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首页> 外文期刊>AIDS care. >HIV testing prevalence in selected Chicago community areas: the importance of local-level data
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HIV testing prevalence in selected Chicago community areas: the importance of local-level data

机译：选定芝加哥社区领域的艾滋病毒检测流行：地方级数据的重要性

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While data on HIV testing prevalence is readily available at the national, state, and more rarely at the city level, few data are available on HIV testing at the community level, where public health initiatives may be most effectively implemented. Community-level data are necessary given that city, state, and national estimates mask variation occurring at the community level in large urban areas. This type of data is crucial for informing education efforts both within the community and among providers. The current study uses the Sinai Community Health Survey 2.0, a cross-sectional, population-based probability survey of adults in selected Chicago communities to determine the prevalence of ever tested for HIV by community area, sex, race/ethnicity, and age (n=1496). Across the surveyed community areas, ever tested prevalence ranged from a low of 35% in Norwood Park (predominantly White) to a high of 85% in North Lawndale (predominantly Black). Ever tested differences by community area were statistically significant (Rao Scott chi-square p=0.003). Across the sampled communities, 65% of females, 55% of males, 80% of Blacks, 62% of Puerto Ricans, 53% of Mexicans, and 44% of Whites had ever been tested for HIV (Rao Scott chi-square p0.01). Ever tested prevalence was highest in the 35-44 age group (72%) and lowest in the 65+ age group (33%) (Rao Scott chi-square p=0.001). Local-level HIV screening data are integral to understanding where (geographically and among which sub-populations) additional services are needed and may also help in directing and securing funding for such services. The evidence suggests that success in identifying and linking HIV positive individuals to care is most likely to be found through a combination of healthcare- and non-healthcare-based initiatives. Ideally, efforts will be coordinated to encompass both of these settings.
机译：虽然国家，国家的艾滋病病毒检测数据普遍存在，但在城市一级的情况下易于获得，但在社区一级的艾滋病毒检测中有很少的数据可以获得艾滋病毒检验，其中公共卫生举措可能最有效地实施。鉴于城市，国家和国家估计在大城市地区社区水平发生的掩码变化，需要社区级数据。这种类型的数据对于在社区和提供者中提供教育努力至关重要。目前的研究采用了西奈社区健康调查2.0，在选定的芝加哥社区中的成人横断面，基于人口的概率调查，以确定社区地区，性别，种族/种族和年龄（N）对艾滋病毒检验的患病率= 1496）。在调查的社区领域，诺伍德公园（主要是白人）在北部劳登代尔（主要是黑色）的高度为85％的低于35％的患病率。曾经通过社区区域进行过差异统计学意义（Rao Scott Chi-Square P = 0.003）。跨越的社区，65％的女性，55％的男性，黑人80％，占·威斯·墨西哥人的62％，占艾滋病毒的53％，44％的白人（Rao Scott Chi-Square P＆Lt; 0.01）。在35-44岁的年龄组（72％）和65岁年龄组（33％）中最低（Rao Scott Chi-Square P = 0.001）中曾在35-44岁年龄组（72％）和最低次数中最高。本地级别的HIV筛选数据是理解（地理上以及子群体）所需的附加服务，也可能有助于指导和保护此类服务的资金。证据表明，通过卫生保健和非医疗保健的举措的组合，最有可能在识别和联系艾滋病毒阳性个人来关心的成功。理想情况下，将协调努力涵盖这两个设置。

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