title: Compliance with a New York State 2010 HIV Testing Law: Is There Racial/Ethnic Bias in HIV Testing? Experience of Monroe County, New York, 2012.
abstract: BACKGROUND
  While routine HIV testing in the general population is a national recommendation, actual practice may vary.
  
  
  OBJECTIVE
  To determine risk factors associated with HIV testing after the adoption of a New York State law in 2010 mandating that health care providers offer HIV testing in all clinical settings.
  
  
  METHODS
  Survey data from Monroe County, New York, were collected in 2012 for adults aged 18-64 years and analyzed in 2014. Logistic regression was used to identify risk factors independently associated with HIV testing and high-risk behavior.
  
  
  RESULTS
  Among adults aged 18-34, fewer Whites were offered HIV testing in the past year by their doctors compared with Blacks (34% vs 64%) despite having similar rates of any HIV high-risk behavior (20% overall). For adults aged 35-64 years, fewer Whites than Blacks were ever tested for HIV (42% vs 71%), offered HIV testing in past year (17% vs 40%), and reported any HIV high-risk behavior (3% vs 13%). Latinos showed intermediate levels. With logistic regression analysis, ever tested for HIV was independently associated with only race/ethnicity; offered HIV testing in the past year was associated with females, Blacks and Latinos, aged 18-34 years, and having a routine health checkup in past year; any HIV high-risk behavior was associated with only younger age.
  
  
  CONCLUSIONS
  To improve HIV testing rates as well as compliance with state laws and national guidelines, targeted efforts should be considered that improve perceptions of risk and emphasize the value of routine HIV screening, including those directed at White adults and their health care providers.
authors: Monroe County Department of Public Health, Rochester, New York.
authors: Byron S
authors: BS
authors: Kennedy
authors: Monroe County Department of Public Health, Rochester, New York.
authors: Anne
authors: A
authors: Kern
authors: Monroe County Department of Public Health, Rochester, New York.
authors: John
authors: J
authors: Ricci
authors: Monroe County Department of Public Health, Rochester, New York.
authors: Mary
authors: M
authors: Younge
authors: Monroe County Department of Public Health, Rochester, New York.
authors: Kathy
authors: K
authors: Carelock
authors: Monroe County Department of Public Health, Rochester, New York.
authors: Brenden
authors: B
authors: Bedard
authors: Monroe County Department of Public Health, Rochester, New York.
authors: Kim
authors: K
authors: Smith
authors: Monroe County Department of Public Health, Rochester, New York.
authors: Roxana
authors: R
authors: Inscho
mesh_terms: D000293:Adolescent; D000328:Adult; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D037141:Mandatory Programs; D008403:Mass Screening / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D008875:Middle Aged; D009518:New York; D010818:Practice Patterns, Physicians'; D044469:Racial Groups; D063505:Racism; D012307:Risk Factors; D011795:Surveys and Questionnaires; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult
keywords: HIV Testing; Health Screening Disparities; Public Health