Behavior and health beliefs as predictors of HIV testing among women: a prospective study of observed HIV testing.
Behavior and health beliefs as predictors of HIV testing among women: a prospective study of observed HIV testing.
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DOI：
10.1080/09540121.2018.1442555
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发表时间：
2018-08
期刊：
影响因子：
1.7
通讯作者：
Zimet GD
中科院分区：
文献类型：
--
作者：
Fan H;Fife KH;Cox D;Cox AD;Zimet GD
大多数研究HIV检测的预测因素都使用了横断面方法，必须依赖回顾性自我报告来评估HIV检测史。这些研究的结果可能会受到回忆偏差和难以确定关联方向的影响。在这项前瞻性研究中，我们对社区诊所的妇女进行了调查，以确定随后观察到的口服HIV检测接受度的预测因素，从而克服了这些局限性。83%的人接受了艾滋病毒检测。在调整后的多变量模型中，出生在美国（AOR：1.51; 95% CI = 1.01 - 2.25），检测的感知益处（AOR：2.17; 95% CI = 1.78 - 2.63），担心感染艾滋病毒（AOR：1.69; 95%CI = 1.69），1.47 - 1.95），有超过15个终生性伴侣（AOR：1.96; 95% C.I.= 1.26 - 3.05），以及在过去三个月内有一个或多个临时性伴侣（AOR：2.47; 95% C.I.= 1.42 - 4.31）预测的测试验收。感知到的测试障碍预测不接受（AOR：0.82; 95% C.I.= 0.71 - 0.94）。那些从未接受过HIV检测的人（AOR：4.46; 95%CI = 3.14 - 6.34）和那些在2 - 5年前接受过检测的人（AOR：2.74; 95%CI = 1.77 - 4.24）比那些在过去一年内接受过检测的人接受检测的几率更大。这项前瞻性研究的结果以观察测试为结果，证实了回顾性自我报告研究的一些结果。参与者对检测做出了基本上理性的决定，反映了对他们的风险和艾滋病毒检测史的评估。通过行为干预，健康信念可能是可以改变的，这种干预可能会导致更大的接受测试。
Much of the research examining predictors of HIV testing has used cross-sectional methodologies, necessarily relying on retrospective self-report to assess HIV testing history. Findings from these studies may be subject to recall bias and to difficulties determining the direction of associations. In this prospective study, we administered surveys to women in community clinics to identify predictors of subsequent observed oral HIV test acceptance, thus overcoming these limitations. Eighty-three percent accepted HIV testing. In the adjusted multivariable model, being born in the U.S. (AOR: 1.51; 95%C.I.=1.01–2.25), perceived benefits of testing (AOR: 2.17; 95%C.I.=1.78–2.63), worries about being infected with HIV (AOR: 1.69; 95%C.I.=1.47–1.95), having had more than 15 lifetime sexual partners (AOR: 1.96; 95%C.I.=1.26–3.05), and having had one or more casual sexual partners in the previous three months (AOR: 2.47; 95%C.I.=1.42–4.31) predicted acceptance of testing. Perceived obstacles to testing predicted non-acceptance (AOR: 0.82; 95%C.I.=0.71–0.94). Those who had never been tested for HIV (AOR: 4.46; 95%CI=3.14–6.34) and those tested two to five years previously (AOR: 2.74; 95%CI=1.77–4.24) had greater odds of test acceptance than those who had been tested within the last year. The findings from this prospective study with observed testing as the outcome, confirm some of the results from retrospective, self-report studies. Participants made largely rational decisions about testing, reflecting assessments of their risk and their history of HIV testing. Health beliefs are potentially modifiable through behavioral intervention, and such interventions might result in greater acceptance of testing.
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影响因子：
4.4
作者：
Huang ZJ;He N;Nehl EJ;Zheng T;Smith BD;Zhang J;McNabb S;Wong FY
通讯作者：
Wong FY
影响因子：
4.4
作者：
Derose, Kathryn Pitkin;Mendel, Peter J.;Palar, Kartika;Kanouse, David E.;Bluthenthal, Ricky N.;Castaneda, Laura Werber;Corbin, Dennis E.;Dominguez, Blanca X.;Hawes-Dawson, Jennifer;Mata, Michael A.;Oden, Clyde W.
通讯作者：
Oden, Clyde W.
影响因子：
3.2
作者：
Booth, Amy R.;Norman, Paul;Goyder, Elizabeth
通讯作者：
Goyder, Elizabeth
影响因子：
9.3
作者：
Kasting, Monica L.;Cox, Anthony D.;Zimet, Gregory D.
通讯作者：
Zimet, Gregory D.
影响因子：
1.9
作者：
Crawford, Tim;Caldwell, Glyn;Thornton, Alice
通讯作者：
Thornton, Alice