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首页> 外文期刊>Frontiers in Public Health >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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Relationship between Human Immunodeficiency Virus (HIV) Knowledge, HIV-Related Stigma, and HIV Testing among Young Black Adults in a Southeastern City

机译：东南城市青年黑人成人的人类免疫缺陷病毒（HIV）知识，与艾滋病相关的污名和HIV检测之间的关系

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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.
机译：东南被确定为美国人类免疫缺陷病毒（HIV）流行的中心，在美国占所有诊断为HIV的人口中将近44％。艾滋病毒的污名和知识被认为是增加非裔美国人社区感染艾滋病毒风险的一些复杂因素。我们试图了解艾滋病知识和与艾滋病相关的污名如何影响在东南城市完成基于社区参与性研究调查的年轻黑人成年人的艾滋病检测经验。在研究团队和社区成员的积极参与下，制定了调查措施，目的是在社区知识，利益和关注与科学考虑，资金的现实性和项目时间表之间取得平衡。总共513份音频计算机辅助的自我访谈问卷中有508份进行了分析。在接下来的12个月中，有81％的参与者曾经接受过艾滋病毒检测，并且有意进行艾滋病毒检测。总体而言，分析显示，东南城市的黑人青年中与艾滋病毒相关的污名较低，对艾滋病毒的知识相对中等至较高。 Logistic回归表明，曾经接受过HIV检测的人与HIV知识呈正相关[比值比（OR）：1.50; 95％置信区间（CI）：1.23-1.84，p 0.001]，但与艾滋病相关的耻辱感低呈负相关（OR：0.08; 95％CI：0.01-0.76，p 0.03）。但是，在与艾滋病相关的污名，对艾滋病的了解以及将来的艾滋病毒检测意愿之间没有显着的关系。这些发现表明，除非特别强调解决内部化的与艾滋病相关的污名和歧视，否则减少艾滋病相关的污名和增加对艾滋病的了解不足以促进该市年轻黑人成年人的艾滋病检测（即意向测试）。对艾滋病毒预防和控制的误解。

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