title: HIV testing among Deep South residents with serious psychological distress.
abstract: OBJECTIVE
  To describe the prevalence of serious psychological distress among Deep South residents and human immunodeficiency virus (HIV) testing among Deep South residents with serious psychological distress.
  
  
  METHODS
  Data from the 2007 Behavioral Risk Factor Surveillance System (BRFSS) survey from Georgia, Louisiana, Mississippi, and South Carolina were used for this study. Andersen's behavioral model of health care use provided the conceptual framework for the study. The Kessler 6 was used to dichotomize the sample as having or not having serious psychological distress. chi2 Test and multivariate logistic regression analyses were performed on the weighted data.
  
  
  RESULTS
  Only 5.7% of our sample had experienced serious psychological distress in the past 30 days. A majority proportion of persons with serious psychological distress (54.9%) had been tested for HIV. HIV testing was slightly more prevalent among males with serious psychological distress (63%) than females with serious psychological distress (60%). Predisposing factors (age, race/ethnicity, and urbanization) were confounders of HIV testing among both males and females with serious psychological distress. Enabling factors (income, health care access) were only confounders of HIV testing among males with serious psychological distress.
  
  
  CONCLUSIONS
  Future HIV prevention and management efforts should consider the potential role of concurrent serious psychological distress in impacting an individual's daily life and health activities such as self-care, caring for family, and maintaining employment.
authors.affiliation: Institute for Partnerships to Eliminate Health Disparities, University of South Carolina, Columbia, USA. larrellw@uab.edu
authors.forename: Larrell L
authors.initials: LL
authors.lastname: Wilkinson
authors.forename: Lisa
authors.initials: L
authors.lastname: Wigfall
authors.forename: Ryan C
authors.initials: RC
authors.lastname: Lewis
authors.forename: Tasha R
authors.initials: TR
authors.lastname: Louis-Nance
authors.forename: Neethu
authors.initials: N
authors.lastname: Sebastian
authors.forename: Donna L
authors.initials: DL
authors.lastname: Richter
authors.forename: Wayne A
authors.initials: WA
authors.lastname: Duffus
authors.forename: Saundra H
authors.initials: SH
authors.lastname: Glover
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000175:diagnosis* / Q000208:ethnology; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000208:ethnology / Q000523:psychology*; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012698:Serologic Tests / Q000706:statistics & numerical data; D012737:Sex Factors; D015144:Southeastern United States; D055815:Young Adult
references.citation: Med Care. 2006 Nov;44(11):990-7
references.pmid: 17063130
references.citation: AIDS Care. 2006;18 Suppl 1:S1-5
references.pmid: 16938668
references.citation: J Clin Exp Neuropsychol. 2003 Aug;25(5):654-70
references.pmid: 12815503
references.citation: J Acquir Immune Defic Syndr. 2005 Aug 1;39(4):446-53
references.pmid: 16010168
references.citation: Adv Data. 2007 Mar 30;(382):1-18
references.pmid: 17432488
references.citation: Milbank Mem Fund Q Health Soc. 1973 Winter;51(1):95-124
references.pmid: 4198894
references.citation: J S C Med Assoc. 2009 Dec;105(7):274-80
references.pmid: 20108718
references.citation: Gerontologist. 1997 Apr;37(2):150-6
references.pmid: 9127971
references.citation: MMWR Recomm Rep. 2006 Sep 22;55(RR-14):1-17; quiz CE1-4
references.pmid: 16988643
references.citation: J Clin Psychiatry. 2005 Sep;66(9):1122-9
references.pmid: 16187769
references.citation: Diabetes Metab. 2002 Nov;28(5):397-404
references.pmid: 12461477
references.citation: Percept Mot Skills. 1991 Feb;72(1):163-70
references.pmid: 2038511
references.citation: Med Sci Sports Exerc. 2006 Mar;38(3):411-7
references.pmid: 16540826
references.citation: Neuropsychol Rev. 2009 Jun;19(2):143
references.pmid: 19466594
references.citation: Expert Opin Pharmacother. 2005 Mar;6(3):369-76
references.pmid: 15794728
references.citation: Psychol Health. 2009 Oct;24(8):909-17
references.pmid: 20205035
references.citation: Health Serv Res. 2000 Feb;34(6):1273-302
references.pmid: 10654830
references.citation: N Engl J Med. 1998 Mar 26;338(13):853-60
references.pmid: 9516219
references.citation: Health Serv Res. 1974 Fall;9(3):208-20
references.pmid: 4436074
references.citation: Am J Public Health. 2006 Jun;96(6):970-3
references.pmid: 16670228
references.citation: J Assoc Nurses AIDS Care. 2003 Mar-Apr;14(2):30-40
references.pmid: 12698764
references.citation: AIDS. 2001 Apr 13;15(6):693-701
references.pmid: 11371683
references.citation: J Health Soc Behav. 1995 Mar;36(1):1-10
references.pmid: 7738325
references.citation: Public Health Rep. 2000 Sep-Oct;115(5):460-8
references.pmid: 11236018
references.citation: J Clin Exp Neuropsychol. 1991 Mar;13(2):278-90
references.pmid: 1830887
references.citation: MMWR Morb Mortal Wkly Rep. 2008 Oct 3;57(39):1073-6
references.pmid: 18830210
references.citation: Neuropsychol Rev. 2009 Jun;19(2):186-203
references.pmid: 19472057
references.citation: Neuroepidemiology. 2007;29(1-2):125-32
references.pmid: 17975326
references.citation: Am J Obstet Gynecol. 2007 Sep;197(3 Suppl):S26-32
references.pmid: 17825647
references.citation: Biofeedback Self Regul. 1990 Sep;15(3):229-42
references.pmid: 2223891
references.citation: AIDS Patient Care STDS. 2009 Dec;23(12):1053-7
references.pmid: 20025514
references.citation: Am Psychol. 1994 Jan;49(1):15-24
references.pmid: 8122813
references.citation: Med Sci Sports Exerc. 1993 Jun;25(6):684-8
references.pmid: 8100607
references.citation: J Natl Med Assoc. 2010 Dec;102(12):1150-7
references.pmid: 21287895
references.citation: Psychol Med. 2002 Aug;32(6):959-76
references.pmid: 12214795
references.citation: MMWR Morb Mortal Wkly Rep. 2006 Dec 1;55(47):1269-72
references.pmid: 17136020