Department of Health Promotion, Education & Behavior, University of South Carolina, Columbia, SC, USA.
Department of Social and Public Health, College of Health Sciences and Professions, Ohio University, Athens, OH, USA.
AIDS Care. 2021 Oct;33(10):1368-1372. doi: 10.1080/09540121.2020.1801983. Epub 2020 Aug 4.
Haiti has the greatest burden of HIV in the Caribbean. In 2018, the country's HIV prevalence was 2% with an estimated 2200 AIDS-related deaths. Using 2016-2017 Demographic and Health Survey (DHS) data, Haitian men's self-reported ever-having HIV testing was analyzed with a focus on their regions of residence. Only 34% of the men reported ever-having HIV testing. Men who lived in Northern region (aOR:1.59, 95%CI:1.23-2.05), and Southern region (aOR:1.26, 95%CI:1.04-1.53) had higher odds of ever-having HIV testing compared to men residing in Central region. Further research should prioritize targeted health promotion for engaging Haitian men who are younger, poorer, with low-level of education and single as well as those who reside in regions where HIV testing is not easily accessible. Haitian men who have not had an HIV test must first be identified and demographic-specific interventions and programming should be used to increase HIV testing among this population.
海地是加勒比地区艾滋病毒负担最重的国家。2018 年，该国艾滋病毒流行率为 2%，估计有 2200 人死于艾滋病相关疾病。利用 2016-2017 年人口与健康调查（DHS）数据，对海地男性自我报告的艾滋病毒检测情况进行了分析，重点关注他们的居住地区。只有 34%的男性报告曾接受过艾滋病毒检测。与居住在中部地区的男性相比，居住在北部地区（优势比：1.59，95%置信区间：1.23-2.05）和南部地区（优势比：1.26，95%置信区间：1.04-1.53）的男性更有可能接受过艾滋病毒检测。进一步的研究应优先针对特定人群开展有针对性的健康促进活动，以吸引年轻、贫穷、受教育程度低、单身的海地男性，以及那些居住在艾滋病毒检测不易获得地区的男性。必须首先确定尚未接受艾滋病毒检测的海地男性，然后应利用针对特定人群的干预措施和方案，增加这部分人群的艾滋病毒检测。
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