Trends in HIV Testing among Adults in Georgia: Analysis of the 2011-2015 BRFSS Data.

Trends in HIV Testing among Adults in Georgia: Analysis of the 2011-2015 BRFSS Data.
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DOI:
10.3390/ijerph13111126
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发表时间:
2016-11-11
影响因子:
--
通讯作者:
Smith SA
Smith SA
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Ansa BE;White S;Chung Y;Smith SA

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格鲁吉亚的人类免疫缺陷病毒(HIV)诊断率在各州中排名第五。在美国,约4%的艾滋病毒感染者居住在佐治亚州,其中近19%的人不知道自己的艾滋病毒状况。本研究通过分析行为危险因素监测系统(BRFSS)的数据,研究了2011至2015年间佐治亚州成年人艾滋病毒检测的趋势和相关因素。总共确定了31,094名18岁的≥人,他们回答过“你有没有做过艾滋病毒检测?”总体而言,有11,286名受访者(44.2%)接受过艾滋病毒检测,相比之下,有19,808名受访者(55.8%)没有接受过艾滋病毒检测。曾经做过艾滋病毒检测的受访者比例略有下降,从2011年的45.6%下降到2015年的43.7%(平均年变化量=−0.98,不显著)。与艾滋病毒检测相关的因素包括女性(p=0.004)、黑人(p<0.001)、55岁以下(p<0.001)、单身(p<0.001)、高中以上教育程度(p<0.001)以及年收入50,000美元或以下(p=0.028)。总体而言,格鲁吉亚艾滋病毒检测的时间趋势略有下降,一半以上的成年人从未接受过艾滋病毒检测。为了减少格鲁吉亚的艾滋病毒传播,加强艾滋病毒检测的获取和利用应成为公共卫生的优先事项。
Georgia is ranked fifth highest among states for rates of human immunodeficiency virus (HIV) diagnosis. About 4% of persons living with HIV infection in the United States reside in Georgia, and almost 19% of these people do not know their HIV status. The present study examined the trends and associated factors of HIV testing among adults in Georgia between 2011 and 2015 by analyzing data of the Behavioral Risk Factor Surveillance System (BRFSS). A total of 31,094 persons aged ≥18 years were identified who responded to the question “Have you ever been tested for HIV?” Overall, there were 11,286 (44.2%) respondents who had been tested for HIV, compared to 19,808 (55.8%) who had not. There was a slight decrease in the percentage of respondents who have ever tested for HIV, from 45.6% in 2011 to 43.7% in 2015 (APC (annual percent change) = −0.98, not significant). Factors associated with HIV testing were being female (p = 0.004), black (p < 0.001), younger than 55 years (p < 0.001), single (p < 0.001), attaining education level above high school (p < 0.001), and earning annual income of $50,000 or less (p = 0.028). Overall in Georgia, there has been a slight decline in the temporal trend of HIV testing, and more than half of adults have never been tested for HIV. For reducing HIV transmission in Georgia, enhancing access and utilization of HIV testing should be a public health priority.
DOI: 10.1371/journal.pone.0144965
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