HIV testing and mental illness in New York City: Results from the 2009 New York City community health survey
Wednesday, November 6, 2013
: 10:45 a.m. - 11:00 a.m.
BACKGROUND: HIV prevalence and incidence estimates are higher among individuals with mental health disorders than the general population. This analysis seeks to identify whether New York City adults with a history of mental illness are more likely to report recent HIV testing than those without a history of mental illness. METHODS: Multivariable logistic regression using data from the NYC 2009 Community Health Survey (n=9,934) estimated the association of mental illness (past depression diagnosis and/or current frequent mental distress) with HIV testing in the past year, adjusting for potential confounding factors (demographics, insurance type, condom use). RESULTS: Sixteen percent of respondents had a mental illness history; 34% of this group reported a recent HIV test compared to 30% of adults without a mental illness history (p=0.01). In multivariable models, mental illness was associated with a higher likelihood of recent testing (adjusted odds ratio, aOR, 1.28, 95%CI: 1.04, 1.57). Compared to being uninsured, having insurance was not associated with a higher likelihood of recent testing but having Medicaid was (aOR 1.96, 95%CI: 1.48, 2.60), and this association remained in analyses stratified by mental illness. CONCLUSION: Those with a history of mental illness are more likely to report a recent HIV test, even controlling for confounders. Regardless of mental health history, having Medicaid was associated with a higher likelihood of recent testing, even though being insured in general did not show this relationship. Policy makers should ensure enrollment into Medicaid can be done quickly and seamlessly to leverage its impact on HIV testing.
Public health or related public policy
Public health or related research
Identify whether New York City adults with a history of mental illness are more likely to report having taken an HIV test in the past 12 months than those without a history of mental illness.
Keyword(s): HIV/AIDS, Mental Health
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am a Senior Policy Associate in the Affordable Health Insurance Program at the Commonwealth Fund, and have been a co-author on multiple issue briefs and policy reports analyzing the relationship between health insurance adequacy and financial consequences and access to care within the context of health care reform. I am a recent graduate of the CUNY School of Public Health at Hunter College, graduating with an MPH in Health Policy and Management.
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.