从国家艾滋病毒行为监测-异性恋周期(NHBS-HET) 2016年数据卡塔尔世界杯8强波胆分析中，波多黎各提供者发起的艾滋病毒检测:全国横断面调查%A Colón-López,Vivian %A Pérez-Guzmán,Derick %A Canario De La Torre,Maureen M %A Centeno-Alvarado,Nadia %A Agudelo-Salas,Ivony Y %A Rolón,Yadira %A Miranda,Sandra %A Pabón,Maria %A Rodríguez-Lebrón,Jorge %A Girona Lozada,Gladys %+癌症控制和人口科学项目，波多黎各大学综合癌症中心，波多黎各大学Cáncer综合中心，Segundo Piso Oficina # 225, Paseo José C Barbosa，圣胡安，00935，波多黎各，1 787 772 8300 ext 1225, vivian.colon@upr.edu %K HIV %K HIV检测%K异性恋%K医疗保健提供者%K波多黎各%K国家HIV行为监测%K NHBS %K行为监测系统%K HIV感染%K疾病控制和预防中心%K CDC %K受访者驱动抽样%D 2022 %7 26.10.2022 %9原始论文%J JMIR公共卫生监测%G英语%X背景:根据美国疾病控制与预防中心和世界卫生组织的指导方针，所有13-64岁的人都应该接受艾滋病毒感染筛查，这是他们常规体检的一部分。高危人群应每年进行一次检测。目的:本研究旨在利用波多黎各国家艾滋病毒行为监测2016周期的数据，针对艾滋病毒感染风险增加的异性恋人群，确定由提供者发起的艾滋病毒检测的社会人口统计学、医疗保健和性行为特征。方法:通过受访者驱动抽样招募了358名合格参与者的样本，其中社会人口统计学特征、医疗保健使用和艾滋病毒检测转诊用于评估研究样本的描述。采用Pearson卡方检验和Fisher检验评价比例差异。进行多变量逻辑回归模型，以确定自变量与HIV检测转诊之间的关系。按性别和年龄调整的流行率及其95% ci使用0.05的统计学显著性水平确定。 Results: Despite 67.9% (243/358) of participants showing high-risk sexual behavioral practices and 67.4% (236/350) reporting a low perceived risk of HIV infection among those who visited a health care provider within the last 12 months, 80.7% (289/358) of the study sample did not receive an HIV test referral at a recent medical visit. Multivariate analysis showed that the estimated prevalence of the participants who received an HIV test referral among those who reported being engaged in high-risk sexual behaviors was 41% (adjusted prevalence ratio .59, 95% CI .39-.91; P=.02) lower than the estimated prevalence among those who did not engage in high-risk sexual behavior. Conclusions: This sample of Puerto Rican adults reported a significantly lower prevalence of receiving an HIV test referral among heterosexual individuals at increased risk of HIV infection who engaged in high-risk behaviors. This study further emphasizes the need for health care providers to follow recommended guidelines for HIV test referrals in health care settings. Promotion practices in the future should include enhancing referral and access to HIV tests and implementing preventive measures to counteract the HIV epidemic in Puerto Rico. %M 36287600 %R 10.2196/29890 %U https://publichealth.www.mybigtv.com/2022/10/e29890 %U https://doi.org/10.2196/29890 %U http://www.ncbi.nlm.nih.gov/pubmed/36287600