Open AccessUnderutilization of HIV Testing Among Men with Incarceration Histories
Author(s) -
Claire E Farel,
Carol E. Golin,
Rebecca D. Ochtera,
David L. Rosen,
Marjorie Margolis,
Wizdom Powell,
David A. Wohl
Publication year - 2019
Publication title -
aids and behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.994
H-Index - 106
eISSN - 1573-3254
pISSN - 1090-7165
DOI - 10.1007/s10461-018-02381-9
Subject(s) - health psychology , odds , prison , human immunodeficiency virus (hiv) , medicine , public health , population , test (biology) , demography , gerontology , psychology , clinical psychology , family medicine , logistic regression , environmental health , criminology , paleontology , nursing , sociology , biology
Annual HIV testing is recommended for individuals at high risk of infection, specifically incarcerated populations. Incarcerated men carry a higher lifetime risk of acquiring HIV than the general population, yet little is known about their HIV testing behaviors. We collected Audio Computer Assisted Self Interview data for 819 men entering a state prison in North Carolina. We assessed correlates of previous HIV testing, including stigmatizing attitudes and beliefs, and explored two outcomes: (1) ever HIV tested before current incarceration, and (2) recency of last HIV test. Eighty percent had been HIV tested before; of those, 36% reported testing within the last year. Being African American, having education beyond high school, prior incarceration, and higher HIV knowledge increased odds of ever having tested. Results of this study highlight the need to expand HIV testing and education specific to incarcerated populations. Additionally, efforts should be made to monitor and encourage repeat screening.