Healthcare-related correlates of recent HIV testing in New York City

PREVENTIVE MEDICINE

卷:54

Article

Kim, Edward K.¹  Thorpe, Lorna²  Myers, Julie E.^1,3  Nash, Denis^1,2 

[1] Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, New York, NY USA

[2] CUNY Hunter Coll, CUNY Sch Publ Hlth, Epidemiol & Biostat Program, New York, NY 10021 USA

[3] Columbia Univ Coll Phys & Surg, Dept Med, Div Infect Dis, New York, NY 10032 USA

关键词: HIV/AIDS;    HIV testing;    Health screening;    Provider initiated HIV testing;   

DOI  :  10.1016/j.ypmed.2012.03.006

来源: Elsevier

【 摘 要 】

Objective. To examine healthcare-related correlates of recent HIV testing among New York City (NYC) residents, controlling for socio-demographic and HIV-related risk factors. Methods. Using the NYC 2007 Community Health Survey (population-based telephone survey, n = 8911), recent HIV testing was examined for its association with healthcare-related variables, including medical screening for other conditions, controlling for other HIV testing correlates using multiple logistic regression. Results. Factors associated with a recent HIV test included: provider recommendation for an HIV test (adjusted odds ratio [AOR]: 10.1, 95% confidence interval KO:7.6-13.5), Medicaid versus private insurance (AOR: 1.6, 95% Cl: 1.2-2.1), and having a personal doctor (AOR: 1.6, 95% Cl: 1.3-2.1). The proportion of HIV tests attributed to each factor (attributable-fraction [AF])was 49% for provider recommendation, 33% for having a personal doctor, and 8.3% for Medicaid insurance. Among subgroups eligible for other medical screening, factors associated with recent HIV testing included recent receipt of blood lipid testing (AOR: 2.2, 95% Cl: 1.6-3.0; AF: 45%), and Pap smear (AOR: 2.7, 95% Cl: 2.1-3.5; AF: 52%). Recent receipt of mammography and colonoscopy was not associated with recent HIV testing. Conclusions. A substantial proportion of recent HIV testing coverage among New Yorkers may be attributable to healthcare-related factors. Joint medical screening may provide opportunities to increase population HIV testing coverage. Published by Elsevier Inc.

【 授权许可】

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