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

개인저자
Edward K. Kim
수록페이지
440–443 p.
발행일자
2012.05.22
출판사
Academic Press
초록
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 [CI]:7.6–13.5), Medicaid versus private insurance (AOR: 1.6, 95% CI: 1.2–2.1), and having a personal doctor (AOR: 1.6, 95% CI: 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% CI: 1.6–3.0; AF: 45%), and Pap smear (AOR: 2.7, 95% CI: 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.