肯尼亚寻求初级保健的长途卡车司机的社会心理特征及其与艾滋病毒检测的关联。
Psychosocial characteristics of primary care-seeking long-distance truck drivers in Kenya and associations with HIV testing.
作者信息
Romo Matthew L, George Gavin, Mantell Joanne E, Mwai Eva, Nyaga Eston, Odhiambo Jacob O, Govender Kaymarlin, Kelvin Elizabeth A
机构信息
a Department of Epidemiology and Biostatistics & Institute for Implementation Science in Population Health, CUNY Graduate School of Public Health and Health Policy , City University of New York , New York , USA.
b Health Economics and HIV and AIDS Research Division , University of KwaZulu-Natal , Durban , South Africa.
出版信息
Afr J AIDS Res. 2018 Jul;17(2):119-128. doi: 10.2989/16085906.2018.1449760. Epub 2018 Apr 24.
The 90-90-90 strategy from the Joint United Nations Programme on HIV/AIDS (UNAIDS) to end the AIDS epidemic by 2020 includes, as its first goal, to have 90% of all people living with HIV to know their status. Achieving this goal will depend on effectively reaching high risk populations, which include mobile populations such as truck drivers. This study aimed to characterise a sample of 305 truck drivers recruited from 2 roadside wellness clinics in Kenya in terms of anticipated HIV stigma, self-efficacy, fatalism, gender equity, sensation seeking, and self-esteem, and then determine the association of these psychosocial characteristics with HIV testing behaviour. Greater general self-efficacy was associated with higher income and more years working as a truck driver. Greater fatalism was associated with non-Christian religion, being married, and having a lower income. Greater gender equity was associated with completing high school, being married, and having higher income. Greater sensation seeking was associated with lower income and fewer years employed as a truck driver. In multivariable logistic regression adjusted for demographic variables, anticipated HIV stigma was negatively associated with having ever tested for HIV (adjusted odds ratio [aOR] = 0.79; 95% confidence interval [CI] = 0.63-0.98; p = 0.034) and self-esteem was positively associated with testing (aOR = 1.06; 95% CI = 1.00-1.12; p = 0.038). Associations with HIV testing behaviour were not significant for self-efficacy, fatalism, gender equity, or sensation seeking. Public health interventions aiming to reduce anticipated stigma and increase self-esteem may potentially increase the uptake of HIV testing among truck drivers. Further research is needed to better understand the influence of these psychosocial characteristics on HIV testing.
联合国艾滋病规划署(UNAIDS)提出的到2020年终结艾滋病流行的90-90-90策略,其首要目标是让90%的艾滋病毒感染者知晓自身感染状况。要实现这一目标,取决于能否有效覆盖高危人群,其中包括卡车司机等流动人群。本研究旨在对从肯尼亚2家路边健康诊所招募的305名卡车司机样本,在预期的艾滋病毒污名、自我效能感、宿命论、性别平等、寻求刺激和自尊方面进行特征描述,然后确定这些社会心理特征与艾滋病毒检测行为之间的关联。更高的一般自我效能感与更高收入以及更长的卡车司机工作年限相关。更高的宿命论与非基督教宗教信仰、已婚以及较低收入相关。更高的性别平等与完成高中学业、已婚以及更高收入相关。更高的寻求刺激与较低收入以及更短的卡车司机工作年限相关。在针对人口统计学变量进行调整的多变量逻辑回归分析中,预期的艾滋病毒污名与曾经进行过艾滋病毒检测呈负相关(调整后的优势比[aOR]=0.79;95%置信区间[CI]=0.63-0.98;p=0.034),自尊与检测呈正相关(aOR=1.06;95%CI=1.00-1.12;p=0.038)。自我效能感、宿命论、性别平等或寻求刺激与艾滋病毒检测行为之间的关联不显著。旨在减少预期污名并提高自尊的公共卫生干预措施,可能会增加卡车司机对艾滋病毒检测的接受度。需要进一步开展研究,以更好地了解这些社会心理特征对艾滋病毒检测的影响。
相似文献
East Afr Med J. 1995-8
Arch Intern Med. 1994-6-27
Health Policy Plan. 2024-4-10
引用本文的文献
Transp Res Part F Traffic Psychol Behav. 2022-1
BMJ Open. 2019-10-28
本文引用的文献
AIDS Care. 2016-12
J Health Care Poor Underserved. 2014-8