Medical Research Foundation of Trinidad and Tobago, 7 Queen's Part E, Port-of-Spain, Trinidad and Tobago.
School of Mathematical and Computer Sciences, Heriot Watt University Malaysia, 1 Jalan Venna P5/2, Precinct 5, Putrajaya 62200, Malaysia.
Int J Environ Res Public Health. 2023 Jan 25;20(3):2148. doi: 10.3390/ijerph20032148.
An important preventive measure in the fight against the HIV epidemic is the adoption of HIV testing. The government of the Republic of Trinidad and Tobago conducted a registration exercise in 2019 for undocumented migrants and refugees from Venezuela residing in the country. These migrants were allowed access to the public health system. In this study, we observed the correlates of HIV testing in Venezuelan migrants residing in Trinidad. A convenience sample of = 250 migrants was collected via telephone survey from September through December 2020. Variables of interest included social factors, health needs, and uptake of HIV testing. Pearson χ tests examined the associations between study variables, and multivariable logistic regression with backward elimination produced the odds of taking an HIV test. In our study, 40.8% of migrants reported having received an HIV test since arriving in Trinidad. Persons who migrated with family or friends had greater odds of getting an HIV test relative to persons who arrived alone (OR = 2.912, 95% CI: 1.002-8.466), and migrants who knew where to get an HIV test also greater odds of getting a test relative to person who did not know where to get a test (OR = 3.173, 95% CI: 1.683-5.982). Migrants with known physical health problems had greater odds of getting an HIV test relative to migrants without these health problems (OR = 1.856, 95% CI: 1.032-3.337). Persons who arrived with family or friends had greater odds of experiencing difficulties accessing public health care relative to persons who arrived alone (OR = 3.572, 95% CI: 1.352-9.442). Migrants earning between $1000 and $2999 TT per month had greater odds of experiencing trouble accessing public health services relative to persons who had monthly earnings of less than $1000 TT (OR = 2.567, 95% CI: 1.252-5.264). This was the first quantitative study on HIV testing among Venezuelan migrants in Trinidad. Migrants still experience difficulties accessing healthcare, which, in turn influences national HIV prevention and control efforts. The results gathered may help in developing HIV prevention plans that are led by a national health policy that takes migrant communities' needs into account.
在防治艾滋病疫情的过程中，一项重要的预防措施是进行艾滋病检测。特立尼达和多巴哥共和国政府于 2019 年为居住在该国的无证移民和委内瑞拉难民开展了登记工作。这些移民获准使用公共卫生系统。在这项研究中，我们观察了居住在特立尼达的委内瑞拉移民的艾滋病检测相关因素。2020 年 9 月至 12 月，通过电话调查收集了方便样本 = 250 名移民。感兴趣的变量包括社会因素、健康需求和艾滋病检测的采用。Pearson χ 检验分析了研究变量之间的关联，采用向后消除法的多变量逻辑回归得出接受艾滋病检测的几率。在我们的研究中，40.8%的移民报告称自抵达特立尼达以来接受过艾滋病检测。与独自抵达的人相比，与家人或朋友一起移民的人接受艾滋病检测的几率更高（OR = 2.912，95%CI：1.002-8.466），并且知道在哪里可以接受艾滋病检测的移民接受检测的几率也更高，与不知道在哪里可以接受检测的人相比（OR = 3.173，95%CI：1.683-5.982）。与没有这些健康问题的移民相比，有已知身体健康问题的移民接受艾滋病检测的几率更高（OR = 1.856，95%CI：1.032-3.337）。与独自抵达的人相比，与家人或朋友一起抵达的人获得公共医疗保健服务的几率更大（OR = 3.572，95%CI：1.352-9.442）。每月收入在 1000 至 2999 特立尼达元之间的移民获得公共卫生服务的几率大于每月收入低于 1000 特立尼达元的移民（OR = 2.567，95%CI：1.252-5.264）。这是第一项关于特立尼达委内瑞拉移民艾滋病检测的定量研究。移民仍然难以获得医疗保健，这反过来又影响了国家艾滋病预防和控制工作。收集的结果可能有助于制定艾滋病预防计划，该计划由国家卫生政策主导，考虑移民社区的需求。
Int J Environ Res Public Health. 2023-1-25
BMC Public Health. 2024-1-17
BMC Public Health. 2010-4-9
BMC Public Health. 2024-1-17
SSM Popul Health. 2018-11-2
BMC Public Health. 2017-5-17
Front Public Health. 2016-11-3
Risk Manag Healthc Policy. 2015-10-30
Zotero 插件