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首页> 外文期刊>Journal of women’s health >HIV Testing Among Midlife Women in the Deep South: An Analysis of the 2008 Behavioral Risk Factor Surveillance System Survey Data.
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HIV Testing Among Midlife Women in the Deep South: An Analysis of the 2008 Behavioral Risk Factor Surveillance System Survey Data.

机译:南部深处中年妇女的艾滋病毒检测:2008年行为危险因素监测系统调查数据的分析。

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Abstract Objective and background: Our objective was to examine HIV testing uptake among postmenopausal women. Many women are routinely tested for HIV during pregnancy. Disproportionate numbers of women beyond reproductive age are diagnosed HIV-positive late in the disease course. Some older women and healthcare providers have dismissed early AIDS symptoms as signs of aging. This has resulted in missed opportunities for early initiation of effective antiretroviral therapy. Methods: Behavioral Risk Factor Surveillance System (BRFSS) 2008 data were analyzed for non-Hispanic white and non-Hispanic black women (50-64 years) from six deep south states. Logistic regression models examined associations between uptake of HIV testing and population/behavioral characteristics. Results: More than half of our sample (1091 of 2027) had an HIV test during their postreproductive years (>45 years old). Women 50-54 years old were about 40% as likely to have been tested for HIV during their postreproductive years as those 60-64 years old (adjusted odds ratio [AOR] 0.62, 95% confidence interval [CI] 0.45-0.84). Population characteristics, such as race/ethnicity, family poverty status, and urbanization, as well as HIV exposure risk, were all potential confounders of this relationship. Conclusions: Routine HIV testing is underused among women during their postreproductive years. HIV prevention messages that target midlife women are needed to reduce the prevalence of HIV/AIDS and disproportionate burden of late diagnosed HIV infection in this population.
机译:摘要目的和背景:我们的目的是检查绝经后妇女的HIV检测摄入量。许多妇女在怀孕期间接受常规HIV检测。在病程后期被诊断出艾滋病毒呈阳性的年龄超过育龄妇女的比例不成比例。一些老年妇女和医疗保健提供者认为,早期的艾滋病症状是衰老的迹象。这导致错过了提早开始有效抗逆转录病毒治疗的机会。方法:对来自深南部六个州的非西班牙裔白人和非西班牙裔黑人妇女(50-64岁)的行为危险因素监视系统(BRFSS)2008数据进行了分析。 Logistic回归模型检查了HIV检测的使用与人口/行为特征之间的关联。结果:我们一半以上的样本(2027年的1091名)在其生殖后的年龄(> 45岁)中进行了HIV检测。 50-54岁女性在生殖后阶段接受HIV检测的可能性约为60-64岁女性(经调整的优势比[AOR] 0.62,95%置信区间[CI] 0.45-0.84)。人口特征,例如种族/民族,家庭贫困状况和城市化以及艾滋病毒暴露风险,都是这种关系的潜在混杂因素。结论:妇女在生殖后的岁月中没有进行常规的HIV检测。需要针对中年妇女的艾滋病毒预防信息,以减少该人群中艾滋病毒/艾滋病的患病率和后期诊断出的艾滋病毒感染的不成比例的负担。

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