Risk profile and HIV testing outcomes of women undergoing community-based testing in San Diego 2008-2014.
Risk profile and HIV testing outcomes of women undergoing community-based testing in San Diego 2008-2014.
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2008-2014 年圣地亚哥接受社区检测的妇女的风险概况和艾滋病毒检测结果。
DOI：
10.1038/srep42183
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发表时间：
2017
影响因子：
4.6
通讯作者：
Hoenigl,Martin
中科院分区：
文献类型：
--
作者：
Graves,SusannahK;Little,SusanJ;Hoenigl,Martin
2014年，美国新增艾滋病毒诊断病例中，女性占19%，在感染率方面存在明显的种族和民族差异。这项对参加队列研究的妇女的横断面分析比较了圣地亚哥县接受艾滋病毒检测的妇女的人口统计学、危险行为和性传播感染(STI)。使用的数据来自2008年4月至2014年7月接受艾滋病毒自愿筛查的妇女的最近一次筛查访问。研究人员比较了≤24岁、25-49岁和≥50岁的女性，以及感染艾滋病毒和未感染艾滋病毒的妇女以及西班牙裔和非西班牙裔妇女之间的艾滋病毒诊断、危险行为和自我报告的性传播疾病。在纳入的2,535名女性中，拉美裔女性比其他女性报告无保护措施的阴道性交(p = 0.026)或使用兴奋剂(p = 0.026)的可能性更小，更有可能报告一个或更少的伴侣(p <； 0.0001)，但也更有可能报告与艾滋病毒感染者发生性关系(p = 0.027)。新的艾滋病毒感染在西班牙裔妇女中更为普遍(1.6%vs.0.2%；p <； 0.001)。西班牙裔女性比其他女性更有可能被诊断为艾滋病毒携带者，尽管风险行为的比率要低得多。针对拉美裔妇女的针对文化的降低风险干预措施应侧重于对伴侣风险的认识和适当的测试。
Women comprised 19% of new HIV diagnoses in the United States in 2014, with significant racial and ethnic disparities in infection rates. This cross-sectional analysis of women enrolled in a cohort study compares demographics, risk behaviour, and sexually transmitted infections (STI) in those undergoing HIV testing in San Diego County. Data from the most recent screening visit of women undergoing voluntary HIV screening April 2008 –July 2014 was used. HIV diagnosis, risk behaviour and self-reported STIs were compared among women aged ≤24, 25–49, and ≥50, as well as between HIV-infected and uninfected women and between Hispanic and non-Hispanic women. Among the 2535 women included, Hispanic women were less likely than other women to report unprotected vaginal intercourse (p = 0.026) or stimulant drug use (p = 0.026), and more likely to report one or fewer partners (p < 0.0001), but also more likely to report sex with an HIV-infected individual (p = 0.027). New HIV infection was significantly more prevalent among Hispanic women (1.6% vs. 0.2%; p < 0.001). Hispanic women were more likely than other women to be diagnosed with HIV despite significantly lower rates of risk behaviour. Culturally specific risk reduction interventions for Hispanic women should focus on awareness of partner risk and appropriate testing.