Abstract
Objective
The primary aim of this study was to examine gender differences in predictors of past HIV test behavior among young African Americans.
Method
Data from (n = 190) young adults participating in an evidenced-based safer sex behavioral intervention were analyzed. Participants completed measures of previous HIV testing, HIV test attitudes, HIV knowledge, HIV test behavior, and HIV risk behaviors. A series of t tests and chi-square tests were performed to assess gender differences in these variables. Multivariate logistic regressions were performed to examine the influence of HIV test attitudes, knowledge of where to get tested, and HIV risk behaviors on having previously been tested for HIV.
Results
Overall, approximately 58% of the sample had been previously tested for HIV. There were significant differences between groups on HIV risk factors (i.e., number of sexual partners), such that men reported a significantly higher number of sexual partners in the past 3 months. Men also reported more negative HIV testing attitudes compared with women. Predictors of past HIV testing differed by gender. Negative attitudes about HIV testing were associated with significantly lower odds of past HIV testing among men, but this was not a significant predictor of testing among women. Older age was significantly associated with greater odds of past HIV testing among women, but not among men.
Conclusions
Understanding gender differences in predictors of HIV testing can provide important information for clinicians, counselors, and others working to increase rates of HIV testing among young Black/African American adults.
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Funding
Research reported in this publication was supported by a grant from the Substance Abuse and Mental Health Administration under award number Sp021121.
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All study procedures involving human participants were approved by the appropriate institutional and/or national research ethic committee and were performed in accordance with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was approved by an Institutional Review Board and informed consent was obtained from all participants prior to study participation.
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The authors declare that they have no competing interests.
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Moore, M.P., Belgrave, F. Gender Differences in Predictors of HIV Testing Among African American Young Adults. J. Racial and Ethnic Health Disparities 6, 189–196 (2019). https://doi.org/10.1007/s40615-018-0513-y
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DOI: https://doi.org/10.1007/s40615-018-0513-y