Department of Management, Policy, and Community Health, The University of Texas Health Science Center School of Public Health, Houston, TX 77030, USA.
Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center School of Public Health, Houston, TX 77030, USA.
Int J Environ Res Public Health. 2022 Apr 8;19(8):4502. doi: 10.3390/ijerph19084502.
This study describes preventive care behaviors and explores opportunities to deliver preventive sexual healthcare to a high-risk vulnerable population. Data from the National HIV Behavioral Surveillance (NHBS) system high-risk heterosexuals (HET) cycle (2019) in Houston, Texas, was used to describe preventive care utilization and assess the relationship between healthcare utilization and sociodemographic characteristics. More than 47% reported having no usual source of healthcare, and 94.6% reported receiving no non-HIV STI testing in the past 12 months. Additionally, many sociodemographic factors were associated with healthcare utilization and having a usual source of healthcare. Future efforts should be targeted at increasing preventive healthcare utilization among high-risk vulnerable populations as well as implementing more preventive sexual healthcare services in the community health centers where these populations most frequently encounter healthcare.
本研究描述了预防保健行为,并探讨了向高危弱势群体提供预防性性保健服务的机会。本研究使用了来自德克萨斯州休斯顿市全国艾滋病毒行为监测(NHBS)系统高危异性恋者(HET)周期(2019 年)的数据,描述了预防保健的利用情况,并评估了医疗保健的使用与社会人口学特征之间的关系。超过 47%的人报告说没有固定的医疗来源,94.6%的人报告说在过去 12 个月内没有接受过非艾滋病毒性性传播感染检测。此外,许多社会人口学因素与医疗保健的使用和是否有固定的医疗来源有关。未来的工作应致力于提高高危弱势群体的预防保健利用率,并在这些人群最常接触医疗保健的社区卫生中心实施更多的预防性性保健服务。