title: HIV testing in an ethnically diverse sample of American university students: associations with violence/abuse and covariates.
abstract: Associations linking HIV infection to violence and abuse are well documented; however, little is known about how violence/abuse is related to HIV testing behavior, particularly among undergraduate university students, who test at lower rates compared to non-student peers in the United States. We assessed history of HIV testing in an ethnically diverse sample of undergraduates in California (n = 1,210); and examined potential associations between testing and various forms of violence/abuse, while controlling for covariates. Whereas 73.4% of students were sexually active in the past year, only 26.3% had ever tested for HIV. At the bivariate level, testing was associated with experiencing verbal abuse and sexual violence/coercion, and perpetrating verbal abuse. Experiencing verbal abuse remained significant in multivariate analysis. We discuss findings in a syndemics framework, considered in combination with social psychology-based health behavior theories. Enhanced HIV testing scale-up initiatives for undergraduates are needed and should consider integration with violence prevention programs.
authors.affiliation: Department of Health Science, California State University, Fullerton, 800 North State College Boulevard, Fullerton, CA, 92831, USA, adistefano@fullerton.edu.
authors.forename: Anthony S
authors.initials: AS
authors.lastname: DiStefano
authors.forename: Jasmeet K
authors.initials: JK
authors.lastname: Gill
authors.forename: Randolph D
authors.initials: RD
authors.lastname: Hubach
authors.forename: Reggie T
authors.initials: RT
authors.lastname: Cayetano
authors.forename: Cary J
authors.initials: CJ
authors.lastname: Hilbert
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D002140:California / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D012742:Sex Offenses / Q000523:psychology / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000706:statistics & numerical data; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data; D014495:Universities / Q000706:statistics & numerical data; D014754:Violence / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult
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