Division of HIV Prevention, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia.
U.S. Public Health Service, Washington, D.C.
AIDS Educ Prev. 2023 Feb;35(1):36-S6. doi: 10.1521/aeap.2023.35.1.36.
This systematic review synthesized published literature (January 2008-October 2021) about the association between social determinants of health (SDOH) and HIV testing among Hispanic/Latino gay, bisexual, and other men who have sex with men (HLMSM), a group disproportionally affected by HIV. Having higher education than a high school diploma, health insurance and access to health care services, and visiting a health care provider in the past 12 months were some of the determinants associated with HIV testing, while limited English proficiency was associated with reduced odds of HIV-testing among HLMSM. More research is needed to understand the relationship of SDOH (especially neighborhood) and HIV testing, how SDOH may affect HIV testing among different HLMSM groups, and how to increase self-testing and use of e-health in this priority population. Additionally, culturally and linguistically appropriate multilevel interventions and health services for HLMSM are urgently needed to diagnose HIV as early as possible after infection.
本系统评价综合了已发表的文献(2008 年 1 月至 2021 年 10 月),探讨了健康社会决定因素(SDOH)与西班牙裔/拉丁裔男同性恋、双性恋和其他男男性行为者(HLMSM)之间的关联,HLMSM 群体受到 HIV 的不成比例影响。与 HIV 检测相关的决定因素包括接受高中以上教育、拥有医疗保险和获得医疗保健服务,以及在过去 12 个月内看过医疗保健提供者,而英语水平有限则与 HLMSM 检测的可能性降低有关。需要进一步研究来了解 SDOH(尤其是邻里环境)与 HIV 检测之间的关系,SDOH 如何影响不同 HLMSM 群体的 HIV 检测,以及如何增加自我检测和使用电子健康在这一优先人群中的应用。此外,迫切需要针对 HLMSM 的文化和语言适当的多层次干预和卫生服务,以便在感染后尽早诊断 HIV。