警察骚扰与黑人性少数男性对医疗保健的不信任和获取机会减少之间的关联： HPTN 061 的纵向分析。
Associations between police harassment and distrust in and reduced access to healthcare among Black sexual minority men: A longitudinal analysis of HPTN 061.
机构信息
Department of Population Health, New York University School of Medicine, New York, NY, United States of America.
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, United States of America.
出版信息
PLoS One. 2023 Aug 18;18(8):e0290378. doi: 10.1371/journal.pone.0290378. eCollection 2023.
OBJECTIVE
Evaluate associations between racialized and homophobia-based police harassment (RHBPH) and healthcare distrust and utilization among Black Sexual Minority Men (BSMM).
METHODS
We utilized data from a longitudinal cohort study from HIV Prevention Trials Network (HPTN) 061 with baseline, six and 12 month follow-up assessments. Using multivariable analysis, we evaluated associations between RHBPH and healthcare distrust and utilization reported at the 6 and 12 month visits.
RESULTS
Of 1553 BSMM present at baseline, 1160 were available at six-month follow-up. In multivariable analysis, increasing frequency of RHBPH was associated with increasing levels of distrust in healthcare providers (aOR 1.31, 95% CI: 1.00, 1.74) and missing 50% or more of healthcare visits at six-month follow-up (aOR 1.93, 95% CI: 1.09, 3.43).
CONCLUSIONS
Recent experiences of RHBPH are associated with reduced trust in and access to healthcare among BSMM, with more frequent RHBPH associated with greater vulnerability.
目的
评估基于种族和恐同的警察骚扰（RHBPH）与黑人性少数群体男性（BSMM）对医疗保健的不信任和利用之间的关联。
方法
我们利用来自 HIV 预防试验网络（HPTN）061 的纵向队列研究的数据，该研究有基线、6 个月和 12 个月的随访评估。使用多变量分析，我们评估了 RHBPH 与在 6 个月和 12 个月就诊时报告的医疗保健不信任和利用之间的关联。
结果
在基线时存在的 1553 名 BSMM 中，有 1160 名在 6 个月的随访中可用。在多变量分析中，RHBPH 频率的增加与对医疗保健提供者的不信任程度增加相关（aOR 1.31，95%CI：1.00，1.74），以及在 6 个月的随访中错过 50%或更多的医疗保健就诊（aOR 1.93，95%CI：1.09，3.43）。
结论
最近经历 RHBPH 与 BSMM 对医疗保健的信任度降低和获得医疗保健的机会减少有关，RHBPH 越频繁，脆弱性越大。
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