HIV Testing Among Foreign-Born Men and Women in the United States: Results from a Nationally Representative Cross-Sectional Survey

J Immigr Minor Health. 2018 Oct;20(5):1118-1127. doi: 10.1007/s10903-017-0655-8.

Abstract

HIV disproportionately affects the foreign-born population in the United States. This analysis describes the prevalence of ever-testing for HIV among foreign-born individuals residing in the United States. Data from a national health survey of the civilian, non-institutionalized population was used to describe prevalence of ever-testing for HIV among foreign-born individuals by birth place. Multivariate logistic-regression procedures were used to determine factors associated with ever-testing for HIV among foreign-born men and women. The prevalence of ever-testing for HIV among foreign-born individuals varied by region of birth ranging from 31 to 67%. Factors related to ever-testing for HIV varied by gender. Efforts need to continue in order to improve HIV testing rates among Asian foreign-born individuals, lower educated foreign-born and foreign-born gay/bisexual men. Health care providers can play an important role by counseling new arrivals regarding the importance of testing for HIV and practicing HIV risk reduction activities.

Keywords: Foreign-born; HIV; Testing; United States.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cross-Sectional Studies
  • Emigrants and Immigrants / statistics & numerical data*
  • Female
  • HIV Infections / diagnosis*
  • HIV Infections / ethnology*
  • Health Surveys
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Prevalence
  • Sex Factors
  • Socioeconomic Factors
  • United States / epidemiology
  • Young Adult