Identifying Which Place Characteristics are Associated with the Odds of Recent HIV Testing in a Large Sample of People Who Inject Drugs in 19 US Metropolitan Areas

for the National HIV Behavioral Surveillance Study Group

Research output: Contribution to journalArticle

Abstract

This exploratory analysis investigates relationships of place characteristics to HIV testing among people who inject drugs (PWID). We used CDC’s 2012 National HIV Behavioral Surveillance (NHBS) data among PWID from 19 US metropolitan statistical areas (MSAs); we restricted the analytic sample to PWID self-reporting being HIV negative (N = 7477). Administrative data were analyzed to describe the 1. Sociodemographic Composition; 2. Economic disadvantage; 3. Healthcare Service/Law enforcement; and 4. HIV burden of the ZIP codes, counties, and MSAs where PWID lived. Multilevel models tested associations of place characteristics with HIV testing. Fifty-eight percent of PWID reported past-year testing. MSA-level per capita correctional expenditures were positively associated with recent HIV testing among black PWID, but not white PWID. Higher MSA-level household income and imbalanced sex ratios (more women than men) in the MSA were associated with higher odds of testing. HIV screening for PWID is suboptimal (58%) and needs improvement. Identifying place characteristics associated with testing among PWID can strengthen service allocation and interventions in areas of need to increase access to HIV testing.

Original languageEnglish (US)
Pages (from-to)1-18
Number of pages18
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Jul 3 2018

Fingerprint

HIV
Pharmaceutical Preparations
Law Enforcement
Sex Ratio
Centers for Disease Control and Prevention (U.S.)
Health Expenditures
Economics
Delivery of Health Care

Keywords

  • HIV testing
  • National HIV Behavioral Surveillance
  • People who inject drugs
  • Place characteristics
  • US metropolitan statistical areas

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Identifying Which Place Characteristics are Associated with the Odds of Recent HIV Testing in a Large Sample of People Who Inject Drugs in 19 US Metropolitan Areas. / for the National HIV Behavioral Surveillance Study Group.

In: AIDS and Behavior, 03.07.2018, p. 1-18.

Research output: Contribution to journalArticle

@article{7268e8e46a3045dab2bd8e4a95ec7681,
title = "Identifying Which Place Characteristics are Associated with the Odds of Recent HIV Testing in a Large Sample of People Who Inject Drugs in 19 US Metropolitan Areas",
abstract = "This exploratory analysis investigates relationships of place characteristics to HIV testing among people who inject drugs (PWID). We used CDC’s 2012 National HIV Behavioral Surveillance (NHBS) data among PWID from 19 US metropolitan statistical areas (MSAs); we restricted the analytic sample to PWID self-reporting being HIV negative (N = 7477). Administrative data were analyzed to describe the 1. Sociodemographic Composition; 2. Economic disadvantage; 3. Healthcare Service/Law enforcement; and 4. HIV burden of the ZIP codes, counties, and MSAs where PWID lived. Multilevel models tested associations of place characteristics with HIV testing. Fifty-eight percent of PWID reported past-year testing. MSA-level per capita correctional expenditures were positively associated with recent HIV testing among black PWID, but not white PWID. Higher MSA-level household income and imbalanced sex ratios (more women than men) in the MSA were associated with higher odds of testing. HIV screening for PWID is suboptimal (58{\%}) and needs improvement. Identifying place characteristics associated with testing among PWID can strengthen service allocation and interventions in areas of need to increase access to HIV testing.",
keywords = "HIV testing, National HIV Behavioral Surveillance, People who inject drugs, Place characteristics, US metropolitan statistical areas",
author = "{for the National HIV Behavioral Surveillance Study Group} and Barbara Tempalski and Cooper, {Hannah L.F.} and Kelley, {Mary E.} and Linton, {Sabriya L.} and Wolfe, {Mary E.} and Chen, {Yen Tyng} and Zev Ross and {Des Jarlais}, Don and Friedman, {Samuel R.} and Williams, {Leslie D.} and Salaam Semaan and Elizabeth DiNenno and Cyprian Wejnert and Dita Broz and Gabriela Paz-Bailey",
year = "2018",
month = "7",
day = "3",
doi = "10.1007/s10461-018-2217-z",
language = "English (US)",
pages = "1--18",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",

