AIDS Patient Care and STDs
Volume 30, Issue 7, 2016, Pages 307-314

HIV Testing among Black and Hispanic Immigrants in the United States (Article)

Ojikutu B.O.* , Mazzola E. , Fullem A. , Vega R. , Landers S. , Gelman R.S. , Bogart L.M.
  • a Division of Global Health Equity, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States, John Snow Research and Training Institute, Boston, MA, United States, Harvard Medical School, Boston, MA, United States
  • b Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, MA, United States
  • c John Snow Research and Training Institute, Boston, MA, United States
  • d John Snow Research and Training Institute, Boston, MA, United States
  • e John Snow Research and Training Institute, Boston, MA, United States
  • f Harvard Medical School, Boston, MA, United States, Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, MA, United States
  • g Harvard Medical School, Boston, MA, United States, Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, MA, United States, RAND Corporation, Santa Monica, CA, United States

Abstract

Late presentation is common among black and Hispanic US immigrants living with HIV. Little is known about HIV testing in this population because data are aggregated into racial and ethnic categories without regard to nativity. This study was undertaken to determine HIV testing patterns in these populations. We used data from the National Health Interview Survey (2007-2010), a nationally representative source of HIV testing data disaggregated by nativity. The sample consisted of 10,397 immigrants (83.9% Hispanic white, 13.1% non-Hispanic black, and 3.0% Hispanic black). The majority of participants were from the Caribbean, Central America, and Mexico (81.5%). Hispanic white immigrants were least likely to have undergone testing compared with non-Hispanic and Hispanic black immigrants (46.7% vs. 70.5% and 65.8%). Among immigrants with known risk factors or prior STDs, 59.2% and 74.8% reported previous HIV testing. Immigrants who had not recently talked to a healthcare provider were less likely to report testing: Hispanic white (AOR 0.65, 95% CI 0.58-0.72), non-Hispanic black (AOR 0.64, 95% CI 0.48-0.85), and Hispanic black (AOR 0.26, 95% CI 0.14-0.48). Only 17.2% of all immigrants intended to undergo HIV testing in the 12 months following participation in the survey. Among all three racial and ethnic groups, immigrants who reported a history of prior STDs were more likely to intend to test for HIV in the future. Many black and Hispanic immigrants to the United States have not undergone HIV testing. Interventions to increase access to HIV testing and awareness of transmission risk should be developed. © 2016, Mary Ann Liebert, Inc.

Author Keywords

[No Keywords available]

Index Keywords

educational status immigrant HIV Infections mass screening race difference medical examination ancestry group human HIV test epidemiology middle aged Ethnic Groups statistics and numerical data ethnic group economic aspect ethnology Mexico Hispanic Americans sexually transmitted disease Sexually Transmitted Diseases Surveys and Questionnaires United States marriage Humans migrant psychology Hispanic American Young Adult male Emigrants and Immigrants Black person female African Continental Ancestry Group risk factor Risk Factors Behavior questionnaire Caribbean Region Caribbean Article Intention major clinical study adult infection risk utilization medical history
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84978955042&doi=10.1089%2fapc.2016.0120&partnerID=40&md5=0f65940540fceb2aa03fbed9b6d41ba9
DOI: 10.1089/apc.2016.0120
ISSN: 10872914
Cited by: 7
Original Language: English