HIV counseling and testing among Hispanics at CDC-funded sites in the United States, 2007

Am J Public Health. 2010 Apr 1;100 Suppl 1(Suppl 1):S152-8. doi: 10.2105/AJPH.2009.166355. Epub 2010 Feb 10.

Abstract

Objectives: We sought to determine whether Hispanic-White HIV testing disparities exist and to identify characteristics associated with newly diagnosed HIV among Hispanics.

Methods: We used 2007 HIV Counseling and Testing System data to compare test-level records of Hispanics and non-Hispanic Whites, and we conducted a multivariate logistic regression analysis to identify characteristics associated with newly diagnosed HIV.

Results: Relative to Whites, Hispanics were more likely to have had a positive HIV test result (1.2% versus 0.8%), to have newly diagnosed HIV (0.8% versus 0.6%), and to have test results returned and receive posttest counseling more than 2 weeks after testing (24.3% versus 21.5%). Newly diagnosed HIV among Hispanics was most strongly associated with being a man who has sex with men (MSM; adjusted odds ratio [AOR] = 6.8; 95% confidence interval [CI] = 6.1, 7.6), being both an MSM and an injection drug user (AOR = 3.7; 95% CI = 2.6, 5.3), and being aged 40 to 49 years (AOR = 6.4; 95% CI = 4.9, 8.2).

Conclusions: Hispanic-White disparities exist with respect to rates of positive HIV test results and late return of results. HIV prevention strategies such as rapid testing should focus on Hispanic MSM.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Centers for Disease Control and Prevention, U.S.
  • Confidence Intervals
  • Counseling / statistics & numerical data*
  • Female
  • HIV Infections / diagnosis*
  • HIV Infections / etiology
  • Healthcare Disparities*
  • Hispanic or Latino*
  • Humans
  • Male
  • Middle Aged
  • Odds Ratio
  • Public Health Administration
  • Regression Analysis
  • United States
  • Young Adult