感知艾滋病毒风险,障碍和偏好在圣路易斯结构脆弱社区的艾滋病毒检测:一个最好最坏的扩展调查
Emmanuel K Tetteh1, Noelle Le Tourneau2, Gregory Gross3
1School of Public Health, Washington University in St. Louis, St. Louis, MO, USA.
Journal of the International Association of Providers of AIDS Care
|February 20, 2026
概括
人们认为艾滋病毒风险低,社会耻辱是黑人,同性恋者和年轻人测试的主要障碍. 需要量身定制的艾滋病毒检测策略来解决这些问题并提高检测率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 美国持续存在的艾滋病毒疫情控制缺口需要社区特定的艾滋病毒检测策略.
- 缺乏服务的群体,包括黑人,酷儿和年轻人,面临着对艾滋病毒检测的独特障碍.
- 了解这些障碍对于开发有效干预措施至关重要.
研究的目的:
- 调查与密苏里州圣路易斯缺乏服务的人群中艾滋病毒检测相关的障碍和偏好.
- 确定HIV检测的各种障碍的相对重要性.
- 探索不同的人口群体测试偏好的差异.
主要方法:
- 对152名成年人 (16岁以上) 进行了一项最佳-最差缩放 (BWS) 调查.
- 参与者评估了13个HIV检测的潜在障碍.
- 用层次贝叶斯估计和潜阶级条件逻辑模型来分析数据.
主要成果:
- 对艾滋病毒的低感知风险是最突出的障碍 (MPW:13.9).
- 黑人参与者认为缺乏信任和同行鼓励是重要的障碍.
- 酷尔参与者认为耻辱感,有限的访问和对积极结果的恐惧是关键障碍.
- 隐性类型建模揭示了两个群体:"低风险感知者"和"耻辱回避者".
结论:
- 人们认为艾滋病毒风险低和社会耻辱是圣路易斯地区对艾滋病毒检测的重大威.
- 定制的艾滋病毒检测计划对于解决这些障碍和改善检测普及至关重要.
- 解决社区特定需求对于结束艾滋病毒流行病至关重要.
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