Relationship between Human Immunodeficiency Virus (HIV) Knowledge, HIV-Related Stigma, and HIV Testing among Young Black Adults in a Southeastern City.
Relationship between Human Immunodeficiency Virus (HIV) Knowledge, HIV-Related Stigma, and HIV Testing among Young Black Adults in a Southeastern City.
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DOI：
10.3389/fpubh.2017.00047
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发表时间：
2017
影响因子：
5.2
通讯作者：
MacQueen KM
中科院分区：
文献类型：
--
作者：
Okumu E;Jolly DH;Alston L;Eley NT;Laws M;MacQueen KM
东南部被确定为全国人类免疫缺陷病毒（HIV）流行的中心，占美国所有艾滋病毒诊断者的近44%。艾滋病毒的耻辱和知识被认为是非洲裔美国人社区内增加感染艾滋病毒风险的一些复杂因素。我们试图了解艾滋病毒知识和艾滋病毒相关的耻辱感如何影响年轻黑人成年人的艾滋病毒检测经验，他们在东南部城市完成了一项以社区为基础的参与性研究调查。调查措施是在研究小组和社区成员的积极参与下制定的，目的是平衡社区知识、利益和关切与科学考虑以及资金和项目时间轴的现实。共分析了508的513个音频计算机辅助自访问卷完成。81%的参与者曾经测试过，并打算在未来12个月内测试艾滋病毒。总体而言，分析显示，在东南部城市的年轻黑人成年人中，与艾滋病毒相关的耻辱感较低，艾滋病毒知识相对中度到高度。Logistic回归分析显示，曾做过HIV检测者与HIV相关知识呈正相关（OR：1.50，95%CI：1.23-1.84，p < 0.001），与低污名感呈负相关（OR：0.08，95%CI：0.01-0.76，p < 0.03）。然而，艾滋病相关的耻辱感，艾滋病知识，并打算在未来的艾滋病病毒检测之间没有显着的关系。这些研究结果表明，减少艾滋病毒相关的耻辱和增加艾滋病毒知识不足以促进艾滋病毒检测（即，在这个城市的年轻黑人成年人中，除非特别强调解决与艾滋病毒有关的内在耻辱和对艾滋病毒预防和控制的误解。
The southeast is identified as the epicenter of the nation’s human immunodeficiency virus (HIV) epidemic, accounting for nearly 44% of all persons living with a HIV diagnosis in the United States. HIV stigma and knowledge have been cited as some of the complex factors increasing risk of acquiring HIV within African-American communities. We sought to understand how HIV knowledge and HIV-related stigma impact HIV testing experience among young Black adults who completed a community-based participatory research survey in a Southeastern city. Survey measures were developed with active engagement among the research team and community members, with the goal of balancing community knowledge, interests and concerns with scientific considerations, and the realities of funding and the project timeline. A total of 508 of the 513 audio computer-assisted self-interview questionnaires completed were analyzed. Eighty-one percent of participants had ever tested and had an intention-to-test for HIV in the next 12 months. Overall, analyses revealed low HIV-related stigma and relatively moderate to high HIV knowledge among young Black adults in the Southeastern city. Logistic regression indicated that having ever tested for HIV was positively correlated with HIV knowledge [odds ratio (OR): 1.50; 95% confidence interval (CI): 1.23–1.84, p < 0.001], but inversely correlated with low HIV-related stigma (OR: 0.08; 95% CI: 0.01–0.76, p < 0.03). However, there were no significant relationships between HIV-related stigma, HIV knowledge, and intention-to test for HIV in the future. These findings suggest that reducing HIV-related stigma and increasing HIV knowledge are not sufficient in promoting HIV testing (i.e., intention-to-test) among young Black adults in this city, unless specific emphasis is placed on addressing internalized HIV-related stigma and misperceptions about HIV prevention and control.