Barriers to HIV Testing in Black Immigrants to the US

被引:41
作者
Ojikutu, Bisola [1 ,2 ,3 ]
Nnaji, Chioma [4 ]
Sithole-Berk, Juliet [4 ]
Bogart, Laura M. [2 ,5 ]
Gona, Philimon [6 ]
机构
[1] Massachusetts Gen Hosp, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Cambridge, MA 02138 USA
[3] Johns Snow Res & Training Inst, Boston, MA USA
[4] Multicultural AIDS Coalit, Jamaica Plain, MA USA
[5] Boston Childrens Hosp, Boston, MA USA
[6] Univ Massachusetts, Boston, MA 02125 USA
关键词
HIV; HIV testing; Black immigrants; health care access; AFRICAN-AMERICAN MEN; HEALTH-CARE EXPERIENCES; UNITED-STATES; LATINO IMMIGRANTS; UNDOCUMENTED IMMIGRANTS; CONSPIRACY BELIEFS; INFECTED PERSONS; HIGH-RISK; ACCESS; CANCER;
D O I
10.1353/hpu.2014.0141
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background. Late HIV testing is common among immigrants from sub Saharan Africa and the Caribbean. Since 2010, HIV testing is no longer a required component of immigrant screening examinations or mandatory for immigrants seeking long term residence in the US. Thus, barriers to HIV testing must be addressed. Methods. Five hundred and fifty-five (555) immigrants completed a barriers-to-HIV testing scale. Univariate and multivariate linear regression were performed to examine predictors of barriers. Results. In multivariate analysis, primary language other than English (beta=2.9, p=.04), lower education (beta=5.8, p=.03), low income [= below $20K/year] (beta=4.6, p=.01), no regular provider (beta=5.2, p=.002) and recent immigration (beta=5.7, p=.0008) were independently associated with greater barriers. Barriers due to health care access, privacy, fatalism, and anticipated stigma were greater for recent versus longer term immigrants. Discussion. Immigrants from sub-Saharan Africa and the Caribbean face significant barriers to HIV testing. Interventions to improve access and timely entry into care are needed.
引用
收藏
页码:1052 / 1066
页数:15
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