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HIV testing and the role of individual- and structural-level barriers and facilitators.

This study determined the overall prevalence of HIV testing within a community sample of heterosexual men and women at high risk for HIV infection, and analysed the gender-specific individual- and structural-level barriers and facilitators to testing. Data were collected through 1,643 personal inter...

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Published in:AIDS Care Vol. 17; no. 2; pp. 125 - 141
Main Authors: Bond L, Lauby J, Batson H
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Feb2005
Online Access:View this record in EBSCOhost
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      dt: Feb2005
      vid: 17
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        2009011861
        10.1080/09541020512331325653
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        atl: HIV testing and the role of individual- and structural-level barriers and facilitators.
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          Bond L
          Lauby J
          Batson H
        affil: Philadelphia Health Management Corporation, 260 S Broad St, Suite 1800, Philadelphia, PA 19102-5085; lisab@phmc.org
      sug:
        subj:
          AIDS Serodiagnosis Utilization
          Heterosexuals
          Risk Taking Behavior
          Sex Factors
          Male
          Female
          Community Living
          Interviews
          Descriptive Statistics
          Statistical Significance
          Pennsylvania
          Adult
          Middle Age
          Black Persons
          White Persons
          Hispanic Americans
          Chi Square Test
          Odds Ratio
          Bivariate Statistics
          Logistic Regression
          Multivariate Analysis
          Data Analysis Software
          Aged
          Educational Status Evaluation
          Funding Source
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: This study determined the overall prevalence of HIV testing within a community sample of heterosexual men and women at high risk for HIV infection, and analysed the gender-specific individual- and structural-level barriers and facilitators to testing. Data were collected through 1,643 personal interviews conducted in Philadelphia between 1999 and 2000. Overall, 79.4% of participants had ever taken an HIV test; women were significantly more likely to have tested than were men. Among the individual-level factors we examined, very few, including sexual and drug-using risk behaviours, were significantly associated with an increased likelihood of ever being tested for HIV. Structural-level factors were important correlates of HIV testing for both women and men. Results of this study indicate that there are gender-based similarities and differences in the correlates of testing, and that efforts to increase HIV testing must consider how structural factors, including access to health care, may deter or facilitate opportunities for HIV testing. In particular, efforts to improve the uptake of HIV testing by heterosexual men at high risk should focus on improving men's access to, and utilization of, routine health care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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