Objectives: HIV testing is increasingly available in health care settings that are not specifically HIV or STD-related. This presentation explores how HIV testing is associated with access to these health care settings, having a regular source of medical care, and health insurance. Methods: In Philadelphia, 1643 people (1116 men and 527 women) aged 18 and older were interviewed in 8 ZIP codes with high incidence of AIDS. Using a two-stage sampling procedure, participants at risk for HIV because of sexual or drug-use behaviors were recruited from community locations. Results: 78 (15%) of the women and 260 (23%) of the men in the study never had an HIV test. Data were examined using multiple logistic regression, controlling for SES and, for females, having recently given birth. Results indicate that women who do not have insurance are half as likely to report an HIV test as other women (Odds Ratio [OR]=.40), while women who have a regular medical care provider are 4 times more likely to have tested (OR=4.22). Compared to other men, men who are uninsured are more likely to report having an HIV test (OR=1.62). Men who have a regular medical care provider are also more likely to have tested (OR=1.72). Conclusions: Having a regular source of care is a major predictor of HIV testing for both men and women at risk for HIV. However, there are important differences between men and women in the way health care usage and insurance are related to HIV testing behaviors.
Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to: 1. Describe the impact of having a regular source of health care, health insurance, and other health care related issues on HIV testing behaviors for men and women. 2. Articulate at least 3 differences between men and women in the ways health care access influences HIV testing.
Keywords: HIV/AIDS, Access to Health Care
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
Disclosure not received
Relationship: Not Received.