Ethnicity and HIV risk behaviour, testing and knowledge in Guatemala.
Ethnicity and HIV risk behaviour, testing and knowledge in Guatemala.
复制标题
DOI：
10.1080/13557858.2014.893562
复制
发表时间：
2015
影响因子：
3.1
通讯作者：
Bertrand JT
中科院分区：
文献类型：
--
作者：
Taylor TM;Hembling J;Bertrand JT
目标.按族裔群体描述危地马拉男子和妇女的危险性行为、艾滋病毒检测和艾滋病毒知识水平，并确定族裔与这些结果之间的调整关联。 设计使用了2008-2009年全国母婴健康调查中16 205名15-49岁妇女和6 822名15-59岁男子的数据，以说明各族裔群体在性行为、艾滋病毒知识和检测方面的差异。然后，我们控制了年龄，教育，财富和其他社会人口因素的多变量逻辑回归模型，以检查种族对结果的影响，这些结果与初次性行为的年龄，终生性伴侣的数量，全面的艾滋病毒知识，艾滋病毒检测和终身性工作者赞助（仅限男性）有关。 结果数据显示，与其他受访者相比，土著妇女和男子的危险性行为水平较低，艾滋病毒知识水平也较低。在控制人口因素的情况下，土著妇女比其他妇女更有可能从未接受过艾滋病毒检测，也更缺乏全面的艾滋病毒知识。他们不太可能报告过早的首次性行为和三个或更多的终身性伴侣。土著男子比其他男子更有可能缺乏全面的艾滋病毒知识，并表现出较低的可能性，早期首次性行为，10个或更多的终身性伴侣和性工作者光顾。 结论.危地马拉的玛雅土著人口虽然在社会上普遍处于弱势地位，但根据对选定风险因素的分析，他们感染艾滋病毒的风险似乎并不高。然而，艾滋病毒知识和检测率低可能令人关切。在土著社区开展的方案应侧重于艾滋病毒教育和减少检测障碍。对种族自我认同和种族感知的基础因素的进一步研究可能有助于澄清这些措施对艾滋病毒风险和其他健康结果的相对重要性。
Objectives. To describe levels of risky sexual behaviour, HIV testing and HIV knowledge among men and women in Guatemala by ethnic group and to identify adjusted associations between ethnicity and these outcomes. Design. Data on 16,205 women aged 15–49 and 6822 men aged 15–59 from the 2008–2009 Encuesta Nacional de Salud Materno Infantil were used to describe ethnic group differences in sexual behaviour, HIV knowledge and testing. We then controlled for age, education, wealth and other socio-demographic factors in a multivariate logistic regression model to examine the effects of ethnicity on outcomes related to age at sexual debut, number of lifetime sex partners, comprehensive HIV knowledge, HIV testing and lifetime sex worker patronage (men only). Results. The data show low levels of risky sexual behaviour and low levels of HIV knowledge among indigenous women and men, compared to other respondents. Controlling for demographic factors, indigenous women were more likely than other women never to have been tested for HIV and to lack comprehensive HIV knowledge. They were less likely to report early sexual debut and three or more lifetime sexual partners. Indigenous men were more likely than other men to lack comprehensive HIV knowledge and demonstrated lower odds of early sexual debut, 10 or more lifetime sexual partners and sex worker patronage. Conclusions. The Mayan indigenous population in Guatemala, while broadly socially vulnerable, does not appear to be at elevated risk for HIV based on this analysis of selected risk factors. Nonetheless, low rates of HIV knowledge and testing may be cause for concern. Programmes working in indigenous communities should focus on HIV education and reducing barriers to testing. Further research into the factors that underlie ethnic self-identity and perceived ethnicity could help clarify the relative significance of these measures for HIV risk and other health outcomes.
登录
查看更多内容
影响因子：
3.1
作者：
Couture, Marie-Claude;Soto, Julio C.;Zunzunegui, Maria-Victoria
通讯作者：
Zunzunegui, Maria-Victoria
影响因子：
3.1
作者：
Shaw, Souradet Y.;Bhattacharjee, Parinita;Blanchard, James F.
通讯作者：
Blanchard, James F.
DOI：
10.1097/01.qai.0000151079.33935.79
发表时间：
2005-08-01
影响因子：
3.6
作者：
Marks, G;Crepaz, N;Janssen, RS
通讯作者：
Janssen, RS
影响因子：
5.4
作者：
Parrado, Emilio A.;Flippen, Chenoa
通讯作者：
Flippen, Chenoa
影响因子：
3.1
作者：
GREENBERG, J;MAGDER, L;ARAL, S
通讯作者：
ARAL, S