Trends in HIV Testing: Differences Between Planned and Actual Testing in the United States, 2005-2010

Presenter Information

Bankole Olatosi, University of South CarolinaFollow
Melanie Gwynn, University of South Carolina - ColumbiaFollow

Abstract

This presentation describes 5 year trends in HIV testing using the National Health Interview Survey (NHIS). Differences between planned and actual HIV testing among adults 18-64 years old based on several factors are discussed.

Proposal Summary

Background: Increased human immunodeficiency virus (HIV) testing rates among all risk groups remains a primary strategy in the effort to combat the HIV epidemic. Recent incidence of HIV in rural areas associated with opioid drug use shows how quickly HIV can transition from traditional high risk groups to rural residents in the United States. A review of the state of things is necessary to assess progress. Methods: Pooled cross-sectional analysis of data consisting of participants aged 18 to 64 years in the 2005-2010 National Health Interview Surveys (NHIS) will be used to describe longitudinal trends in HIV testing rates in the US population and differences between planned and actual testing across demographic and risk groups. Correlates of perceived risk for HIV infection and planned and actual HIV testing will be presented. Difference-in-differences models will be used to examine and explain differences between planned and actual testing varies based on demographic characteristics, perceived HIV risk and other healthcare related factors. At the end of this presentation, participants will be able to 1) Describe 5 year trends in HIV testing by demographic groups across the United States. 2) Understand the differences between planned and actual testing across demographic and risk groups over 5 years based on correlates of perceived risk for HIV infection. 3) Describe and understand how differences between planned and actual testing vary by demographic characteristics, perceived risk, alcohol consumption, depression and health utilization behavior.

Relevance And Significance

Optimal HIV testing rates are yet to be achieved in the United States. HIV testing is influenced by factors related to access to care, education and social vulnerability. Rural residents rely on a limited social support network as a safety net. This safety net is threatened when HIV transmission occurs putting such residents at risk. As a result, populations at increased risk for HIV infection require improved access to and utilization of testing services. This impacts HIV prevention and the efficacy of limited interventions available for rural residents. Understanding patient preference as related to HIV testing is important for planning and intervention purposes in rural communities.

Session Format

Presentation Session

Keywords

HIV, HIV Testing, Rural, United States, Access, Safety net

Location

Room 218/220

Publication Type and Release Option

Presentation (Open Access)

Recommended Citation

Olatosi, Bankole and Gwynn, Melanie, "Trends in HIV Testing: Differences Between Planned and Actual Testing in the United States, 2005-2010" (2016). 9th Annual Rural HIV Research and Training Conference (2014-2019). 13.
https://digitalcommons.georgiasouthern.edu/ruralhiv/2016/2016/13