title: Acceptability of HIV Testing Sites Among Rural and Urban African Americans Who Use Cocaine.
abstract: African Americans (AAs) who use cocaine in the Southern region of the U.S. have a relatively high risk of HIV and need for HIV testing. Among this group, those residing in rural areas may have less favorable opinions about common HIV testing sites, which could inhibit HIV testing. We examined rural/urban variations in their acceptability of multiple HIV testing sites (private physician clinic, local health department, community health center, community HIV fair, hospital emergency department, blood plasma donation center, drug abuse treatment facility, and mobile van or community outreach worker). Results from partial proportional odds and logistic regression analyses indicate that rural AA who use cocaine have lower odds of viewing local health departments (OR = 0.09, 95 % CI = 0.03-0.21), physician offices (OR = 0.19, 95 % CI = 0.09-0.42), and drug use treatment centers (OR = 0.49; 95 % CI = 0.30-0.80) as acceptable relative to their urban counterparts. The findings have implications for further targeting HIV testing toward AAs who use of cocaine, particularly those residing in the rural South.
authors: Department of Health Management and Policy, University of Kentucky, Lexington, KY, 40536, USA. dkeithbranham@uky.edu.
authors: D
authors: D
authors: Keith Branham
authors: Department of Health Management and Policy, University of Kentucky, Lexington, KY, 40536, USA.
authors: Tyrone F
authors: TF
authors: Borders
authors: Department of Psychology and Provost's Office, North Carolina State University, Raleigh, NC, USA.
authors: Katharine E
authors: KE
authors: Stewart
authors: Departments of Pharmacy Practice and Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
authors: Geoffrey M
authors: GM
authors: Curran
authors: Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
authors: Brenda M
authors: BM
authors: Booth
mesh_terms: D000328:Adult; D001741:Black or African American; D000554:Ambulatory Care Facilities; D001131:Arkansas / Q000453:epidemiology; D001294:Attitude to Health; D001782:Blood Donors; D019970:Cocaine-Related Disorders / Q000453:epidemiology*; D003151:Community Health Centers; D003150:Community Health Workers; D015897:Comorbidity; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology; D006277:Health Fairs; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D008952:Mobile Health Units; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care; D012424:Rural Population; D016320:Substance Abuse Treatment Centers; D014505:Urban Population
keywords: African American; Cocaine use; HIV testing; Rural; Urban