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HIV 检测相关因素:美国和外国出生的高风险黑人异性恋男性。

HIV Testing Correlates: U.S. and Foreign Born High-Risk Black Heterosexual Men.

机构信息

Department of Pharmacy Administration and Public Health, St. John's University, Queens, NY, USA.

Brooklyn Health Disparities Center, Brooklyn, NY, USA.

出版信息

J Immigr Minor Health. 2021 Dec;23(6):1145-1151. doi: 10.1007/s10903-021-01140-8. Epub 2021 Jan 28.

Abstract

In the U.S., Black men are disproportionately affected by HIV, with some of the highest HIV incidence rates and lowest rates of HIV testing. We examined correlates of HIV testing and knowledge among participants of the Barbershop Talk with Brothers (BTWB) project, an HIV prevention program targeting high-risk sexual behaviors among Black heterosexual men in Brooklyn, New York. Specifically, we examined differences between U.S. vs. foreign-born status and HIV testing rates, HIV knowledge, and socio-demographic factors. Of the 855 men included, the mean age was 33 years and 35.0% were foreign-born. Lifetime HIV testing was reported at 84%, with greater proportion of U.S. vs foreign-born men reporting lifetime (88.6% vs. 75.0%) and recent testing (68.6% vs. 51.0%), p < 0.001. Among foreign-born men, recent HIV testing was associated with lower stigma and greater HIV transmission knowledge than those un-tested. The authors recommend tailored approaches to increasing HIV testing in Black communities, based on nativity and social factors.

摘要

在美国,黑人男性受到 HIV 的影响不成比例,他们的 HIV 发病率最高,而 HIV 检测率最低。我们研究了布鲁克林(纽约)“兄弟理发厅谈话”(BTWB)项目参与者中与 HIV 检测和知识相关的因素,该项目是一个针对黑人异性恋男性高危性行为的 HIV 预防项目。具体来说,我们研究了美国出生与非美国出生之间的差异以及 HIV 检测率、HIV 知识和社会人口因素。在纳入的 855 名男性中,平均年龄为 33 岁,35.0%为非美国出生。报告称有 84%的人曾进行过终生 HIV 检测,与非美国出生的男性相比,更多的美国出生男性报告了终生(88.6%比 75.0%)和最近的检测(68.6%比 51.0%),p<0.001。在非美国出生的男性中,与未接受检测的男性相比,最近接受过 HIV 检测的男性的耻辱感较低,对 HIV 传播的了解更多。作者建议根据出生地和社会因素,为黑人群体制定有针对性的方法来增加 HIV 检测。

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