Drug users talk about HIV testing: motivating and deterring factors

Drug users talk about HIV testing: motivating and deterring factors
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DOI:
10.1080/09540120120063205
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发表时间:
2001-10-01
影响因子:
1.7
通讯作者:
Vu, C
Vu, C
中科院分区:
医学4区
文献类型:
--
作者:
Downing, M;Knight, K;Vu, C

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注射吸毒在艾滋病毒/艾滋病的传播中起着至关重要的作用,估计每年有19 000名吸毒者受到感染。咨询和检测服务可以成为使艾滋病毒感染者接受医疗护理的重要途径,并可对注射吸毒者的预防行为产生积极影响。本研究旨在记录和了解注射吸毒者中艾滋病毒检测的动机和阻碍因素的复杂性和范围。参与者采用方便抽样方法招募。访谈包括定性指南和定量调查,以收集艾滋病毒检测史、性和毒品风险行为以及人口统计信息。对访谈数据进行编码和内容分析,以确定新出现的主题,并澄清吸毒者在决定是否进行测试时所采用的过程。对66名吸毒者进行了访谈。该样本报告一生中平均进行了四次艾滋病毒检测。参与者描述了一系列激励和阻止因素,以艾滋病毒检测在个人,人际和结构类别。吸毒者的测试决定受到一系列复杂因素的影响。更好地了解这些动机和威慑因素可以帮助提供者制定一个更全面的方法,针对这一高风险人群的艾滋病毒预防工作。
Injection drug use plays a critical role in the spread of HIV/AIDS, with an estimated 19,000 drug users infected each year. Counselling and testing services can be an important gateway for engaging HIV-infected individuals into medical care and can positively influence the preventive behaviours of IDUs. This study seeks to document and understand the complexity and range of motivations and deterrents to HIV testing among IDUs. Participants were recruited using a convenience sampling method. Interviews consisted of a qualitative guide and a quantitative survey to collect HIV testing histories, sex and drug risk behaviours, and demographic information. Interview data was coded and content analyzed to identify emerging themes and clarify the processes that drug users employ in deciding whether or not to test. Sixty-six drug users were interviewed. The sample reported a median of four lifetime HIV tests. Participants described a range of motivating and deterring factors to HIV testing across personal, interpersonal and structural categories. Drug users' decision to test is influenced by a complex network of factors. Better understanding of these motivators and deterrents can help providers develop a more holistic approach to targeting this high-risk population for HIV prevention efforts.