}

TY - JOUR

T1 - Identifying Which Place Characteristics are Associated with the Odds of Recent HIV Testing in a Large Sample of People Who Inject Drugs in 19 US Metropolitan Areas

AU - for the National HIV Behavioral Surveillance Study Group

AU - Tempalski, Barbara

AU - Cooper, Hannah L.F.

AU - Kelley, Mary E.

AU - Linton, Sabriya L.

AU - Wolfe, Mary E.

AU - Chen, Yen Tyng

AU - Ross, Zev

AU - Des Jarlais, Don

AU - Friedman, Samuel R.

AU - Williams, Leslie D.

AU - Semaan, Salaam

AU - DiNenno, Elizabeth

AU - Wejnert, Cyprian

AU - Broz, Dita

AU - Paz-Bailey, Gabriela

PY - 2018/7/3

Y1 - 2018/7/3

N2 - This exploratory analysis investigates relationships of place characteristics to HIV testing among people who inject drugs (PWID). We used CDC’s 2012 National HIV Behavioral Surveillance (NHBS) data among PWID from 19 US metropolitan statistical areas (MSAs); we restricted the analytic sample to PWID self-reporting being HIV negative (N = 7477). Administrative data were analyzed to describe the 1. Sociodemographic Composition; 2. Economic disadvantage; 3. Healthcare Service/Law enforcement; and 4. HIV burden of the ZIP codes, counties, and MSAs where PWID lived. Multilevel models tested associations of place characteristics with HIV testing. Fifty-eight percent of PWID reported past-year testing. MSA-level per capita correctional expenditures were positively associated with recent HIV testing among black PWID, but not white PWID. Higher MSA-level household income and imbalanced sex ratios (more women than men) in the MSA were associated with higher odds of testing. HIV screening for PWID is suboptimal (58%) and needs improvement. Identifying place characteristics associated with testing among PWID can strengthen service allocation and interventions in areas of need to increase access to HIV testing.

AB - This exploratory analysis investigates relationships of place characteristics to HIV testing among people who inject drugs (PWID). We used CDC’s 2012 National HIV Behavioral Surveillance (NHBS) data among PWID from 19 US metropolitan statistical areas (MSAs); we restricted the analytic sample to PWID self-reporting being HIV negative (N = 7477). Administrative data were analyzed to describe the 1. Sociodemographic Composition; 2. Economic disadvantage; 3. Healthcare Service/Law enforcement; and 4. HIV burden of the ZIP codes, counties, and MSAs where PWID lived. Multilevel models tested associations of place characteristics with HIV testing. Fifty-eight percent of PWID reported past-year testing. MSA-level per capita correctional expenditures were positively associated with recent HIV testing among black PWID, but not white PWID. Higher MSA-level household income and imbalanced sex ratios (more women than men) in the MSA were associated with higher odds of testing. HIV screening for PWID is suboptimal (58%) and needs improvement. Identifying place characteristics associated with testing among PWID can strengthen service allocation and interventions in areas of need to increase access to HIV testing.

KW - HIV testing

KW - National HIV Behavioral Surveillance

KW - People who inject drugs

KW - Place characteristics

KW - US metropolitan statistical areas

UR - http://www.scopus.com/inward/record.url?scp=85049591927&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85049591927&partnerID=8YFLogxK

U2 - 10.1007/s10461-018-2217-z

DO - 10.1007/s10461-018-2217-z

M3 - Article

C2 - 29971735

AN - SCOPUS:85049591927

SP - 1

EP - 18

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

ER -