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Association Between HIV Testing and HIV-Related Risk Behaviors Among US and Non-US Born Black Individuals Living in the US: Results From the National Survey on HIV in the Black Community (NSHBC)

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Abstract

Despite improvements in HIV prevention and treatment, Black individuals continue to be disproportionately affected by the HIV epidemic in the US. Using data from the National Survey on HIV in the Black Community, we examined the differences in demographic characteristics, risk behaviors, and HIV testing between US and non-US born Black adults. 868 individuals completed the survey and provided baseline data on sexual risk. Participants were grouped as US-born (N = 763) and non-US born (N = 101) based on self-reported place of birth. Amongst US-born participants, males were less likely to test for HIV, whereas those who reported a lifetime history of anal sex and sexually transmitted infections (STIs) were more likely to test for HIV. Non-US born participants who reported a single marital status were less likely to test for HIV, whereas those who reported a lifetime history of STIs were more likely to test for HIV. Some differences in predictors of HIV testing exist by place of birth. Understanding these differences is needed to develop HIV/AIDS prevention and treatment programs for US and non-US born Black individuals.

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References

  1. Statistics Overview | Statistics Center | HIV/AIDS | CDCt. (2020). Available from: https://www.cdc.gov/hiv/statistics/overview/index.html

  2. HIV Surveillance|Reports|Resource Library|HIV/AIDS|CDC]. (2020). Available from: https://www.cdc.gov/hiv/library/reports/hiv-surveillance.html

  3. Ojikutu B, Nnaji C, Sithole J, Schneider KL, Higgins-Biddle M, Cranston K, et al. All black people are not alike: differences in HIV testing patterns, knowledge, and experience of stigma between U.S.-born and non–U.S.-born blacks in Massachusetts. AIDS Patient Care STDS. 2013;27(1):45–54.

    Article  Google Scholar 

  4. Johnson AS, Hu X, Dean HD. Epidemiologic differences between native-born and foreign-born black people diagnosed with HIV infection in 33 US states, 2001–2007. Public Health Rep. 2010;125(4):61–9.

    Article  Google Scholar 

  5. Bureau UC. Census.gov. Census.gov. (2020). Available from: https://www.census.gov/en.html

  6. Kent JB. Impact of foreign-born persons on HIV diagnosis rates among Blacks in King County Washington. AIDS Educ Prev. 2005;17(6):60–7.

    PubMed  Google Scholar 

  7. Kerani RP, Kent JBM, Sides T, Dennis GM, Ibrahim AR, Cross H, et al. HIV Among African-born persons in the united states: a hidden epidemic? J Acquir Immune Defic Syndr. 2008;49(1):102–6.

    Article  Google Scholar 

  8. Harawa NT, Bingham TA, Cochran SD, Greenland S, Cunningham WE. HIV prevalence among foreign- and US-born clients of public STD clinics. Am J Public Health. 2002;92(12):1958–63.

    Article  Google Scholar 

  9. Ojikutu B, Nnaji C, Sithole-Berk J, Bogart LM, Gona P. Barriers to HIV testing in black immigrants to the US. J Health Care Poor Underserved. 2014;25(3):1052–66.

    Article  Google Scholar 

  10. Prosser AT, Tang T, Hall HI. HIV in persons born outside the United States, 2007–2010. JAMA. 2012;308(6):601–7.

    Article  Google Scholar 

  11. Wafula EG, Snipes SA. Barriers to health care access faced by black immigrants in the US: theoretical considerations and recommendations. J Immigrant Minority Health. 2014;16(4):689–98.

    Article  Google Scholar 

  12. Lebrun LA, Dubay LC. Access to primary and preventive care among foreign-born adults in Canada and the United States. Health Serv Res. 2010;45(6 Pt 1):1693–719.

    Article  Google Scholar 

  13. Bustamante AV, Chen J, Fang H, Rizzo JA, Ortega AN. Identifying health insurance predictors and the main reported reasons for being uninsured among US immigrants by legal authorization status. Int J Health Plann Manage. 2014;29(1):e83-96.

