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Jennifer Elliott
Article
Prevalence and correlates of HIV testing and HIV-positive status in the US: Results from the National Epidemiological Survey on Alcohol and Related Conditions III (NESARC-III)
Journal of Psychiatric Research (2018)
  • Carlos Blanco, National Institute on Drug Abuse
  • Melanie M. Wall, Columbia University
  • Wilson M Compton, National Institute on Drug Abuse
  • Shoshana Y Kahana, National Institute on Drug Abuse
  • Tianshu Feng, Columbia University
  • Tulshi Saha, National Institute on Alcohol Abuse and Alcoholism
  • Jennifer C Elliott, Molloy College
  • Irene Hall, Centers for Disease Control
  • Bridget F. