Identifying opportunities to increase HIV testing among mexican migrants: a call to step up efforts in health care and detention settings.
Identifying opportunities to increase HIV testing among mexican migrants: a call to step up efforts in health care and detention settings.
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DOI：
10.1371/journal.pone.0123631
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
González-Fagoaga E
中科院分区：
文献类型：
--
作者：
Martínez-Donate AP;Rangel MG;Rhoads N;Zhang X;Hovell M;Magis-Rodriguez C;González-Fagoaga E
艾滋病毒检测和咨询是艾滋病毒预防工作的重要组成部分，也是当前“以治疗为预防”战略的核心要素。流动性、低教育和低收入以及获得医疗保健的机会有限，使拉丁美洲移民面临更高的艾滋病毒风险，并成为这一人群接受适当艾滋病毒检测的障碍。我们研究了相关性，并错过了机会，增加，艾滋病毒检测循环墨西哥移民在美国，我们使用的数据从一个基于概率的调查返回墨西哥移民（N=1161）在边境城市蒂华纳，墨西哥进行。我们估计了过去12个月的艾滋病毒检测率，以及接受其他医疗服务或在美国移民中心、监狱或监狱被拘留30天或30天以上的移民的百分比，但没有进行艾滋病毒检测。22%的移民在过去12个月内接受了艾滋病毒检测。一般来说，在美国使用其他医疗服务或拘留30天或更长时间是过去12个月艾滋病毒检测的重要预测因素。尽管存在这种关联，但我们发现有证据表明，在医疗保健和/或惩教或移民拘留中心，人们错过了推广检测的机会。大约27.6%的移民接受了其他医疗保健和/或被拘留至少30天，但没有进行艾滋病毒检测。卫生保健系统、监狱和拘留中心在增加循环流动人口获得艾滋病毒检测方面发挥着重要作用，但仍有改进的余地。需要制定政策，以常规和道德的方式向这些环境中的墨西哥移民提供选择退出、保密的艾滋病毒检测和咨询，并进行试点测试。这些政策可以增加对艾滋病毒状况的了解，促进高度移动的人口参与艾滋病毒治疗，并有助于降低东道和接收社区的艾滋病毒发病率。
HIV testing and counseling is a critical component of HIV prevention efforts and core element of current “treatment as prevention” strategies. Mobility, low education and income, and limited access to health care put Latino migrants at higher risk for HIV and represent barriers for adequate levels of HIV testing in this population. We examined correlates of, and missed opportunities to increase, HIV testing for circular Mexican migrants in the U.S. We used data from a probability-based survey of returning Mexican migrants (N=1161) conducted in the border city of Tijuana, Mexico. We estimated last 12-months rates of HIV testing and the percentage of migrants who received other health care services or were detained in an immigration center, jail, or prison for 30 or more days in the U.S., but were not tested for HIV. Twenty-two percent of migrants received HIV testing in the last 12 months. In general, utilization of other health care services or detention for 30 or more days in the U.S. was a significant predictor of last 12-months HIV testing. Despite this association, we found evidence of missed opportunities to promote testing in healthcare and/or correctional or immigration detention centers. About 27.6% of migrants received other health care and/or were detained at least 30 days but not tested for HIV. Health care systems, jails and detention centers play an important role in increasing access to HIV testing among circular migrants, but there is room for improvement. Policies to offer opt-out, confidential HIV testing and counseling to Mexican migrants in these settings on a routine and ethical manner need to be designed and pilot tested. These policies could increase knowledge of HIV status, facilitate engagement in HIV treatment among a highly mobile population, and contribute to decrease incidence of HIV in the host and receiving communities.
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影响因子：
4.4
作者：
Gudelia Rangel, M.;Martinez-Donate, Ana P.;Hovell, Melbourne F.;Sipan, Carol L.;Zellner, Jennifer A.;Gonzalez-Fagoaga, Eduardo;Kelley, Norma J.;Asadi-Gonzalez, Ahmed;Amuedo-Dorantes, Catalina;Magis-Rodriguez, Carlos
通讯作者：
Magis-Rodriguez, Carlos
影响因子：
4.4
作者：
Hall, H. Irene;Holtgrave, David R.;Rhodes, Philip
通讯作者：
Rhodes, Philip
影响因子：
4.9
作者：
Arya, Monisha;Amspoker, Amber B.;Giordano, Thomas P.
通讯作者：
Giordano, Thomas P.
影响因子：
4.9
作者：
Chin, Tammy;Hicks, Charles;McKellar, Mehri
通讯作者：
McKellar, Mehri
影响因子：
3.5
作者：
Amuedo-Dorantes C;Puttitanun T;Martinez-Donate AP
通讯作者：
Martinez-Donate AP