TY - JOUR
T1 - Correlates of HIV Testing Among Rural African American Cocaine Users
AU - Wright, Patricia B.
AU - Booth, Brenda M.
AU - Curran, Geoffrey M.
AU - Borders, Tyrone F.
AU - Ounpraseuth, Songthip T.
AU - Stewart, Katharine E.
N1 - Publisher Copyright:
© 2014 Wiley Periodicals, Inc.
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Andersen's Revised Behavioral Model of Health Services Use (RBM) was used as a framework in this correlational cross-sectional study to examine factors associated with HIV testing among a sample of 251 rural African American cocaine users. All participants reported using cocaine and being sexually active within the past 30 days. Independent variables were categorized according to the RBM as predisposing, enabling, need, or health behavior factors. Number of times tested for HIV (never, one time, two to four times, five or more times) was the outcome of interest. In ordered logistic regression analyses, HIV testing was strongly associated with being female, of younger age (predisposing factors); having been tested for sexually transmitted diseases or hepatitis, ever having been incarcerated in jail or prison (enabling factors); and having had one sex partner the past 30 days (health behavior factor). Other sexual risk behaviors, drug use, health status, and perception of risk were not associated with HIV testing. Our findings confirm the importance of routine testing in all healthcare settings rather than risk-based testing.
AB - Andersen's Revised Behavioral Model of Health Services Use (RBM) was used as a framework in this correlational cross-sectional study to examine factors associated with HIV testing among a sample of 251 rural African American cocaine users. All participants reported using cocaine and being sexually active within the past 30 days. Independent variables were categorized according to the RBM as predisposing, enabling, need, or health behavior factors. Number of times tested for HIV (never, one time, two to four times, five or more times) was the outcome of interest. In ordered logistic regression analyses, HIV testing was strongly associated with being female, of younger age (predisposing factors); having been tested for sexually transmitted diseases or hepatitis, ever having been incarcerated in jail or prison (enabling factors); and having had one sex partner the past 30 days (health behavior factor). Other sexual risk behaviors, drug use, health status, and perception of risk were not associated with HIV testing. Our findings confirm the importance of routine testing in all healthcare settings rather than risk-based testing.
KW - AIDS
KW - African-American
KW - Cocaine
KW - Drug use
KW - HIV
KW - HIV risk
KW - HIV testing
KW - Rural
KW - Substance use
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U2 - 10.1002/nur.21629
DO - 10.1002/nur.21629
M3 - Article
C2 - 25346379
AN - SCOPUS:84909579882
SN - 0160-6891
VL - 37
SP - 466
EP - 477
JO - Research in Nursing and Health
JF - Research in Nursing and Health
IS - 6
ER -