Health and cultural determinants of voluntary HIV testing and counseling among middle-aged and older Latina women

J Women Aging. 2012;24(2):97-112. doi: 10.1080/08952841.2012.639650.


The rate of cases of HIV/AIDS in older people is increasing; indeed one out of every four people with HIV/AIDS is over age 50. This study describes the correlates of HIV Voluntary Counseling and Testing (VCT) using structural equation modeling techniques for a sample of 135 middle-aged and middle-aged and older Latinas in South Florida. Over 60% of participants had been tested for HIV. Provider endorsement was found to be the strongest predictor of VCT (odds ratio [OR] = 6. 38), followed by having a clinic as a regular source of healthcare (OR = 3.88). Social work implications are provided.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Culture*
  • Directive Counseling*
  • Female
  • Florida
  • HIV Infections / diagnosis
  • HIV Infections / ethnology*
  • HIV Infections / prevention & control
  • HIV Infections / psychology
  • Health Services Accessibility
  • Health Status*
  • Health Surveys
  • Hispanic Americans*
  • Humans
  • Middle Aged
  • Models, Statistical
  • Patient Acceptance of Health Care / ethnology*
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data
  • Patient Education as Topic