    Article  Google Scholar 

  14. Ojikutu BO, Bogart LM, Higgins-Biddle M, Dale S, Allen W, Dominique T, et al. Facilitators and barriers to pre-exposure prophylaxis (PrEP) use among black individuals in the United States: results from the national survey on HIV in the black community (NSHBC). AIDS Behav. 2018;22(11):3576–87.

    Article  Google Scholar 

  15. Uzoeghelu U, Bogart LM, Mahoney T, Ghebremichael MS, Kerr J, Ojikutu BO. HIV risk-related behaviors and willingness to use pre-exposure prophylaxis among black Americans with an arrest history. J Racial Ethn Health Disparities. 2021. https://doi.org/10.1007/s40615-021-00980-2.

    Article  PubMed  Google Scholar 

  16. Ojikutu BO, Amutah-Onukagha N, Mahoney TF, Tibbitt C, Dale SD, Mayer KH, et al. HIV-related mistrust (or HIV conspiracy theories) and willingness to use PrEP among black women in the United States. AIDS Behav. 2020;24(10):2927–34.

    Article  CAS  Google Scholar 

  17. Overview of HIV, viral hepatitis, STD, & TB during pregnancy | CDC. (2020). Available from: https://www.cdc.gov/nchhstp/pregnancy/overview.html

  18. Jones J, Carter B, Wilkerson R, Kramer C. Attitudes toward HIV testing, awareness of HIV campaigns, and using social networking sites to deliver HIV testing messages in the age of social media: a qualitative study of young black men. Health Educ Res. 2019;34(1):15–26.

    Article  CAS  Google Scholar 

  19. Francois F, Elysée G, Shah S, Gany F. colon cancer knowledge and attitudes in an immigrant Haitian community. J Immigr Minor Health. 2009;11(4):319–25.

    Article  Google Scholar 

  20. Foley EE. HIV/AIDS and African immigrant women in Philadelphia: structural and cultural barriers to care. AIDS Care. 2005;17(8):1030–43.

    Article  CAS  Google Scholar 

  21. Rosenthal L, Scott DP, Kelleta Z, Zikarge A, Momoh M, Lahai-Momoh J, et al. Assessing the HIV/AIDS health services needs of African immigrants to Houston. AIDS Educ Prev. 2003;15(6):570–80.

    Article  Google Scholar 

  22. Hoffman S, Beckford Jarrett ST, Kelvin EA, Wallace SA, Augenbraun M, Hogben M, et al. HIV and sexually transmitted infection risk behaviors and beliefs among black west Indian immigrants and US-born blacks. Am J Public Health. 2008;98(11):2042–50.

    Article  Google Scholar 

  23. Latinos | Race/Ethnicity | HIV by Group | HIV/AIDS | CDC. (2021). Available from: https://www.cdc.gov/hiv/group/racialethnic/hispaniclatinos/index.html

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Authors and Affiliations

  1. Department of Postgraduate Education, Harvard Medical School, 25 Shattuck St, Boston, MA, 02215, USA

    Ugochukwu Uzoeghelu

  2. RAND Corporation, Santa Monica, CA, USA

    Laura M. Bogart

  3. Boston University School of Public Health, Boston, MA, USA

    Taylor F. Mahoney

  4. Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Bisola O. Ojikutu

Authors
  1. Ugochukwu Uzoeghelu
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  2. Laura M. Bogart
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  3. Taylor F. Mahoney
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  4. Bisola O. Ojikutu
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Contributions

All authors contributed to the study conception and design. Material preparation and data collection were performed by UU, LB and BO. Data analysis and interpretation were performed by UU, TM and BO. The first draft of the manuscript was written by UU and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Ugochukwu Uzoeghelu.

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Uzoeghelu, U., Bogart, L.M., Mahoney, T.F. et al. Association Between HIV Testing and HIV-Related Risk Behaviors Among US and Non-US Born Black Individuals Living in the US: Results From the National Survey on HIV in the Black Community (NSHBC). J Immigrant Minority Health 23, 1152–1158 (2021). https://doi.org/10.1007/s10903-021-01244-1

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  • DOI: https://doi.org/10.1007/s10903-021-01244-1

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