AIDS and Behavior

, Volume 18, Issue 7, pp 1272–1278

A Study of Perceived Racial Discrimination in Black Men Who Have Sex with Men (MSM) and Its Association with Healthcare Utilization and HIV Testing

  • R. Irvin
  • L. Wilton
  • H. Scott
  • G. Beauchamp
  • L. Wang
  • J. Betancourt
  • M. Lubensky
  • J. Wallace
  • S. Buchbinder
Original Paper

DOI: 10.1007/s10461-014-0734-y

Cite this article as:
Irvin, R., Wilton, L., Scott, H. et al. AIDS Behav (2014) 18: 1272. doi:10.1007/s10461-014-0734-y

Abstract

In HPTN 061, a study of Black men who have sex with men (MSM), we evaluated the association of healthcare-specific racial discrimination with healthcare utilization and HIV testing among 1167 HIV-negative participants. Median age was 38 years, 41 % were uninsured, and 38 % had an annual household income <$10,000. Overall, 19 % reported healthcare-specific racial discrimination directed toward family, friend, or self; 61 % saw a healthcare provider in the previous 6 months and 81 % HIV tested within the past year. Healthcare-specific racial discrimination was positively associated with seeing a provider [adjusted odds ratio (AOR) = 1.4 (1.0, 2.0)] and HIV testing [AOR = 1.6 (1.1, 2.4)] suggesting that barriers other than racial discrimination may be driving health disparities related to access to medical care and HIV testing among Black MSM. These results contrast with previous studies, possibly due to measurement or cohort differences, strategies to overcome discrimination, or because of greater exposure to healthcare.

Keywords

HIV Black men who have sex with men (MSM) Racial discrimination Healthcare utilization HIV testing 

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • R. Irvin
    • 1
    • 2
  • L. Wilton
    • 3
  • H. Scott
    • 2
    • 4
  • G. Beauchamp
    • 5
  • L. Wang
    • 5
  • J. Betancourt
    • 6
  • M. Lubensky
    • 7
  • J. Wallace
    • 8
  • S. Buchbinder
    • 2
    • 9
  1. 1.Division of Infectious DiseasesJohns Hopkins UniversityBaltimoreUSA
  2. 2.Bridge HIVSan Francisco Department of Public HealthSan FranciscoUSA
  3. 3.Department of Human DevelopmentBinghamton UniversityBinghamtonUSA
  4. 4.Center for AIDS Prevention StudiesUniversity of California San FranciscoSan FranciscoUSA
  5. 5.Vaccine and Infectious Disease DivisionFred Hutchinson Cancer Research CenterSeattleUSA
  6. 6.Massachusetts General Hospital/Harvard Medical SchoolBostonUSA
  7. 7.San Francisco AIDS FoundationSan FranciscoUSA
  8. 8.Rollins School of Public Health of Emory UniversityAtlantaUSA
  9. 9.Department of Epidemiology and BiostatisticsUniversity of California San FranciscoSan FranciscoUSA

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