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首页> 外文期刊>AIDS care. >Knowing is not enough: a qualitative report on HIV testing among heterosexual African-American men
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Knowing is not enough: a qualitative report on HIV testing among heterosexual African-American men

机译：知道还不够：关于异性恋非裔美国人男性中艾滋病毒检测的定性报告

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Despite having higher rates of HIV testing than all other racial groups, African-Americans continue to be disproportionately affected by the HIV epidemic in the United States. Knowing one's status is the key step to maintaining behavioral changes that could stop the spread of the virus, yet little is known about the individual- and socio-structural-level barriers associated with HIV testing and communication among heterosexual African-American men. To address this and inform the development of an HIV prevention behavioral intervention for heterosexual African-American men, we conducted computerized, structured interviews with 61 men, focus group interviews with 25 men in 5 different groups, and in-depth qualitative interviews with 30 men living in high HIV prevalence neighborhoods in New York City. Results revealed that HIV testing was frequent among the participants. Even with high rates of testing, the men in the study had low levels of HIV knowledge; perceived little risk of HIV; and misused HIV testing as a prevention method. Factors affecting HIV testing, included stigma, relationship dynamics and communication, and societal influences, suggesting that fear, low perception of risk, and HIV stigma may be the biggest barriers to HIV testing. These results also suggest that interventions directed toward African-American heterosexual men must address the use of "testing as prevention" as well as correct misunderstandings of the window period and the meaning of HIV test results, and interventions should focus on communicating about HIV.
机译：尽管艾滋病毒检测率高于所有其他种族，但非裔美国人仍然受到美国艾滋病毒流行的不成比例的影响。知道自己的状况是维持行为改变以阻止病毒传播的关键步骤，但对于与艾滋病毒检测以及异性恋非裔美国人之间的交流相关的个人和社会结构层面的障碍知之甚少。为解决此问题并为针对异性恋非裔美国人的艾滋病毒预防行为干预的发展提供信息，我们对61名男性进行了计算机化，结构化访谈，对5个不同组中的25名男性进行了焦点小组访谈，并对30名男性进行了深入的定性访谈生活在纽约市的艾滋病高发地区。结果显示，参与者中艾滋病毒检测很频繁。即使进行了较高的检测，研究中的男性对艾滋病毒的了解水平也很低。认为很少感染艾滋病毒;并将艾滋病毒检测误用于预防方法。影响艾滋病毒检测的因素包括污名，关系动态和沟通以及社会影响，这表明恐惧，对风险的低感知以及对艾滋病的污名可能是艾滋病毒检测的最大障碍。这些结果还表明，针对非裔美国人异性恋男人的干预措施必须解决“作为预防的测试”的使用，以及对窗口期和艾滋病毒检测结果含义的正确误解，并且干预措施应着重于传播艾滋病毒。

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