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Sexual Orientation Identity, Race/Ethnicity, and Lifetime HIV Testing in a National Probability Sample of U.S. Women and Men: An Intersectional Approach.
LGBT Health. 2019 Aug/Sep; 6(6):306-318.LH

Abstract

Purpose:

We examined differences in lifetime human immunodeficiency virus (HIV) testing in relation to both sexual orientation identity and race/ethnicity among U.S. women and men.

Methods:

We used 2013-2017 National Health Interview Survey data and multivariable logistic regression to assess the distribution of lifetime HIV testing across and within sexual orientation identity and racial/ethnic groups of U.S. women (n = 60,867) and men (n = 52,201) aged 18-64 years.

Results:

Among women, Black lesbian (74.1%) and bisexual (74.0%) women had the highest prevalence whereas Asian lesbian women (32.5%) had the lowest prevalence of lifetime HIV testing. Among men, the prevalence of lifetime HIV testing was the highest among Latino gay men (92.6%) and the lowest among Asian heterosexual men (32.0%). In most cases, Black women and Black and Latino men had significantly higher adjusted odds whereas Asian women and men had lower adjusted odds of lifetime HIV testing compared with their White counterparts within sexual orientation identity groups. In many instances, bisexual women and gay men had significantly higher adjusted odds of lifetime HIV testing relative to their heterosexual counterparts within racial/ethnic groups. Compared with White heterosexual individuals, most sexual orientation identity and racial/ethnic subgroups had significantly higher adjusted odds whereas Asian heterosexual, bisexual, and lesbian women and Asian heterosexual and bisexual men may have lower adjusted odds of lifetime HIV testing.

Conclusion:

Culturally relevant, linguistically appropriate, and structurally competent programs and practices are needed to facilitate lifetime HIV testing among diverse sexual orientation identity and racial/ethnic subgroups of women and men, including multiply marginalized subgroups that are undertested or disproportionately affected by HIV/AIDS.

Authors+Show Affiliations

Department of Community Health, Tufts University, Medford, Massachusetts. The Fenway Institute, Fenway Health, Boston, Massachusetts. Center for Interdisciplinary Research on AIDS, Yale University, New Haven, Connecticut.Department of Social and Behavioral Sciences, University of California, San Francisco, San Francisco, California.Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.Center for Interdisciplinary Research on AIDS, Yale University, New Haven, Connecticut. Department of Psychology, University of Maryland, Baltimore County, Baltimore, Maryland.Department of Community Health, Tufts University, Medford, Massachusetts.The Fenway Institute, Fenway Health, Boston, Massachusetts. Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts. Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

31314667

Citation

Agénor, Madina, et al. "Sexual Orientation Identity, Race/Ethnicity, and Lifetime HIV Testing in a National Probability Sample of U.S. Women and Men: an Intersectional Approach." LGBT Health, vol. 6, no. 6, 2019, pp. 306-318.
Agénor M, Pérez AE, Koma JW, et al. Sexual Orientation Identity, Race/Ethnicity, and Lifetime HIV Testing in a National Probability Sample of U.S. Women and Men: An Intersectional Approach. LGBT Health. 2019;6(6):306-318.
Agénor, M., Pérez, A. E., Koma, J. W., Abrams, J. A., McGregor, A. J., & Ojikutu, B. O. (2019). Sexual Orientation Identity, Race/Ethnicity, and Lifetime HIV Testing in a National Probability Sample of U.S. Women and Men: An Intersectional Approach. LGBT Health, 6(6), 306-318. https://doi.org/10.1089/lgbt.2019.0001
Agénor M, et al. Sexual Orientation Identity, Race/Ethnicity, and Lifetime HIV Testing in a National Probability Sample of U.S. Women and Men: an Intersectional Approach. LGBT Health. 2019 Aug/Sep;6(6):306-318. PubMed PMID: 31314667.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual Orientation Identity, Race/Ethnicity, and Lifetime HIV Testing in a National Probability Sample of U.S. Women and Men: An Intersectional Approach. AU - Agénor,Madina, AU - Pérez,Ashley E, AU - Koma,Jonathan Wyatt, AU - Abrams,Jasmine A, AU - McGregor,Alecia J, AU - Ojikutu,Bisola O, Y1 - 2019/07/17/ PY - 2019/7/18/pubmed PY - 2020/8/20/medline PY - 2019/7/18/entrez KW - HIV testing KW - intersectionality KW - men KW - race/ethnicity KW - sexual orientation KW - women SP - 306 EP - 318 JF - LGBT health JO - LGBT Health VL - 6 IS - 6 N2 - Purpose: We examined differences in lifetime human immunodeficiency virus (HIV) testing in relation to both sexual orientation identity and race/ethnicity among U.S. women and men. Methods: We used 2013-2017 National Health Interview Survey data and multivariable logistic regression to assess the distribution of lifetime HIV testing across and within sexual orientation identity and racial/ethnic groups of U.S. women (n = 60,867) and men (n = 52,201) aged 18-64 years. Results: Among women, Black lesbian (74.1%) and bisexual (74.0%) women had the highest prevalence whereas Asian lesbian women (32.5%) had the lowest prevalence of lifetime HIV testing. Among men, the prevalence of lifetime HIV testing was the highest among Latino gay men (92.6%) and the lowest among Asian heterosexual men (32.0%). In most cases, Black women and Black and Latino men had significantly higher adjusted odds whereas Asian women and men had lower adjusted odds of lifetime HIV testing compared with their White counterparts within sexual orientation identity groups. In many instances, bisexual women and gay men had significantly higher adjusted odds of lifetime HIV testing relative to their heterosexual counterparts within racial/ethnic groups. Compared with White heterosexual individuals, most sexual orientation identity and racial/ethnic subgroups had significantly higher adjusted odds whereas Asian heterosexual, bisexual, and lesbian women and Asian heterosexual and bisexual men may have lower adjusted odds of lifetime HIV testing. Conclusion: Culturally relevant, linguistically appropriate, and structurally competent programs and practices are needed to facilitate lifetime HIV testing among diverse sexual orientation identity and racial/ethnic subgroups of women and men, including multiply marginalized subgroups that are undertested or disproportionately affected by HIV/AIDS. SN - 2325-8306 UR - https://www.unboundmedicine.com/medline/citation/31314667/Sexual_Orientation_Identity_Race/Ethnicity_and_Lifetime_HIV_Testing_in_a_National_Probability_Sample_of_U_S__Women_and_Men:_An_Intersectional_Approach_ L2 - https://www.liebertpub.com/doi/10.1089/lgbt.2019.0001?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -