Acceptability of HIV Testing Sites Among Rural and Urban African Americans Who Use Cocaine
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- 作者：D. Keith Branham ; Tyrone F. Borders ; Katharine E. Stewart…
- 关键词：Cocaine use ; HIV testing ; African American ; Rural ; Urban
- 刊名：AIDS and Behavior
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：21
- 期：2
- 页码：576-586
- 全文大小：
- 刊物类别：Medicine
- 刊物主题：Public Health; Health Psychology; Infectious Diseases;
- 出版者：Springer US
- ISSN：1573-3254
- 卷排序：21
文摘
African Americans (AAs) who use cocaine in the Southern region of the U.S. have a relatively high risk of HIV and need for HIV testing. Among this group, those residing in rural areas may have less favorable opinions about common HIV testing sites, which could inhibit HIV testing. We examined rural/urban variations in their acceptability of multiple HIV testing sites (private physician clinic, local health department, community health center, community HIV fair, hospital emergency department, blood plasma donation center, drug abuse treatment facility, and mobile van or community outreach worker). Results from partial proportional odds and logistic regression analyses indicate that rural AA who use cocaine have lower odds of viewing local health departments (OR = 0.09, 95 % CI = 0.03–0.21), physician offices (OR = 0.19, 95 % CI = 0.09–0.42), and drug use treatment centers (OR = 0.49; 95 % CI = 0.30–0.80) as acceptable relative to their urban counterparts. The findings have implications for further targeting HIV testing toward AAs who use of cocaine, particularly those residing in the rural South.