫缺陷病毒(HIV)检测,被认为是一种潜在有效的方法,可增加在受影响程度不成比例的人群中进行筛查,比如那些自我认定为非裔美国人和拉丁裔的人群。尽管宗教团体可能有助于接触到这些社区,但基于教会的HIV检测在多大程度上能消除获取检测的障碍、发现新病例以及接触到HIV感染风险增加的人群,目前尚无充分记录。我们研究了一项HIV检测项目的结果,该项目是2011 - 2012年在加利福尼亚州洛杉矶县五所教堂开展的一项旨在减少HIV污名化的更大规模干预措施的一部分。HIV筛查在323次检测中发现了1例阳性结果,但接触到了很大一部分之前未接受过检测的人,包括许多没有医疗保险的人。尽管这种方法可能不是识别先前未知HIV感染病例的有效方式,但它有助于实现普遍检测目标。