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首页> 外文期刊>AIDS care. >Factors behind HIV testing practices among Canadian Aboriginal peoples living off-reserve.
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Factors behind HIV testing practices among Canadian Aboriginal peoples living off-reserve.

机译：居住在储备不足的加拿大原住民中艾滋病毒检测方法背后的因素。

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The objective of this study was to examine factors associated with HIV testing among Aboriginal peoples in Canada who live off-reserve. Data were drawn for individuals aged 15-44 from the Aboriginal Peoples Survey (2001), which represents a weighed sample of 520,493 Aboriginal men and women living off-reserve. Bivariable analysis and logistic regression were used to identify factors associated with individuals who had received an HIV test within the past year. In adjusted multivariable analysis, female gender, younger age, unemployment, contact with a family doctor or traditional healer within the past year, and "good" or "fair/poor" self-rated health increased the odds of HIV testing. Completion of high-school education, rural residency, and less frequent alcohol and cigarette consumption decreased the odds of HIV testing. A number of differences emerged when the sample was analyzed by gender, most notably females who self-reported "good" or "fair/poor" health status were more likely to have had an HIV test, yet males with comparable health status were less likely to have had an HIV test. Additionally, frequent alcohol consumption and less than high-school education was associated with an increased odds of HIV testing among males, but not females. Furthermore, while younger age was associated with an increased odds of having an HIV test in the overall model, this was particularly relevant for females aged 15-24. These outcomes provide evidence of the need for improved HIV testing strategies to reach greater numbers of Aboriginal peoples living off-reserve. They also echo the long-standing call for culturally appropriate HIV-related programming while drawing new attention to the importance of gender and age, two factors that are often generalized under the rubric of culturally relevant or appropriate program development.
机译：这项研究的目的是调查居住在储备不足地区的加拿大原住民与艾滋病毒检测相关的因素。数据来自土著居民调查（2001年），年龄在15-44岁之间，代表了520,493名生活在保护区之外的土著男女的加权样本。使用双变量分析和逻辑回归分析来确定与过去一年中接受艾滋病毒检测的个人相关的因素。在调整后的多变量分析中，女性，年龄，失业，在过去一年内与家庭医生或传统治疗师的接触以及自我评价为“好”或“一般/差”的健康状况增加了进行艾滋病毒检测的几率。高中教育的完成，农村居民的居住以及饮酒和吸烟的频率降低，降低了进行艾滋病毒检测的几率。按性别分析样本时出现了许多差异，最显着的是自我报告健康状况为“好”或“中等/较差”的女性接受艾滋病毒检测的可能性较高，而具有可比健康状况的男性接受艾滋病毒检测的可能性较小接受过艾滋病毒检测。此外，男性经常饮酒且未接受高中教育，这与男性（而非女性）进行艾滋病毒检测的几率增加有关。此外，虽然在整个模型中年龄较小与进行艾滋病毒检测的几率增加有关，但这对15-24岁的女性尤为重要。这些结果表明，有必要改进艾滋病毒检测策略，以使更多的后备生活的土著人民受益。他们也呼应了长期以来对与文化有关的与艾滋病相关的方案的呼吁，同时又引起人们对性别和年龄重要性的关注，这两个因素通常在与文化相关或适当的方案制定的标题下得到概括。

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