Systematic Review of Social Determinants of Health Associated With HIV Testing Among Hispanic/Latino Gay, Bisexual, and Other Men Who Have Sex With Men in the United States.

IF 1.6 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Aids Education and Prevention Pub Date : 2023-02-01 DOI:10.1521/aeap.2023.35.1.36

Nicole Crepaz, Yamir Salabarría-Peña, Mary M Mullins, Jayleen K L Gunn, Darrel H Higa

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Abstract

This systematic review synthesized published literature (January 2008-October 2021) about the association between social determinants of health (SDOH) and HIV testing among Hispanic/Latino gay, bisexual, and other men who have sex with men (HLMSM), a group disproportionally affected by HIV. Having higher education than a high school diploma, health insurance and access to health care services, and visiting a health care provider in the past 12 months were some of the determinants associated with HIV testing, while limited English proficiency was associated with reduced odds of HIV-testing among HLMSM. More research is needed to understand the relationship of SDOH (especially neighborhood) and HIV testing, how SDOH may affect HIV testing among different HLMSM groups, and how to increase self-testing and use of e-health in this priority population. Additionally, culturally and linguistically appropriate multilevel interventions and health services for HLMSM are urgently needed to diagnose HIV as early as possible after infection.

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美国拉美裔男同性恋、双性恋及其他男男性行为者中与 HIV 检测相关的健康社会决定因素的系统性回顾》（Systematic Review of Social Determinants of Health Associated With HIV Testing Among Hispanic/Latino Gay, Bisexual, and Other Men Who Have Sex With Men in the United States）。

本系统性综述综合了已发表的文献（2008 年 1 月至 2021 年 10 月），内容涉及健康的社会决定因素（SDOH）与西班牙裔/拉丁裔男同性恋、双性恋及其他男男性行为者（HLMSM）中的 HIV 检测之间的关系，该群体受 HIV 的影响尤为严重。拥有高于高中文凭的教育程度、医疗保险和获得医疗保健服务的机会以及在过去 12 个月中看望过医疗保健提供者是与 HIV 检测相关的一些决定因素，而英语水平有限与 HLMSM 接受 HIV 检测的几率降低有关。需要进行更多的研究，以了解 SDOH（尤其是邻里关系）与 HIV 检测的关系、SDOH 如何影响不同 HLMSM 群体的 HIV 检测，以及如何在这一重点人群中增加自我检测和电子健康的使用。此外，迫切需要针对 HLMSM 的文化和语言适当的多层次干预措施和医疗服务，以便在感染后尽早诊断出艾滋病毒。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aids Education and Prevention Multiple-

CiteScore

2.20

自引率

5.60%

发文量

期刊介绍： Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.