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Acceptability of HIV Testing Sites Among Rural and Urban African Americans Who Use Cocaine

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Abstract

African Americans (AAs) who use cocaine in the Southern region of the U.S. have a relatively high risk of HIV and need for HIV testing. Among this group, those residing in rural areas may have less favorable opinions about common HIV testing sites, which could inhibit HIV testing. We examined rural/urban variations in their acceptability of multiple HIV testing sites (private physician clinic, local health department, community health center, community HIV fair, hospital emergency department, blood plasma donation center, drug abuse treatment facility, and mobile van or community outreach worker). Results from partial proportional odds and logistic regression analyses indicate that rural AA who use cocaine have lower odds of viewing local health departments (OR = 0.09, 95 % CI = 0.03–0.21), physician offices (OR = 0.19, 95 % CI = 0.09–0.42), and drug use treatment centers (OR = 0.49; 95 % CI = 0.30–0.80) as acceptable relative to their urban counterparts. The findings have implications for further targeting HIV testing toward AAs who use of cocaine, particularly those residing in the rural South.

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Acknowledgments

Funding

Research reported in this publication was supported by the National Institute on Drug Abuse of the National Institutes of Health under Award Number R01DA026837 to Tyrone Borders. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Authors and Affiliations

  1. Department of Health Management and Policy, University of Kentucky, Lexington, KY, 40536, USA

    D. Keith Branham & Tyrone F. Borders

  2. Department of Psychology and Provost’s Office, North Carolina State University, Raleigh, NC, USA

    Katharine E. Stewart

  3. Departments of Pharmacy Practice and Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA

    Geoffrey M. Curran

  4. Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA

    Brenda M. Booth

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  1. D. Keith Branham
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Correspondence to D. Keith Branham.

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Author D. Keith Branham declares that he has no conflict of interest. Author Tyrone Borders declares that he has no conflict of interest. Author Katharine E. Stewart declares that she has no conflict of interest. Author Geoffrey M. Curran declares that he has no conflict of interest. Author Brenda M. Booth declares that she has no conflict of interest.

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Keith Branham, D., Borders, T.F., Stewart, K.E. et al. Acceptability of HIV Testing Sites Among Rural and Urban African Americans Who Use Cocaine. AIDS Behav 21, 576–586 (2017). https://doi.org/10.1007/s10461-016-1527-2

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