Chandra L. Ford|Mark Daniel|Jo Anne Earp|Jay S. Kaufman|Carol E. Golin|William C. Miller
Perceived Everyday Racism, Residential Segregation, and HIV Testing Among Patients at a Sexually Transmitted Disease Clinic
Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University
objectives one quarter hivinfected people undiagnosed therefore unaware hivpositive status blacks disproportionately infected although perceived racism influences attitudes toward hiv prevention racism influences behaviors unknown sought determine whether perceiving everyday racism racial segregation influence black hiv testing behavior methods clinicbased multilevel study north carolina city eligibility limited blacks n 373 seeking sexually transmitted disease diagnosis screening collected survey data block group characteristics labconfirmed hiv testing behavior estimated associations using logistic regression generalized estimating equations results 90 sample perceived racism associated higher odds hiv testing odds ratio 164 95 confidence interval 107 252 control residential segregation covariates neither patient satisfaction mechanisms coping stress explained association conclusions perceiving everyday racism inherently detrimental perceived racism may improve odds early detection hiv infection highrisk population segregation influences hiv testing behavior warrants research