Department of Family Social Science, University of Minnesota, 1985 Buford Ave St. Paul, Minneapolis, MN, 55108, USA.
HIV Center for Clinical and Behavioral Studies, Psychiatric Institute, Columbia University, New York, New York State, NY, USA.
AIDS Behav. 2024 Jan;28(1):12-18. doi: 10.1007/s10461-023-04218-6. Epub 2023 Nov 13.
Uptake of HIV testing is a critical step in the HIV prevention and treatment care cascade. Barriers to HIV testing, however, remain and innovative research in this area is warranted to improve uptake of testing. As such, we investigated the role of HIV information avoidance - a novel construct potentially related to HIV testing. We analyzed this construct in relation to other factors known to impact HIV testing, namely HIV stigma and medical mistrust. Multiple linear regression analyses indicated that HIV information avoidance was negatively associated with HIV testing, while medical mistrust was positively associated with HIV testing. HIV testing stigma was not associated with HIV testing. This work contributes to the developing literature on HIV information avoidance and its relationships with HIV stigma and HIV testing uptake. Further, these findings can inform HIV testing interventions which often do not focus on HIV information avoidance. Future research on the mechanisms of information avoidance that are amenable to intervention, and the temporal ordering of the relationship between information avoidance and HIV testing is warranted.
接受 HIV 检测是 HIV 预防和治疗关怀链中的关键步骤。然而，HIV 检测仍然存在障碍，需要在该领域进行创新性研究，以提高检测的接受程度。因此，我们研究了 HIV 信息回避的作用——这是一个与 HIV 检测相关的新构念。我们分析了这个构念与其他已知影响 HIV 检测的因素之间的关系，即 HIV 污名和医疗不信任。多元线性回归分析表明，HIV 信息回避与 HIV 检测呈负相关，而医疗不信任与 HIV 检测呈正相关。HIV 检测污名与 HIV 检测无关。这项工作为 HIV 信息回避及其与 HIV 污名和 HIV 检测接受度的关系的发展文献做出了贡献。此外，这些发现可以为 HIV 检测干预措施提供信息，这些干预措施通常不关注 HIV 信息回避。需要对干预措施适用的信息回避机制以及信息回避与 HIV 检测之间的时间顺序进行进一步研究。
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