Correlates of HIV testing history among urban youth recruited through venue-based testing in 15 US cities.
Correlates of HIV testing history among urban youth recruited through venue-based testing in 15 US cities.
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DOI：
10.1097/olq.0b013e318214bb70
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发表时间：
2011-08
影响因子：
3.1
通讯作者：
Adolescent Trials Network for HIV/AIDS Interventions
中科院分区：
文献类型：
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作者：
Straub DM;Arrington-Sanders R;Harris DR;Willard N;Kapogiannis B;Emmanuel P;Futterman D;Ellen JM;Adolescent Trials Network for HIV/AIDS Interventions
青少年和年轻成年人在艾滋病毒感染者和未确诊艾滋病毒感染者中所占比例过高。我们的目标是确定与HIV检测史相关的因素，并在美国15个城市的城市，高风险，性活跃的青少年样本中获得结果。招募了20-30名12-24岁的性活跃青年参加匿名调查，并在每个城市的2-3个地点进行艾滋病毒抗体检测，这些地点由与男性发生性关系的青年男子、有色人种青年妇女或静脉注射毒品者确定。在1457名参与者中，72%的人报告说以前接受过艾滋病毒检测（其中89%的人知道他们的检测结果）。我们的样本在性别、种族/民族和性取向方面是多样化的。被发现可以预测检测的因素通常反映了感染艾滋病毒的高风险，但一些高风险伴侣的特征除外，包括有一个让年轻人在没有安全套的情况下发生性行为的伴侣，或者有一个艾滋病毒状况不明的伴侣。与血清学状态的知识相关的因素进行了报告。艾滋病毒检测似乎更多地与性传播感染检测服务联系在一起，而不是与初级保健联系在一起。需要更多的策略来增加检测，包括针对高风险个体的伴侣，确保收到检测结果，以及增加初级保健环境中的检测。
Adolescents and young adults comprise disproportionately high percentages of individuals living with HIV and those with undiagnosed HIV. Our objective was to determine factors associated with history of HIV testing and receipt of results among a sample of urban, high-risk, sexually active adolescents in 15 U.S. cities. 20–30 sexually active youth, aged 12–24 years, were recruited to participate in an anonymous survey and HIV antibody testing at 2–3 venues per city identified by young men who have sex with men, young women of color, or intravenous drug users. Of the 1457 participants, 72% reported having been previously tested for HIV (89% of whom were aware of their test results). Our sample was diverse in terms of gender, race/ethnicity, and sexual orientation. Factors found to be predictive of testing typically reflect high risk for HIV, except for some high risk partner characteristics, including having had a partner that made the youth have sex without a condom or had a partner with unknown HIV status. Factors associated with knowledge of serostatus are reported. HIV testing appears to be tied more to STI testing services than to primary care. More strategies are needed that increase testing, including targeting partners of high-risk individuals, insuring receipt of test results, and increasing testing in primary care settings.