Journal article
Pathways to Care: HIV Testing Among African Born Persons in the USA. Evidence from the National Health Interview Survey, 2000 - 2010.
Sociological imagination, v 59(1), pp 6-26
2023
Abstract
Background: The purpose of this study is to investigate the direct and indirect effects of predisposing, enabling and need factors on HIV testing among African immigrants in the US, using data from the National Health Interview Survey. Methods: Nationally representative data were analyzed from the 2000-2010 National Health Interview Survey to examine the correlates of getting tested for HIV among 1720 African immigrants. 62% of respondents previously tested for HIV. Path Analysis was used to examine the direct and indirect effects of relevant predictors on HIV testing, based on Andersen's Behavioral Model of Health Services Use. Results: The final model (χ²(40)=50.47, p-value=0.12, χ²/df =1.26, CFI=0.99, TLI=0.99, RMSEA=0.02(p=0.99)) showed that getting tested for HIV was directly associated with limited English proficiency (} = -1.27, p<0.000), being employed (}= -0.22, p<0.10), health insurance coverage (}= - 0.17, p<0.05), having sought regular or routine care (}= 0.26, p<0.00), self-rated health status(}=0.23, p<0.05) and HIV risk perception(}= 0.17, p<0.05). Number of years spent in US, level of education, poverty ratio, experiencing barriers to care, engagement in HIV risk behaviors and had having an STD, all had indirect effects on getting tested for HIV. Services Use, our analysis revealed the direct and indirect effects of predisposing, enabling and need factors on getting tested for HIV. The salience of these effects in linking individual, behaviors with broader socio-economic and cultural factors point to the potential role of the social determinants of health (SDOH) in understanding the correlates of, and pathways to getting an HIV test.
Metrics
4 Record Views
Details
- Title
- Pathways to Care: HIV Testing Among African Born Persons in the USA. Evidence from the National Health Interview Survey, 2000 - 2010.
- Creators
- Emmanuel F. Koku - Drexel University, Sociology
- Publication Details
- Sociological imagination, v 59(1), pp 6-26
- Publisher
- Wisconsin Sociological Association
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Sociology; Africana Studies
- Other Identifier
- 991022008295004721