Indiana University School of Nursing Bloomington, Bloomington, IN, United States of America.
Indiana Minority Health Coalition, Indianapolis, IN, United States of America.
PLoS One. 2021 Feb 4;16(2):e0246016. doi: 10.1371/journal.pone.0246016. eCollection 2021.
This study aimed to examine the association between confidence in accessing HIV services, primary sources of HIV information, and primary care provider status for African American and Latinx individuals in Indiana.
An online survey was disseminated to African American and Latinx individuals using snowball and social media recruitment methods, resulting in a final sample size of n = 308. A multivariable linear regression analysis was performed to examine the relationships between confidence accessing HIV services, primary care provider status, sexual identification, and sources of HIV information.
Of the total respondents, 62.5% (n = 193) identified as male and 36.9% (n = 114) identified as female. Most identified as African American (72.5%, n = 224), followed by 27.2% (n = 84) who identified as Latinx. Participants who used their primary care providers as a primary source of obtaining HIV information had a significantly higher level of comfort with accessing HIV services. Those who identified family members as a primary source of HIV information and those who identified as bisexual demonstrated a lower level of confidence in accessing HIV services.
This study's results enhance our understanding of marginalization within minority groups regarding sexual identification and accessing HIV services. These results also offer insight into the importance of healthcare access because having a primary care provider was a strong predictor of increased confidence in accessing HIV services.
本研究旨在探讨印第安纳州非裔美国人和拉丁裔个体对获取 HIV 服务的信心、获取 HIV 信息的主要来源以及初级保健提供者身份之间的关联。
采用雪球和社交媒体招募方法向非裔美国人和拉丁裔个体分发在线调查,最终样本量为 n = 308。采用多变量线性回归分析检验获取 HIV 服务信心、初级保健提供者身份、性认同和 HIV 信息来源之间的关系。
在总受访者中,62.5%(n = 193)为男性,36.9%(n = 114)为女性。大多数受访者为非裔美国人(72.5%,n = 224),其次是拉丁裔(27.2%,n = 84)。将初级保健提供者作为获取 HIV 信息的主要来源的参与者对获取 HIV 服务的舒适度显著更高。将家庭成员作为获取 HIV 信息的主要来源的参与者和自认为是双性恋的参与者对获取 HIV 服务的信心较低。
本研究的结果增强了我们对少数群体内部在性认同和获取 HIV 服务方面的边缘化的理解。这些结果还提供了对医疗保健获取重要性的深入了解,因为拥有初级保健提供者是增加对获取 HIV 服务信心的一个强有力预测因素。