Attitudes, perceptions and behaviours towards HIV testing among African-American and East African immigrant women in Washington, DC: implications for targeted HIV testing promotion and communication strategies.
Attitudes, perceptions and behaviours towards HIV testing among African-American and East African immigrant women in Washington, DC: implications for targeted HIV testing promotion and communication strategies.
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DOI：
10.1136/sextrans-2014-051876
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发表时间：
2015-12
影响因子：
3.6
通讯作者：
Nalls P
中科院分区：
文献类型：
--
作者：
De Jesus M;Carrete C;Maine C;Nalls P
本研究的目的是检查和比较华盛顿，华盛顿特区大都会区的非洲裔美国人和东非移民妇女对艾滋病毒检测的态度、看法和行为。采用归纳，定性的方法，我们进行了40个深入的，半结构化的访谈2012年10月至2013年3月。采用定性主题分析法对数据进行分析。总体而言，非洲裔美国妇女对艾滋病毒检测的看法比东非移民妇女更有利。很少有东非移民妇女有意进行艾滋病毒检测。大多数东非参与者是在无意中接受测试的，而其他人则是为了移民或就业目的而接受测试的。有许多障碍阻碍妇女寻求艾滋病毒检测，包括：消极的假设（例如，“接受艾滋病毒检测意味着我是艾滋病毒阳性”）;负面情绪（例如，“害怕被诊断出患有艾滋病毒以及这对我意味着什么”）;以及来自伴侣或其他人的潜在负面反应（例如，“接受艾滋病毒检测可能意味着不信任，不尊重或不尊重”）。每个群体对其中一些障碍的表述有细微差别，东非妇女表达了源于其本国经历的独特关切。这项研究揭示了限制妇女自愿接受艾滋病毒检测的因素的复杂性，并强调了非洲裔美国人和东非人的看法之间的细微差别。有效的有针对性的艾滋病毒筛查的促进和沟通策略，这些群体的妇女的影响进行了讨论。
The objective of the study was to examine and compare the HIV testing attitudes, perceptions, and behaviors between African American and East African immigrant women in the Washington, D.C. Metropolitan area. Adopting an inductive, qualitative methodological approach, we conducted a total of 40 in-depth, semi-structured interviews between October 2012 and March 2013. Qualitative thematic analysis was used to analyze the data. Overall, African American women held more favorable views toward HIV testing than East African immigrant women. Very few East African immigrant women sought HIV testing intentionally. The majority of East African participants were tested inadvertently, while others tested for immigration- or employment-related purposes. There were many barriers that impede women from seeking an HIV test including: negative assumptions (e.g., ‘Getting an HIV test implies that I am HIV positive’); negative emotions (e.g., ‘Fear of being diagnosed with HIV and what this will mean for me’); and potential negative reactions from partner or others (e.g., ‘Getting an HIV test can signal distrust, disrespect, or infidelity’). There were nuances in how each group articulated some of these barriers and East African women expressed unique concerns that originated from experiences in their home countries. The study shed light into the complexity of factors that constrain women from presenting themselves voluntarily for an HIV test and highlighted the nuances between African American and East African perceptions. Implications of findings for effective targeted HIV screening promotion and communication strategies among these groups of women are discussed.