了解安大略省渥太华市和温莎市黑人异性恋男性中与艾滋病毒和性传播感染诊断相关的因素。
Understanding the factors associated with HIV and STIs diagnosis among Black heterosexual men in Ottawa and Windsor, Ontario.
作者信息
Etowa Josephine, Omorodion Francisca, Mmbagwu Ikenna, Etowa Egbe, Ghose Bishwajit
机构信息
Department of Health Sciences, School of Nursing, University of Ottawa.
Department of Sociology, Anthropology and Criminology, University of Windsor.
出版信息
J Public Health Res. 2022 Mar 23;11(2):2048. doi: 10.4081/jphr.2022.2048.
BACKGROUND
The African, Caribbean and Black (ACB) men living in Canada share a heightened risk of infection by Human Immunodeficiency Virus and other sexually transmitted illnesses (STIs) and the associated risky behaviours such as suboptimal use of family planning services such as condom use. The African, Caribbean and Black (ACB) heterosexual men living in Canada are disproportionately exposed to HIV and other sexually transmitted infections. The present paper aims to assess the relationship between knowledge, attitude and use of condom with diagnosis of HIV and STIs among ACB heterosexual men in Ontario.
DESIGN AND METHODS
This was a cross-sectional study on 430 participants consisting of black heterosexual men living two communities, Ottawa and Windsor in Ontario. The outcome variables were ever being diagnosed with HIV (Yes/No) and other STIs (Yes/No). Data were analysed using descriptive, and logistic regression techniques.
RESULTS
Findings indicated that 70.20% did not have good knowledge of HIV, 68.10% had positive attitude towards condom use, and 62.82% were not regular condom user. Men who reported experiencing difficulty in accessing healthcare services had significantly higher odds of reporting HIV and STI diagnosis. Men with positive attitude towards condom use had lower odds of both HIV (odds ratio= 0.48, 95%CI=0.30,0.76) and STI diagnosis (odds ratio= 0.27, 95%CI=0.08,0.90). Similarly, condom users also had lower odds of both HIV and (odds ratio= 0.21, 95%CI=0.09,0.49) STI diagnosis (odds ratio= 0.62, 95%CI=0.39,0.99).
CONCLUSIONS
A large proportion of the sample with positive attitude to condom use was not a reflection of the large sample who did not have correct knowledge of HIV. Several factors were also found to be associated with heightened odds of being diagnosed with HIV and other STIs. The most notable of these factors were experiences of difficulty in accessing healthcare and utilisation of condoms.
背景
生活在加拿大的非洲、加勒比和黑人（ACB）男性感染人类免疫缺陷病毒和其他性传播疾病（STIs）的风险较高，且存在相关危险行为，如计划生育服务（如使用避孕套）的使用情况欠佳。生活在加拿大的非洲、加勒比和黑人（ACB）异性恋男性感染艾滋病毒和其他性传播感染的比例过高。本文旨在评估安大略省ACB异性恋男性中，知识、态度和避孕套使用与艾滋病毒和性传播感染诊断之间的关系。
设计与方法
这是一项对430名参与者进行的横断面研究，参与者为居住在安大略省渥太华和温莎两个社区的黑人异性恋男性。结果变量为是否曾被诊断出感染艾滋病毒（是/否）和其他性传播感染（是/否）。数据采用描述性和逻辑回归技术进行分析。
结果
研究结果表明，70.20%的人对艾滋病毒了解不足，68.10%的人对使用避孕套持积极态度，62.82%的人不是经常使用避孕套的使用者。报告在获得医疗服务方面有困难的男性被诊断出感染艾滋病毒和性传播感染的几率显著更高。对使用避孕套持积极态度的男性感染艾滋病毒（优势比=0.48，95%置信区间=0.30，0.76）和性传播感染诊断（优势比=0.27，95%置信区间=0.08，0.90）的几率较低。同样，使用避孕套的男性感染艾滋病毒（优势比=0.21，95%置信区间=0.09，0.49）和性传播感染诊断（优势比=0.62，95%置信区间=0.39，0.99）的几率也较低。
结论
很大一部分对使用避孕套持积极态度的样本并不能反映出对艾滋病毒没有正确认识的大量样本情况。还发现有几个因素与被诊断出感染艾滋病毒和其他性传播感染的几率增加有关。其中最显著的因素是在获得医疗服务方面有困难的经历和避孕套的使用情况。
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