Pre- and Post-immigration HIV Testing Behaviors among Young Adult Recent Latino Immigrants in Miami-Dade County, Florida.
Pre- and Post-immigration HIV Testing Behaviors among Young Adult Recent Latino Immigrants in Miami-Dade County, Florida.
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DOI：
10.1007/s10461-021-03233-9
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发表时间：
2021-09
影响因子：
4.4
通讯作者：
Sánchez M
中科院分区：
文献类型：
--
作者：
Ramírez-Ortiz D;Forney DJ;Sheehan DM;Cano MÁ;Romano E;Sánchez M
在移民过程中尽早进行艾滋病毒检测有助于及时为移民提供艾滋病毒预防和治疗服务。本研究旨在确定新近拉丁裔移民的年轻人在移民前和移民后自我报告艾滋病毒检测的流行情况，以及移民前艾滋病毒性风险行为、移民后获得医疗保健的机会以及移民后艾滋病毒检测之间的关联。使用稳健的泊松回归模型对 504 名年龄在 18 岁至 34 岁之间的拉丁裔新移民的横断面数据进行了分析，他们在评估前的 12 个月内移民到佛罗里达州迈阿密戴德县。我们发现，23.8% 的参与者报告在移民后进行了 HIV 检测，56.7% 的参与者报告在移民前进行了 HIV 检测。对于有健康保险的参与者（调整后的患病率[aPR]：1.70，95%置信区间[CI]：1.21-2.38）和移民后有正规医生或医疗保健提供者（aPR：1.43，95% CI 1.03-2.00）的参与者，移民后艾滋病毒检测的患病率较高，对于在移民前曾接受过艾滋病毒检测的参与者，移民后艾滋病毒检测的患病率较高（aPR：2.41，95% CI 1.68–3.45）。此外，在移民前三个月进行无套性行为的人的患病率较低（aPR：0.65，95% 0.47-0.90）。这些发现表明，需要解决年轻拉丁裔移民的医疗保健和预防服务障碍，以便在移民过程的早期扩大该人群的艾滋病毒检测范围。
HIV testing early in the immigration process can facilitate timely linkage to HIV prevention and treatment services for immigrants. This study aims to determine the prevalence of self-report HIV testing pre- and post-immigration and the associations between pre-immigration HIV sexual risk behaviors, access to healthcare post-immigration, and HIV testing post-immigration among young adult recent Latino immigrants. Cross-sectional data from 504 recent Latino immigrants aged 18 to 34 who immigrated to Miami-Dade County, Florida during the 12 months before assessment were analyzed using robust Poisson regression models. We found that 23.8% of participants reported HIV testing post-immigration and 56.7% reported HIV testing pre-immigration. The prevalence ratio for post-immigration HIV testing was higher for participants that had health insurance (adjusted prevalence ratio [aPR]: 1.70, 95% confidence interval [CI]: 1.21–2.38) and a regular doctor or healthcare provider after immigration (aPR: 1.43, 95% CI 1.03–2.00), and post-immigration HIV testing was higher for participants that had ever been tested for HIV before immigration (aPR: 2.41, 95% CI 1.68–3.45). Also, the prevalence ratio was lower for those who engaged in condomless sex in the three months prior to immigration (aPR: 0.65, 95% 0.47–0.90). These findings suggest that addressing barriers to healthcare and prevention services for young adult recent Latino immigrants is needed to scale-up HIV testing in this population early in the immigration process.
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影响因子：
1.9
作者：
Chen, Nadine E.;Gallant, Joel E.;Page, Kathleen R.
通讯作者：
Page, Kathleen R.
影响因子：
1.5
作者：
Dennis, Ann M.;Hue, Stephane;Eron, Joseph J.
通讯作者：
Eron, Joseph J.
DOI：
10.1080/09540120220123757
发表时间：
2002-06-01
影响因子：
1.7
作者：
Fernández, MI;Perrino, T;Bowen, GS
通讯作者：
Bowen, GS
影响因子：
2.3
作者：
Lo CC;Runnels RC;Cheng TC
通讯作者：
Cheng TC
影响因子：
33.9
作者：
Gray, Kristen Mahle;Valverde, Eduardo E.;Hall, H. Irene
通讯作者：
Hall, H. Irene