Department of Emergency Medicine, Brigham and Women's Hospital, 1811Harvard Medical School, Boston, MA, USA.
Department of Biostatistics, Center for Statistical Sciences, 118721Brown University School of Public Health, Providence, RI, USA.
J Int Assoc Provid AIDS Care. 2020 Jan-Dec;19:2325958220970827. doi: 10.1177/2325958220970827.
The need for HIV testing in US emergency departments (EDs) has not been assessed, particularly among Latino immigrants and Blacks. We surveyed Latino immigrant and Black 18 to 64-year-old patients at 4 EDs about demographic characteristics, HIV testing history, and health literacy. A subset of patients was further surveyed on HIV risk-taking behaviors. Of the 2,265 participants, 24% had never been tested for HIV. Latino immigrants were more likely than Blacks never to have been tested for HIV (28% vs. 16%). In multivariable logistic regression, for Latino immigrants, male gender and lower health literacy were associated with no previous HIV testing. Among the 1,141-participant subset providing HIV risk-taking behavior data, 23% reported at least one risk factor and of those with at least one risk factor, 23% had never been tested for HIV. There remains a need for HIV testing among adult Latino immigrant and Black patients in US EDs.
在美国急诊部（EDs）进行 HIV 检测的需求尚未得到评估，尤其是在拉丁裔移民和黑人中。我们在 4 家 ED 调查了 18 至 64 岁的拉丁裔移民和黑人患者，了解他们的人口统计学特征、HIV 检测史和健康素养。对一部分患者进行了关于 HIV 风险行为的进一步调查。在 2265 名参与者中，24%的人从未接受过 HIV 检测。从未接受过 HIV 检测的拉丁裔移民比例高于黑人（28%比 16%）。在多变量逻辑回归中，对于拉丁裔移民，男性性别和较低的健康素养与以前未进行 HIV 检测相关。在提供 HIV 风险行为数据的 1141 名参与者亚组中，23%的人报告了至少一个风险因素，在有至少一个风险因素的人中，23%的人从未接受过 HIV 检测。在美国 EDs 的成年拉丁裔移民和黑人患者中仍然需要进行 HIV 检测。
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