title: High-risk sexual behavior in Los Angeles: who receives testing for HIV?
abstract: No recent population-based data on HIV testing in people with high-risk sexual behavior are available. We sought predictors of testing using data from the 1997 Los Angeles County Health Survey, a random-digit telephone survey of 8004 county households. An estimated 2.3 million (35.5%) adults were tested for HIV in the past 2 years and approximately 370,000 (5.6%) engaged in high-risk sexual behavior (defined as having > or =2 partners in the past 12 months and not always using condoms). Among high-risk persons, an estimated 46% of heterosexual men, 56% of heterosexual women, and 72% of men who had sex with men (MSM) were tested for HIV. In a multivariable model of high-risk people, both heterosexual men (odds ratio [OR], 0.31; 95% confidence interval [CI], 0.16-0.61) and women (OR, 0.41; 95% CI, 0.19-0.87) had significantly lower proportions of testing than MSM. Although African Americans and Hispanics had significantly higher testing proportions than whites overall among all county residents, those reporting high-risk sexual behavior did not test at higher proportions. We conclude that the proportion of adults with high-risk sexual behavior tested for HIV is higher than almost a decade ago. However, testing among this group remains suboptimal. Future public health campaigns should intensify efforts to encourage HIV testing among this population.
authors.affiliation: Division of Infectious Diseases, VA Greater Los Angeles Healthcare System, UCLA Medical Center, and UCLA AIDS Institute, Los Angeles, California 90509, USA. lgmiller@ucla.edu
authors.forename: L G
authors.initials: LG
authors.lastname: Miller
authors.forename: P A
authors.initials: PA
authors.lastname: Simon
authors.forename: M E
authors.initials: ME
authors.lastname: Miller
authors.forename: A
authors.initials: A
authors.lastname: Long
authors.forename: E I
authors.initials: EI
authors.lastname: Yu
authors.forename: S M
authors.initials: SM
authors.lastname: Asch
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000328:Adult; D000368:Aged; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000635:transmission; D006801:Humans; D015141:Los Angeles / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012725:Sexual Behavior