Division of Community Engagement and Health Equity, Department of Population Health, Dell Medical School, The University of Texas at Austin, Health Discovery Building (HDB) 4.814, Austin, TX, 78712, USA.
Department of Human Development and Family Sciences, School of Human Ecology, College of Natural Sciences, The University of Texas at Austin, Austin, TX, 78712, USA.
AIDS Behav. 2022 Nov;26(11):3642-3653. doi: 10.1007/s10461-022-03690-w. Epub 2022 May 18.
Adverse childhood experiences (ACEs) are a well-documented HIV-risk factor, but less is known about the relationship between ACEs and different HIV testing strategies. This study used data from an LGBTQ + community health assessment, that was part of a multi-staged community-based participatory research project in San Antonio, Texas. Overall, 464 young men who have sex with men (YMSM; < 36-years-old) completed an online, cross-sectional survey that included questions about ACEs and HIV testing behavior. An association between increased ACEs exposure and the odds of clinic-based testing and HIVST HIV significantly decreased relative to never testing for HIV. Additionally, greater ACEs exposure was significantly associated with increased odds of reporting community-based testing (AOR = 1.09, 95% CI = 1.00, 1.20) and significantly reduced odds of HIV self-testing (AOR = 0.72, 95% CI = 0.63, 0.82) compared to clinic-based testing. Cumulative ACEs exposure is important in understanding HIV testing behaviors in YMSM and should be considered when developing HIV testing programs.
不良的童年经历（ACEs）是一个有据可查的 HIV 风险因素，但人们对 ACEs 与不同的 HIV 检测策略之间的关系了解较少。本研究使用了来自德克萨斯州圣安东尼奥市一个多阶段基于社区的参与式研究项目的 LGBTQ+社区健康评估的数据。总体而言，464 名与男性发生性关系的年轻男性（YMSM；<36 岁）完成了一项在线横断面调查，其中包括 ACEs 和 HIV 检测行为的问题。与从未接受过 HIV 检测相比，ACEs 暴露增加与诊所检测和 HIVST HIV 的几率显著降低相关。此外，ACEs 暴露程度越高，报告社区检测的几率越高（AOR=1.09，95%CI=1.00，1.20），HIV 自我检测的几率越低（AOR=0.72，95%CI=0.63，0.82），与诊所检测相比。累积 ACEs 暴露对于理解 YMSM 的 HIV 检测行为很重要，在制定 HIV 检测计划时应予以考虑。
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