Association of educational attainment with HIV risk in African American active injection drug users
Association of educational attainment with HIV risk in African American active injection drug users
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DOI：
10.1080/09540120600872075
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发表时间：
2007-01-01
影响因子：
1.7
通讯作者：
Sinacore, J. M.
中科院分区：
文献类型：
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作者：
Hasnain, M.;Levy, J. A.;Sinacore, J. M.
本研究探讨了美国芝加哥非裔美国活跃注射吸毒者的受教育程度与HIV/AIDS风险之间的关系。采用滚雪球抽样技术，招募了813名非裔美国人活跃注射吸毒者进行半结构访谈和艾滋病毒咨询、检测和伴侣通知。Logistic回归分析了受教育程度(三类：高中以下；相当于高中；高于高中)与艾滋病毒危险行为(12种不安全性行为和与毒品有关的行为)和艾滋病毒血清状态(阳性或阴性)之间的关系。与参照组(高中以下文化程度)相比，高中以下文化程度的儿童分享水的可能性较小，p=0.044，OR=0.7(95%CI：0.50~0.99)。与对照人群相比，高中以上文化程度的人群在性行为上获得金钱的可能性较低，p=0.048，OR=0.62(95%CI：0.38~0.99)；与艾滋病患者共用针头的可能性较小，p=0.015，OR=0.58(95%CI：0.37~0.90)；HIV检测阳性者，p=0.0273，OR=0.58(95%CI：0.36~0.94)。在受教育程度与某些艾滋病毒危险行为和艾滋病毒血清状态之间发现的显著关联，对于为受教育程度较低的非裔美国注射吸毒者量身定做艾滋病毒预防工作具有重要意义。
This study explored the association between educational attainment and HIV/AIDS risk among African American active injection drug users (IDUs) in Chicago, US. Using snowball sampling techniques, 813 African American active IDUs were recruited for semi-structured interviewing and HIV counseling, testing and partner notification. Logistic regression examined the relationship between level of education attained (three categories: less than high school; equivalent to high school; and greater than high school) and HIV risk behaviors (12 unsafe sex and drug-related practices) and HIV serostatus (positive or negative). Compared with the reference category (less than high school education), those with education equal to high school were less likely to share water, p = 0.044, OR= 0.70 (95%CI: 0.50-0.99). Compared with the reference category, those with education greater than high school were less likely to receive money for sex, p = 0.048, OR = 0.62 (95%CI: 0.38-0.99); share needles with person having HIV or AIDS, p = 0.015, OR =0.58 (95%CI: 0.37-0.90); and test positive for HIV, p=0.0273 OR =0.58 (95%CI: 0.36-0.94). The significant associations found between educational attainment and certain HIV risk behaviors and HIV serostatus have implications for tailoring HIV prevention efforts for less educated African American IDUs.