在北中西部土著社区的性传播感染测试的相关性
Molly C Reid1, Kristin E Schneider2, Allison O'Rourke2
1Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA 21205.
Sexually transmitted diseases
|November 4, 2025
概括
在中西部使用毒品的土著人群中,性传播感染 (STIs),艾滋病毒和C型肝炎病毒 (HCV) 的查率低于最佳. 需要文化相关的计划来改善测试准入和解决健康差异.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 健康差异 在健康上的差异
背景情况:
- 美国的土著人民面临着高比例的性传播疾病,艾滋病病毒和病毒性肝炎.
- 吸毒会增加性传播疾病和病毒性肝炎的风险,因此需要对使用毒品的土著人进行测试.
- 有限的数据存在于这种人群中的性病,艾滋病毒和HCV测试行为.
研究的目的:
- 检查性传播感染 (STI),艾滋病毒和C型肝炎病毒 (HCV) 测试的相关性.
- 为了调查北中西部使用毒品的原住民样本中的测试行为.
主要方法:
- 以调查为基础的社区参与式研究.
- 在北中西部预留社区使用毒品的227人的样本.
- 检查了终身和过去一年的测试,以及包括人口统计,药物使用,性行为和避孕套使用在内的相关性.
主要成果:
- 性传播感染,艾滋病毒和HCV的终身检测率超过60%;过去一年的比率低于30%.
- 最近的测试与年龄较小,女性或性别少数群体地位,注射毒品使用,性伴侣数量较多,以及愿意分发艾滋病毒测试包有关.
- 在这个社区,查率被发现是不理想的.
结论:
- 这项研究强调了在使用毒品的土著人群中未达到最佳的性传播感染,艾滋病毒和HCV查.
- 具有文化相关性,由土著人领导的项目对于提高查意识和获取机会至关重要.
- 解决这些差异对于改善土著社区公共卫生结果至关重要.
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