艾滋病毒:2018年加利福尼亚州的犯罪化改革和在报告风险行为的人群中进行测试
Jessica M Keralis1, Avery Bourbeau2, Kevin P Delaney3
1U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA. jkeralis@cdc.gov.
Journal of public health policy
|September 3, 2024
概括
加利福尼亚州加利福尼亚州加利福尼亚州.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 艾滋病毒犯罪化法律是惩罚个人传播或暴露他人感染艾滋病毒的政策.
- 人们担心,这些法律可能会阻止个人寻求艾滋病毒检测和护理.
- 了解法律改革对公共卫生行为的影响至关重要.
研究的目的:
- 评估加利福尼亚州2018年艾滋病毒犯罪法改革对去年艾滋病毒检测的可能性的影响.
- 为了比较加州的艾滋病毒检测趋势与内华达州的艾滋病毒检测趋势,内华达州没有类似的改革,使用差异差异方法.
主要方法:
- 使用来自行为风险因素监测系统 (BRFSS) 的数据,拟合了两个差异差异逻辑回归模型.
- 分析包括所有受访者报告增加艾滋病毒传播风险的行为,以及报告此类行为的男性受访者子集.
- 该研究考虑了BRFSS数据的复杂调查设计.
主要成果:
- 加利福尼亚州的艾滋病毒犯罪法改革与去年艾滋病毒检测的可能性增加密切相关.
- 在加利福尼亚州改革后,过去一年进行艾滋病毒检测的预测边际概率增加了6个百分点.
- 相比之下,在同一时期内,内华达州的艾滋病毒检测概率下降.
结论:
- 通过提高艾滋病毒检测率,艾滋病毒犯罪化法律改革可能对公共卫生产生积极影响.
- 改革艾滋病毒法律可能会鼓励参与增加艾滋病毒传播风险的行为的人进行检测.
- 关于艾滋病毒犯罪的政策变化可能对公共卫生结果产生可衡量的影响.
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