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AIDS Behav. 2019 Apr;23(4):883-892. doi: 10.1007/s10461-018-02381-9.

Underutilization of HIV Testing Among Men with Incarceration Histories.

Author information

1
Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill School of Medicine, 130 Mason Farm Road, CB# 7030, Chapel Hill, NC, 27599, USA. cfarel@med.unc.edu.
2
Center for AIDS Research, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA. cfarel@med.unc.edu.
3
Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill School of Medicine, 130 Mason Farm Road, CB# 7030, Chapel Hill, NC, 27599, USA.
4
Division of General Internal Medicine and Clinical Epidemiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
5
Department of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, NC, USA.
6
Center for AIDS Research, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
7
Health Disparities Institute, University of Connecticut, Hartford, CT, USA.

Abstract

Annual HIV testing is recommended for individuals at high risk of infection, specifically incarcerated populations. Incarcerated men carry a higher lifetime risk of acquiring HIV than the general population, yet little is known about their HIV testing behaviors. We collected Audio Computer Assisted Self Interview data for 819 men entering a state prison in North Carolina. We assessed correlates of previous HIV testing, including stigmatizing attitudes and beliefs, and explored two outcomes: (1) ever HIV tested before current incarceration, and (2) recency of last HIV test. Eighty percent had been HIV tested before; of those, 36% reported testing within the last year. Being African American, having education beyond high school, prior incarceration, and higher HIV knowledge increased odds of ever having tested. Results of this study highlight the need to expand HIV testing and education specific to incarcerated populations. Additionally, efforts should be made to monitor and encourage repeat screening.

KEYWORDS:

HIV/AIDS; Incarcerated population; Prevention; Testing; Utilization

PMID:
30661215
DOI:
10.1007/s10461-018-02381-9
[Indexed for MEDLINE]

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