通过针对有物质使用和精神健康问题的拉美裔移民的行为健康接触，提高 HIV/性传播感染检测接受率。
High HIV/STI Test Acceptance Through a Behavioral Health Encounter in Latino Immigrants with Substance Use and Mental Health Problems.
机构信息
Department of Medicine, Massachusetts General Hospital of Harvard Medical School, Boston, USA.
Division of General Internal Medicine, Massachusetts General Hospital, Boston, USA.
出版信息
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。
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