What Prevents Central Asian Migrant Workers from Accessing HIV Testing? Implications for Increasing HIV Testing Uptake in Kazakhstan.

What Prevents Central Asian Migrant Workers from Accessing HIV Testing? Implications for Increasing HIV Testing Uptake in Kazakhstan.
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DOI:
10.1007/s10461-017-1713-x
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发表时间:
2017-08
期刊:
影响因子:
4.4
通讯作者:
El-Bassel N
El-Bassel N
中科院分区:
医学2区
文献类型:
--
作者:
Davis A;Terlikbayeva A;Terloyeva D;Primbetova S;El-Bassel N

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一些障碍阻碍了移民工人等重点人群获得艾滋病毒检测。我们利用哈萨克斯坦中亚移民工人(n=623)的横断面研究数据,研究了与艾滋病毒检测相关的因素。总体而言,48% 的参与者曾经接受过 HIV 检测。有临时登记(AOR 1.69;(95% CI [1.12–2.56])、有雇佣合同(AOR 2.59;(95% CI [1.58–4.23]))、有能力负担医疗保健服务(AOR 3.61;(95% CI [1.86–7.03])在过去 12 个月内进行过体检(AOR 1.85; 95% CI [1.18–2.89]) 和拥有正规医生 (AOR 2.37; 95% CI [1.20–4.70]) 与哈萨克斯坦移民进行 HIV 检测的比例远远低于 UNAIDS 90-90-90 的目标。增加该人群 HIV 检测的干预策略可能包括侧重于改善无证移民的覆盖范围、提高医疗保健服务水平的举措。负担得起,并将移民与医疗保健联系起来。
Several barriers prevent key populations, such as migrant workers, from accessing HIV testing. Using data from a cross-sectional study among Central Asian migrant workers (n=623) in Kazakhstan, we examined factors associated with HIV testing. Overall, 48% of participants had ever received an HIV test. Having temporary registration (AOR 1.69; (95% CI [1.12–2.56]), having an employment contract (AOR 2.59; (95% CI [1.58–4.23]), being able to afford health care services (AOR 3.61; (95% CI [1.86–7.03]) having a medical check-up in the past 12 months (AOR 1.85; 95% CI [1.18–2.89]), and having a regular doctor (AOR 2.37; 95% CI [1.20–4.70]) were associated with having an HIV test. HIV testing uptake among migrants in Kazakhstan falls far short of UNAIDS 90-90-90 goals. Intervention strategies to increase HIV testing among this population may include initiatives that focus on improving outreach to undocumented migrants, making health care services more affordable, and linking migrants to health care.
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