Prevalence and Correlates of HIV Testing among Sexual Minorities

Author:

Kurtzman Ellen T.1,Wyche Karen Fraser2

Affiliation:

1. Ellen T. Kurtzman, Associate Professor, School of Nursing, The George Washington University, Washington, DC, United States;, Email: etk@gwu.edu

2. Karen Fraser Wyche, Clinical Professor, School of Nursing, The George Washington University, Washington, DC, United States

Abstract

Objectives: We established baseline prevalence rates of HIV testing among adult, sexual minorities and identified the correlates of never being HIV tested. Methods: We used a 20-state sample of the 2017-2019 Behavioral Risk Factor Surveillance System to identify sexual minorities who responded to the HIV testing question (N=433,042). Using weighted multivariate logistic regression analysis, we identified the characteristics associated with never being HIV tested and the impact of state health departments' HIV testing messages on testing status. Results: Overall, 41.6% of sexual minorities reported never being HIV tested with statistically significant state-level variation. Being younger (18-24 years) or older (65+ years), not black, married, and in good health significantly increased the odds of never being HIV tested as did lacking regular healthcare access and reporting no high-risk HIV behaviors. States' HIV testing messages had no statistically significant effect on HIV testing status. Conclusions: Although sexual minorities were less likely than straight respondents to report never being HIV tested, a sizable population remained untested. Specific characteristics associated with sexual minorities' HIV testing status can be used to tailor public health messages and optimize testing rates.

Publisher

JCFCorp SG PTE LTD

Subject

Public Health, Environmental and Occupational Health,Social Psychology,Health(social science)

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