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美国性取向子组之间艾滋病毒检测的差异:一项全国横截面研究

Holly Gurnik^1,2, Curtiss W Engstrom^1,3, Sean Esteban McCabe^1,4,5,6,7,8

¹Center for the Study of Drugs, Alcohol, Smoking and Health, Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, Ann Arbor, MI 48109, USA.

Preventive medicine reports

|May 30, 2023

概括

美国的性取向群体之间,艾滋病毒检测率有很大差异. 同性恋和双性恋者,特别是男性,与异性恋者相比,显示出更高的艾滋病毒检测流行率,受童年逆境和社会支持等因素的影响.

科学领域:

公共卫生公共卫生
流行病学流行病学
社会学社会学社会学

背景情况:

艾滋病毒检测是预防策略的基石.
了解不同人群艾滋病毒检测的差异对于有针对性的干预至关重要.
性取向是一个关键的人口统计学因素,可能会影响健康行为,包括艾滋病毒检测.

研究的目的:

调查美国成年人口中不同性取向子组之间艾滋病毒检测流行率的变化.
检查艾滋病毒检测与心理社会因素之间的关联,包括不良童年经历 (ACE),歧视,教育成就,社会支持和物质使用障碍 (SUD).

主要方法:

利用了来自美国全国酒精和相关疾病流行病学调查-III (NESARC-III) 的横截面数据,这是美国成年人全国代表性样本 (n=36,309).
采用后勤回归分析来比较异性恋一致性,异性恋不一致性,同性恋/女同性恋和双性恋成年人之间的艾滋病毒检测流行率.
在多变量模型中对心理社会相关性进行控制,以确定艾滋病毒检测的独立预测因素.

主要成果:

双性恋和同性恋/女同性恋女性的艾滋病毒检测患病率高于一致的异性恋女性.
同性恋和双性恋男性的艾滋病毒检测患病率明显高于一致和不一致的异性恋男性.
在多变量分析中,双性恋男性和女性以及同性恋男性的艾滋病毒检测几率与异性恋一致成年人相比明显更高.
较高的ACE数量,更大的社会支持,SUD史和更高的教育程度与艾滋病毒检测有积极的关联.
异性异调的男性报告的艾滋病毒检测流行率最低.

结论:

在美国,艾滋病毒检测的患病率在性取向子组之间有显著差异.
心理社会因素,包括ACE,社会支持,SUD和教育,与艾滋病毒检测行为有关.
医疗保健提供者在评估艾滋病毒检测需求时应考虑性取向和这些心理社会因素,以减少健康差异.

关键词:

一个横截面的截面.艾滋病毒检测艾滋病毒检测在健康方面存在差异.性取向性取向是指性取向.美国的美国.

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