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与注射吸毒者 HIV 检测相关的因素:COVID-19 大流行开始时一项多州研究的结果。

Factors Associated with HIV Testing Among People Who Inject Drugs: Findings from a Multistate Study at the Start of the COVID-19 Pandemic.

机构信息

Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, 21205, Baltimore, MD, USA.

Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., 21205, Baltimore, MD, USA.

出版信息

AIDS Behav. 2023 May;27(5):1674-1681. doi: 10.1007/s10461-022-03899-9. Epub 2022 Nov 3.

Abstract

Few studies have examined HIV testing among people who inject drugs (PWID) during the COVID-19 pandemic. This study examines factors associated with PWID who have been recently (past six months) tested for HIV during the COVID-19 pandemic. PWID were recruited between August 2020 and January 2021 from 22 drug treatment and harm reduction programs in nine states and the District of Columbia. We used logistic regression to identify correlates of recent HIV testing among PWID (n = 289). Most (52.9%) PWID reported having been recently tested for HIV. Factors associated with recent HIV testing included: having attended college [adjusted odds ratio (aOR) 2.32, 95% confidence interval (95% CI) 1.32-4.10], weekly hunger (aOR 2.08, 95% CI 1.20-3.60), crystal methamphetamine injection (aOR 2.04, 95% CI 1.05-3.97), and non-metropolitan residence (aOR 0.33, 95% CI 0.13, 0.88). Findings suggest HIV testing initiatives should be expanded during times of crisis, such as global pandemics.

摘要

很少有研究调查过在 COVID-19 大流行期间注射毒品者 (PWID) 的 HIV 检测情况。本研究调查了与在 COVID-19 大流行期间最近(过去六个月内)接受过 HIV 检测的 PWID 相关的因素。PWID 于 2020 年 8 月至 2021 年 1 月期间从九个州和哥伦比亚特区的 22 个药物治疗和减少伤害计划中招募。我们使用逻辑回归来确定 PWID 最近进行 HIV 检测的相关因素 (n = 289)。大多数(52.9%)PWID 报告最近接受过 HIV 检测。与最近接受 HIV 检测相关的因素包括:上过大学 [调整后的优势比 (aOR) 2.32,95%置信区间 (95% CI) 1.32-4.10]、每周饥饿感 (aOR 2.08,95% CI 1.20-3.60)、吸食冰毒 (aOR 2.04,95% CI 1.05-3.97) 和非城市居民 (aOR 0.33,95% CI 0.13-0.88)。研究结果表明,在全球大流行等危机时期,应扩大 HIV 检测计划。

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