Health care utilization and risk behaviors among HIV positive minority drug users
Health care utilization and risk behaviors among HIV positive minority drug users
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DOI：
10.1353/hpu.2006.0063
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发表时间：
2006-05-01
影响因子：
1.4
通讯作者：
Deren, S
中科院分区：
文献类型：
--
作者：
Kang, SY;Goldstein, MF;Deren, S
本研究比较了纽约市招募的HIV感染的非裔美国人（n = 123）和西班牙裔（n = 97）吸毒者之间的医疗保健利用和HIV相关的危险行为。非裔美国人更有可能使用快克，而西班牙裔美国人更有可能使用海洛因和快球。非裔美国人比西班牙裔美国人更有可能报告曾用性换取毒品或金钱。两组在艾滋病毒护理利用方面没有显著差异（例如，服用艾滋病药物）。在多元逻辑回归分析中，对于非裔美国人来说，服用艾滋病毒药物与艾滋病毒诊所的登记和不使用裂缝显着相关，而对于西班牙裔美国人来说，结婚和参加艾滋病毒支持团体是显着因素。非裔美国人的药物治疗登记与不使用快克和注射药物使用显着相关，西班牙裔美国人的注射药物使用和药物治疗登记之间存在趋势（p = 0.07）。研究结果表明，对艾滋病毒阳性药物使用人群的危害减少计划的持续需要。针对这些人群的方案还应考虑到不同种族/族裔群体之间的不同风险行为，以便为艾滋病毒护理和干预制定具有文化敏感性的方案。
This study compared health care utilization and HIV-related risk behaviors between HIV-infected African American (n = 123) and Hispanic (n = 97) drug users recruited in New York City. African Americans were more likely to use crack, while Hispanics were more likely to use heroin and speedball. African Americans were more likely than Hispanics to report having traded sex for drugs or money. The two groups did not significantly differ in HIV care utilization (e.g., taking HIV medications). In multiple logistic regression analyses, for African Americans, taking HIV medications was significantly related to enrollment in HIV clinics and non-use of crack, while for Hispanics, being married and attending HIV support groups were significant factors. Drug treatment enrollment was significantly related to non-use of crack and injection drug use among African Americans, and a trend (p = .07) was found between injection drug use and drug treatment enrollment among Hispanics. The findings indicate the continuing need for harm reduction programs for HIV positive drug using populations. Programs for these populations should also take into account the different risk behaviors among different racial/ethnic groups, in order to tailor culturally sensitive programs for HIV care and intervention.