日常歧视与美国伴侣关系中的拉丁裔/西班牙裔性少数男性中的 HIV 检测：基于出生地的分层分析。

Everyday Discrimination and HIV Testing Among Partnered Latino/x Sexual Minority Men in the United States: A Stratified Analysis by Birth Location.

机构信息

School of Social Work, Rutgers University, New Brunswick, New Jersey.

Department of Psychology, Hunter College of the City University of New York, New York, New York.

出版信息

AIDS Educ Prev. 2023 Oct;35(5):376-389. doi: 10.1521/aeap.2023.35.5.376.

DOI:10.1521/aeap.2023.35.5.376

PMID:37843904

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10701860/

Abstract

We examined the association between everyday discrimination and HIV testing patterns-current (≤ 6 months), recent (7-12 months), and delayed (> 12 months or never tested)-among partnered Latino/x sexual minority men (SMM). Multinomial regression analyses revealed that in the full sample ( = 484) experiencing discrimination based on sexual orientation and race/ethnicity attributions concurrently (vs. no discrimination) was associated with higher odds of delayed (vs. current) HIV testing (AOR = 2.6, 95% CI [1.0, 6.7]). Similarly, in the subset of Latino/x SMM born outside the mainland U.S. ( = 209), experiencing concurrent sexual orientation- and race/ethnicity-based discrimination (vs. no discrimination) was associated with higher odds of recent (AOR = 12.4, 95% CI [1.3, 115.7]) and delayed HIV testing (AOR = 7.3, 95% CI [1.6, 33.0]), compared with current testing. Findings suggest that addressing discrimination may improve HIV testing uptake among partnered Latino/x SMM, particularly those born outside the U.S.

摘要

我们研究了日常歧视与 partnered Latino/x 性少数群体男性（SMM）的 HIV 检测模式（当前（≤6 个月）、近期（7-12 个月）和延迟（>12 个月或从未检测过））之间的关联。多项二项回归分析显示，在全样本（=484）中，同时经历基于性取向和种族/民族归因的歧视（与没有歧视相比）与延迟（与当前）HIV 检测的几率更高（AOR=2.6，95%CI[1.0,6.7]）。同样，在美国境外出生的 Latino/x SMM 亚组（=209）中，同时经历基于性取向和种族/民族的歧视（与没有歧视相比）与近期（AOR=12.4，95%CI[1.3,115.7]）和延迟 HIV 检测（AOR=7.3，95%CI[1.6,33.0]）的几率更高，而不是当前的检测。研究结果表明，解决歧视问题可能会提高 partnered Latino/x SMM 中 HIV 检测的参与率，特别是那些在美国境外出生的人。