Factors Associated with Lack of HIV Testing among Latino Immigrant and Black Patients at 4 Geographically and Demographically Diverse Emergency Departments.
The need for HIV testing in US emergency departments (EDs) has not been assessed, particularly among Latino immigrants and Blacks. We surveyed Latino immigrant and Black 18 to 64-year-old patients at 4 EDs about demographic characteristics, HIV testing history, and health literacy. A subset of patients was further surveyed on HIV risk-taking behaviors. Of the 2,265 participants, 24% had never been tested for HIV. Latino immigrants were more likely than Blacks never to have been tested for HIV (28% vs. 16%). In multivariable logistic regression, for Latino immigrants, male gender and lower health literacy were associated with no previous HIV testing. Among the 1,141-participant subset providing HIV risk-taking behavior data, 23% reported at least one risk factor and of those with at least one risk factor, 23% had never been tested for HIV. There remains a need for HIV testing among adult Latino immigrant and Black patients in US EDs.
['Bennett|Christopher L|CL|0000-0002-8467-6192', 'Marks|Sarah J|SJ|0000-0002-3468-3474', 'Liu|Tao|T|', 'Clark|Melissa A|MA|', 'Carey|Michael P|MP|0000-0003-4652-964X', 'Merchant|Roland C|RC|']
D000293:Adolescent D000328:Adult D001741:African Americans D004636:Emergency Service, Hospital D005260:Female D015658:HIV Infections D000082922:HIV Testing D006630:Hispanic or Latino D006801:Humans D008297:Male D008875:Middle Aged D015995:Prevalence D012309:Risk-Taking D012725:Sexual Behavior D055815:Young Adult
HIV/AIDS research HIV/AIDS testing HIV/AIDS transmission &/or risk sexual risk-taking