The HIV epidemic in Haiti: is disability a factor?

被引:0
|
作者
Casebolt, Tara [1 ]
机构
[1] Loyola Univ Chicago, Parkinson Sch Hlth Sci & Publ Hlth, Chicago, IL 60611 USA
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2024年 / 36卷 / 09期
关键词
HIV prevalence; disability; Haiti; vulnerable populations; health care access; SDG 3: Good health and well-being; SDG 10: Reduced inequalities; POSTEARTHQUAKE HAITI; HIV/AIDS; SERVICES; PEOPLE; RISK;
D O I
10.1080/09540121.2024.2318241
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
People with disabilities (PWD) are thought to be low risk for HIV because of social norms regarding disability and sex. However, qualitative studies indicate they are at risk and are not being reached by HIV programs. The Demographic and Health Survey (DHS) conducted in Haiti in 2016 included HIV biomarker data and disability status. Crude and adjusted odds ratios were calculated using a disability severity indicator as the independent variable and HIV infection as the dependent variable. Covariates were selected based on theory and previous studies. Individuals reporting milder disabilities had a higher odds of HIV infection in the crude model (OR:1.65; CI: 1.16-2.34) and those adjusted for demographics (OR:1.73; CI:1.19-2.51) and sexual activity (OR:1.60; CI:1.06-2.42). Those with moderate and more severe disabilities have the same odds of HIV infection as the general population. PWD are HIV-positive and at risk of HIV infection. Based on this, it is essential that HIV education, testing, and treatment programs are inclusive of PWD. Accessible HIV education materials need to be created. HIV testing programs should involve PWD in planning and implementation. Providers of HIV care must be trained regarding the needs of PWD for reproductive healthcare.
引用
收藏
页码:1342 / 1349
页数:8
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