UCLA Semel Institute for Neuroscience and Behavior, Los Angeles, CA.
HIV STD Section, Alameda County Department of Public Health.
Ethn Dis. 2020 Apr 23;30(2):261-268. doi: 10.18865/ed.30.2.261. eCollection 2020 Spring.
African Americans face challenges in accessing services for sexually transmitted infections (STIs). From 2012-2016, the EBAN II intervention was funded by the NIH to test the effectiveness of implementing a culturally congruent, evidence-based HIV/AIDS prevention program in Los Angeles and Oakland, California. This study examined the impact of personal characteristics and experiences of discrimination on the likelihood of being tested for STIs.
Participants (N=91) completed a baseline survey. Descriptive statistics were used to test for differences between those who did and did not obtain STI testing. Factors included HIV serostatus, sociodemographic variables, STI history, the presence of outside partners, and discrimination experiences. Multiple logistic regressions were conducted for men and women separately.
Participants with no recent experiences of discrimination were more than 3 (3.4) times more likely to obtain a baseline STI test than those who reported discrimination experiences. HIV-positive women with no recent experiences of discrimination were 11 times more likely than those with reports of recent discrimination to obtain STI tests.
It is often women who are the gatekeepers for health seeking in families and the same may be for these couples. Experiences of discrimination may impede STI testing, and heighten several health risks, particularly among HIV-positive African American women in HIV-serodiscordant relationships. Addressing the impact of discrimination experiences may be important for STI prevention and treatment efforts in interventions promoting health care utilization.
非裔美国人在获得性传播感染（STIs）服务方面面临挑战。从 2012 年到 2016 年，EBAN II 干预措施由美国国立卫生研究院资助，旨在测试在加利福尼亚州洛杉矶和奥克兰实施文化上一致、基于证据的艾滋病毒/艾滋病预防计划的有效性。本研究考察了个人特征和歧视经历对接受 STI 检测可能性的影响。
参与者（N=91）完成了基线调查。描述性统计用于测试那些进行和未进行 STI 检测的人之间的差异。因素包括 HIV 血清阳性、社会人口统计学变量、STI 病史、外部伴侣的存在和歧视经历。对男性和女性分别进行了多变量逻辑回归。
没有近期歧视经历的参与者进行基线 STI 检测的可能性是报告有歧视经历的参与者的 3.4 倍以上。没有近期歧视经历的 HIV 阳性女性进行 STI 检测的可能性是报告近期歧视的女性的 11 倍。
在家庭中，女性通常是寻求健康的守门人，对于这些夫妇来说也是如此。歧视经历可能会阻碍 STI 检测，并增加几种健康风险，特别是在 HIV 阳性的非裔美国女性与 HIV 不一致的关系中。解决歧视经历的影响可能对于促进卫生保健利用的干预措施中的 STI 预防和治疗工作很重要。
