Department of Medicine, Massachusetts General Hospital of Harvard Medical School, Boston, USA.
Division of General Internal Medicine, Massachusetts General Hospital, Boston, USA.
AIDS Behav. 2019 Apr;23(4):835-846. doi: 10.1007/s10461-019-02413-y.
Latino immigrants with substance use and mental health problems are at risk for undiagnosed HIV and sexually transmitted infections (STIs). Participants in a randomized control trial were recruited in Boston, USA and Madrid and Barcelona, Spain. Eligibility criteria were Latino self-identification, age 18-70, elevated substance use and mental health symptoms, and not currently in substance or mental health care. A multinomial logistic regression examined predictors of HIV/STI testing decline and lost to follow-up (LTFU) prior to testing compared with acceptance. Of 341 participants, 74% accepted testing, 4% declined, and 22% were LTFU. The odds of LTFU were higher in those with high concern for HIV and those whose main partner had done HIV testing. Age ≥ 35 years, females, higher education, and higher report of discrimination lowered the odds of LTFU. Delivery of HIV/STI testing through community agencies and outreach could overcome barriers to HIV/STI diagnosis in this population of Latinos.Clinical Trial Number: NCT02038855.
拉丁裔移民若存在物质使用和精神健康问题，则可能面临未确诊的 HIV 和性传播感染（STIs）的风险。本研究的参与者是在美国波士顿、西班牙马德里和巴塞罗那随机招募的。入组标准为：拉丁裔自我认同、年龄在 18-70 岁之间、物质使用和精神健康症状升高，且目前未接受物质使用或精神健康护理。采用多项逻辑回归分析，评估了与接受检测相比，在检测前 HIV/STI 检测下降和失访（LTFU）的预测因素。在 341 名参与者中，74%接受了检测，4%拒绝了检测，22%的人失访。对 HIV 高度关注和其主要伴侣进行过 HIV 检测的参与者，其失访的可能性更高。年龄≥35 岁、女性、受教育程度较高以及报告更多的歧视，降低了失访的可能性。通过社区机构和外展提供 HIV/STI 检测，可以克服这一拉丁裔人群中 HIV/STI 诊断的障碍。临床试验编号：NCT02038855。
