Racial/ethnic differences in HIV testing: An application of the health services utilization model.
Racial/ethnic differences in HIV testing: An application of the health services utilization model.
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DOI：
10.1177/2050312118783414
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发表时间：
2018
影响因子：
2.3
通讯作者：
Cheng TC
中科院分区：
文献类型：
--
作者：
Lo CC;Runnels RC;Cheng TC
本研究应用卫生服务利用模型研究了易感性，使能性和需求变量的重要性，以解释跨种族/族裔群体的终身艾滋病毒检测的社会机制。该研究的数据来自全国健康访谈调查（2013-2014年收集），我们的最终样本为18，574名成年人。四个子样本反映了种族/民族：13，347名白人，2267名黑人，2074名西班牙裔和886名亚洲人。Logistic回归建立了曾经接受过艾滋病毒检测的应答者几率。进一步的统计检验评估了种族/族裔在艾滋病毒检测中的潜在调节作用。研究结果普遍支持的作用，阿代的诱发，使，并需要在解释艾滋病毒检测的因素。在四个子样本中，女性、年龄较大和性少数地位持续增加终身艾滋病毒检测。然而，我们发现HIV检测与这些因素和其他因素之间存在种族/民族差异。我们的研究开始了在四个种族/民族群体中进行艾滋病毒检测和可靠诊断的具体机制的努力。了解这些机制可能会增加提高所有人检测率的机会，从而减少艾滋病毒治疗中的种族/民族差异。
This study applying the health services utilization model examined the importance of predisposing, enabling, and need variables to the social mechanisms explaining lifetime HIV testing across racial/ethnic groups. Data for the study were derived from the National Health Interview Survey (collected 2013–2014), our final sample numbering 18,574 adults. Four subsamples reflected race/ethnicity: 13,347 Whites, 2267 Blacks, 2074 Hispanics, and 886 Asians. Logistic regression established respondent odds of ever having received HIV testing. Further statistical testing evaluated race/ethnicity’s potential moderating role in HIV testing. The findings generally support a role for Aday’s predisposing, enabling, and need factors in explaining HIV testing. Across the four subsamples, female gender, older age, and sexual minority status consistently increased lifetime HIV testing. However, we found racial/ethnic differences in HIV testing’s associations with these factors and others. Our study made a beginning in the effort to specify mechanisms leading to HIV testing—and reliable diagnosis—among four racial/ethnic groups. Understanding these mechanisms might multiply opportunities to raise testing rates for all, in turn reducing racial/ethnic disparities in HIV treatment.