INDIVIDUAL AND NEIGHBORHOOD CORRELATES OF HIV TESTING AMONG AFRICAN AMERICAN YOUTH TRANSITIONING FROM ADOLESCENCE INTO YOUNG ADULTHOOD
INDIVIDUAL AND NEIGHBORHOOD CORRELATES OF HIV TESTING AMONG AFRICAN AMERICAN YOUTH TRANSITIONING FROM ADOLESCENCE INTO YOUNG ADULTHOOD
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DOI：
10.1521/aeap.2010.22.6.509
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发表时间：
2010-12-01
影响因子：
1.8
通讯作者：
Zimmerman, Marc A.
中科院分区：
文献类型：
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作者：
Johns, Michelle Marie;Bauermeister, Jose A.;Zimmerman, Marc A.
社会弱势群体之间存在艾滋病毒检测率差异。我们使用从青春期到成年早期的城市非洲裔美国青年的纵向样本（n = 396；51% 为女性），研究了 HIV 检测是否与个人（例如性别、社会经济地位 [SES]、教育和性传播感染 [STI] 史）和地区（即邻里劣势和 HIV 患病率）特征相关。在我们的多级回归中，我们发现女性更有可能接受艾滋病毒检测，如果她们生活在处境更为不利的地区，这种关联的程度就会增加，但如果她们生活在艾滋病毒流行率较高的地区，这种关联的程度就会降低。那些没有高中学历、社会经济地位较低或有青春期性传播感染史的人不太可能测试自己是否生活在更不利和艾滋病毒流行的地区。我们从生态角度讨论这些发现的影响，并提出增加非裔美国青年检测的建议。
Disparities in HIV testing rates exist among socially disadvantaged communities. Using a longitudinal sample of urban African American youth followed from adolescence into young adulthood (n = 396; 51% female), we examined whether HIV testing was associated with individual (e.g., gender, socioeconomic status [SES], education, and history of sexually transmitted infections [STIs]) and area (i.e., neighborhood disadvantage and HIV prevalence) characteristics. In our multilevel regressions, we found females were more likely to have tested for HIV, with the magnitude of this association increasing if they lived in areas of greater disadvantage yet decreasing in higher HIV prevalence areas. Those without a high school degree, with a lower SES, or with a history of STIs in adolescence were less likely to test if they lived in greater disadvantage and HIV prevalence areas. We discuss the implications of these findings from an ecological perspective and propose recommendations for increasing testing among African American youth.