比较有医疗保险的低收入 HIV 阴性异性活跃黑人女性和男性的社会人口学特征以及 HIV 检测和预防结果。

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-06-01 Epub Date: 2024-05-14 DOI:10.1007/s40615-024-01986-2

Rachel David, Amy R Baugher, Anna D Baker, Ebony Respress

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引用次数: 0

摘要

目的本研究旨在比较投保的低收入异性恋黑人女性和男性所经历的社会人口、HIV 检测和预防因素：我们研究了 2019 年 6 月至 12 月在美国 23 个城市招募的黑人女性和男性（n = 5837）的横截面数据。我们使用对数链接泊松回归模型比较了不同群体之间的社会人口和行为因素，得出了调整后的流行率和 95% 置信区间：黑人女性比黑人男性更不可能拥有私人保险（aPR 0.61，95% CI 0.50-0.74，P 结论：尽管黑人女性和黑人男性都有私人保险，但他们的感染率却更低：尽管有保险，但许多黑人女性和男性在获得和利用 HIV 检测和预防服务方面都不尽如人意。了解社会条件如何导致获得护理的机会不同，可能有助于为艾滋病预防干预提供信息。

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Comparing Socio-Demographics and HIV Testing and Prevention Outcomes Between Low-Income HIV-Negative Heterosexually Active Black Women and Men with Health Insurance.

Objective: This study is to compare socio-demographic, HIV testing, and prevention factors experienced by insured low-income heterosexual Black women and men.

Methods: We examined cross-sectional data from Black women and men (n = 5837) recruited in 23 U.S. cities for National HIV Behavioral Surveillance June-December 2019. We compared socio-demographic and behavioral factors between groups using log-linked Poisson regression models, producing adjusted prevalence ratios and 95% confidence intervals.

Results: Black women were less likely than Black men to have private insurance (aPR 0.61, 95% CI 0.50-0.74, p < 0.0001). Black women were more likely than Black men to have incomes at or below the poverty line (aPR 1.04, 95% CI 1.01-1.07, p = 0.02), be aware of PrEP (aPR 1.20, 95% CI 1.12-1.28, p < 0.0001), and have been recently tested for HIV (aPR 1.12, 95% CI 1.04, 1.20, p < 0.01).

Conclusions: Despite insured status, many Black women and men experienced suboptimal access to and utilization of HIV testing and prevention services. Understanding how social conditions produce differential access to care may help inform HIV prevention interventions.

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.