178160 Correlates of HIV testing among racial/ethnic minority women in the US

Monday, October 27, 2008

Hyeouk Chris Hahm, PhD, LCSW , Assistant Professor, Boston University School of Social Work, Boston, MA
Al Ozonoff, PhD , Biostatistics, Boston University School of Public Health, Boston, MA
Jessica C. Sassani , College of Arts & Sciences, Boston University, Boston, MA
Jillian Gaumond , College of Arts & Sciences, Boston University, Boston, MA

To investigate how the correlates of HIV testing behaviors differ by race/ethnicity among women.


Data were derived from the National Longitudinal Study of Adolescent Health, Wave 3 (White, n=5,112, Black, n=1,902, Hispanic, n=1,069, and Asian, n=604 women were included). Logistic regression analysis was used to assess correlates of HIV testing behaviors in the past 12 months. Individual factors, sexual risk behaviors, STD history of individuals' and partners, health belief model, and insurance status were entered for the explanatory variables.


Twenty percent (n=1,530) women reported that they had been tested for HIV in the past year. Black women (23.9%) had the highest rates of HIV testing followed by White (20.1%), Hispanic (17.5%), and Asian women (11.2%). Among Black women, the strongest predictor was having gone to see a doctor because they suspected to have an STD (odds ratio, 3.7). Among Hispanic women, those who were US born or who had early sexual debut had higher odds of HIV testing (5.1, 2.4, respectively). Among Asians, multiple sex partners (3.0) and believing that STDs are not readily responsive to treatment (0.4) were associated with testing behaviors. Although continuous insurance coverage increased odds of testing among White (8.3), Black (2.1), and Hispanic (5.4) women, this was not the case for Asian American women.


Continuous insurance coverage is associated with HIV testing all racial groups except Asians. Policies targeting early detection of HIV infection in this population should also focus on different social and psychological risk factors within each race/ethnicity group.

Learning Objectives:
1. Identify factors that contribute to HIV/STI testing among different racial/ethnic women and use them to create possible strategies to increase testing. 2. Discuss the individual, social, psychological, and insurance aspects which hinder ethnic minority women from HIV/STI testing. 3. Discuss the urgent needs for promoting testing among ethnic minority women.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conceived the topic, designed this study, and wrote the abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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