دورية أكاديمية
Barriers to Testing for Sexually Transmitted Infections among HIV-Serodiscordant Couples: The Influence of Discrimination.
| العنوان: | Barriers to Testing for Sexually Transmitted Infections among HIV-Serodiscordant Couples: The Influence of Discrimination. |
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| المؤلفون: | Alarcon J; UCLA Semel Institute for Neuroscience and Behavior, Los Angeles, CA., Loeb TB; UCLA Semel Institute for Neuroscience and Behavior, Los Angeles, CA., Hamilton AB; UCLA Semel Institute for Neuroscience and Behavior, Los Angeles, CA., Moss NJ; HIV STD Section, Alameda County Department of Public Health., Curley CM; Clinic Services, SPA 4, 5, 6, & 8 Los Angeles County Department of Public Health, Los Angeles, CA., Zhang M; UCLA Semel Institute for Neuroscience and Behavior, Los Angeles, CA., Jordan WC; OASIS Clinic, Los Angeles, CA., Lockett G; CAL-PEP, Los Angeles, CA., Carey-Grant C; WORLD, Los Angeles, CA., Wyatt GE; UCLA Semel Institute for Neuroscience and Behavior, Los Angeles, CA. |
| المصدر: | Ethnicity & disease [Ethn Dis] 2020 Apr 23; Vol. 30 (2), pp. 261-268. Date of Electronic Publication: 2020 Apr 23 (Print Publication: 2020). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Ethnicity & Disease, Inc Country of Publication: United States NLM ID: 9109034 Publication Model: eCollection Cited Medium: Internet ISSN: 1945-0826 (Electronic) Linking ISSN: 1049510X NLM ISO Abbreviation: Ethn Dis Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: [Owings Mill, MD] : Ethnicity & Disease, Inc. Original Publication: [Atlanta, GA : International Society on Hypertension in Blacks], c1991- |
| مواضيع طبية MeSH: | Black or African American*/psychology , Black or African American*/statistics & numerical data , Communication Barriers* , Sexually Transmitted Diseases*/ethnology , Sexually Transmitted Diseases*/prevention & control , Sexually Transmitted Diseases*/psychology , Social Discrimination*/ethnology , Social Discrimination*/prevention & control , Social Discrimination*/psychology, HIV Infections/*diagnosis, AIDS Serodiagnosis ; Adult ; Female ; Humans ; Los Angeles/epidemiology ; Male ; Patient Acceptance of Health Care ; Sexual Partners/psychology |
| مستخلص: | Objectives: African Americans face challenges in accessing services for sexually transmitted infections (STIs). From 2012-2016, the EBAN II intervention was funded by the NIH to test the effectiveness of implementing a culturally congruent, evidence-based HIV/AIDS prevention program in Los Angeles and Oakland, California. This study examined the impact of personal characteristics and experiences of discrimination on the likelihood of being tested for STIs. Methods: Participants (N=91) completed a baseline survey. Descriptive statistics were used to test for differences between those who did and did not obtain STI testing. Factors included HIV serostatus, sociodemographic variables, STI history, the presence of outside partners, and discrimination experiences. Multiple logistic regressions were conducted for men and women separately. Results: Participants with no recent experiences of discrimination were more than 3 (3.4) times more likely to obtain a baseline STI test than those who reported discrimination experiences. HIV-positive women with no recent experiences of discrimination were 11 times more likely than those with reports of recent discrimination to obtain STI tests. Conclusions: It is often women who are the gatekeepers for health seeking in families and the same may be for these couples. Experiences of discrimination may impede STI testing, and heighten several health risks, particularly among HIV-positive African American women in HIV-serodiscordant relationships. Addressing the impact of discrimination experiences may be important for STI prevention and treatment efforts in interventions promoting health care utilization. Competing Interests: Competing Interests: None declared. (Copyright © 2020, Ethnicity & Disease, Inc.) |
| References: | BMC Health Serv Res. 2018 Jan 9;18(1):11. (PMID: 29316922) Med Care. 2012 Mar;50(3):217-26. (PMID: 22310560) Implement Sci. 2014 Jun 20;9:79. (PMID: 24950708) Arch Intern Med. 2010 Sep 27;170(17):1594-601. (PMID: 20625011) Contraception. 2014 Dec;90(6 Suppl):S22-31. (PMID: 25023474) Am J Public Health. 2009 Nov;99(11):1941-5. (PMID: 19762666) Sex Transm Infect. 2019 Mar;95(2):151-156. (PMID: 29437984) J Health Care Poor Underserved. 2014 Nov;25(4):1507-13. (PMID: 25418222) Sociol Health Illn. 2014 Sep;36(7):1037-53. (PMID: 24749849) |
| فهرسة مساهمة: | Keywords: African American HIV- Serodiscordant Couples; Barriers to STI Testing; HIV; STI Testing |
| تواريخ الأحداث: | Date Created: 20200430 Date Completed: 20210315 Latest Revision: 20221207 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC7186059 |
| DOI: | 10.18865/ed.30.2.261 |
| PMID: | 32346271 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1945-0826 |
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| DOI: | 10.18865/ed.30.2.261 |