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

Bibliographic Data

ID19440138
AuthorsLisa Bond (a Philadelphia Health Management Corporation , Philadelphia , PA , USA, corresponding author), Jennifer Lauby (a Philadelphia Health Management Corporation , Philadelphia , PA , USA), Heather Batson (a Philadelphia Health Management Corporation , Philadelphia , PA , USA)
Year2005
Volume17
Issue2
Pages125-140
Publication date2005-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09541020512331325653
PMID15763709
OpenAlexW2117162583
LanguageEN
Citations received39
References cited26

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

Family medicine · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Gerontology