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美国穆斯林女性中的艾滋病毒检测:一项全国抽样研究的结果

HIV Testing Among Muslim Women in the United States: Results of a National Sample Study.

作者信息

Hearld Kristine R, Wu Danielle, Budhwani Henna

机构信息

Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Department of Nutrition, College of Human Ecology, Cornell University, Ithica, New York, USA..

出版信息

Health Equity. 2021 Jan 19;5(1):17-22. doi: 10.1089/heq.2020.0041. eCollection 2021.

Abstract

More than one million Americans are living with human immunodeficiency virus (HIV), and less than half of Americans have ever accepted an HIV test. There are no national HIV testing estimates for Muslim Americans, an underserved and often stigmatized population. Considering the lack of HIV testing estimates for this population, we conducted an exploratory study on HIV testing and potential associates in American Muslim women from across the United States. We applied logistic regression models to examine the Muslim Women's Health Project data, collected in 2015 (=218). Health care engagement and intimate partner violence were significantly associated with having been tested for HIV. Respondents using contraceptives received an influenza vaccination, and received an abnormal pap test had more than two times higher odds of having been tested for HIV (odds ratio [OR]=2.56, OR=2.43, OR=2.93, respectively; <0.05 all). Having been sexually abused was associated with more than two times higher odds of having been tested for HIV (OR=2.49; <0.05). Respondents reported higher rates of HIV testing as compared with the general public, signaling HIV knowledge, engagement in preventative health care, and possibly HIV risk. Scholars and practitioners should not assume that Muslim patients are at low risk for HIV and do not engage in HIV-risk behaviors. Thus, assumptions about Muslims women's willingness to accept HIV testing should be further examined to elucidate HIV risk among this population.

摘要

超过100万美国人感染了人类免疫缺陷病毒(HIV),而接受过HIV检测的美国人不到一半。对于美国穆斯林这一服务不足且常受污名化的群体,尚无全国性的HIV检测估计数据。鉴于缺乏该群体的HIV检测估计数据,我们对来自美国各地的美国穆斯林女性进行了一项关于HIV检测及其潜在相关因素的探索性研究。我们应用逻辑回归模型分析了2015年收集的穆斯林女性健康项目数据(=218)。医疗保健参与和亲密伴侣暴力与是否接受过HIV检测显著相关。使用避孕药具、接种流感疫苗以及巴氏试验结果异常的受访者接受HIV检测的几率分别高出两倍多(优势比[OR]=2.56、OR=2.43、OR=2.93;均P<0.05)。遭受性虐待与接受HIV检测的几率高出两倍多相关(OR=2.49;P<0.05)。与普通公众相比,受访者报告的HIV检测率更高,这表明她们具备HIV知识、参与预防性医疗保健,也可能存在HIV感染风险。学者和从业者不应假定穆斯林患者感染HIV的风险较低且不从事有HIV感染风险的行为。因此,应进一步研究关于穆斯林女性接受HIV检测意愿的假设,以阐明该群体中的HIV感染风险。

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