Sexual Orientation Identity, Race/Ethnicity, and Lifetime HIV Testing in a National Probability Sample of U.S. Women and Men: An Intersectional Approach

dc.contributor.authorAgénor, Madina
dc.contributor.authorPérez, Ashley E.
dc.contributor.authorKoma, Jonathan Wyatt
dc.contributor.authorAbrams, Jasmine A.
dc.contributor.authorMcGregor, Alecia J.
dc.contributor.authorOjikutu, Bisola O.
dc.date.accessioned2019-11-01T17:03:40Z
dc.date.available2019-11-01T17:03:40Z
dc.date.issued2019-09-05
dc.description.abstractPurpose: 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.en_US
dc.description.sponsorshipThe authors thank the 2013–2017 NHIS study participants and staff for the data used in this study. They also thank the Sexual Orientation and Gender Identity and Expression (SOGIE) Working Group at Harvard T.H. Chan School of Public Health for their feedback on the data analyses presented in this article. The preparation of this article was supported by National Institute of Mental Health grant 1R25GM111837-01.en_US
dc.description.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6740155/en_US
dc.format.extent13 pagesen_US
dc.genrejournal articlesen_US
dc.identifierdoi:10.13016/m2nxtm-l1d6
dc.identifier.citationAgénor, Madina; Pérez, Ashley E.; Koma, Jonathan Wyatt; Abrams, Jasmine A.; McGregor, Alecia J.; Ojikutu, Bisola O.; 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; https://doi.org/10.1089/lgbt.2019.0001en_US
dc.identifier.urihttps://doi.org/10.1089/lgbt.2019.0001
dc.identifier.urihttp://hdl.handle.net/11603/16024
dc.language.isoen_USen_US
dc.publisherMary Ann Liebert, Inc.en_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Psychology Department Collection
dc.relation.ispartofUMBC Faculty Collection
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
dc.subjectHIV testingen_US
dc.subjectintersectionalityen_US
dc.subjectmenen_US
dc.subjectrace/ethnicityen_US
dc.subjectsexual orientationen_US
dc.subjectwomenen_US
dc.titleSexual Orientation Identity, Race/Ethnicity, and Lifetime HIV Testing in a National Probability Sample of U.S. Women and Men: An Intersectional Approachen_US
dc.typeTexten_US

Files

License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
2.56 KB
Format:
Item-specific license agreed upon to submission
Description: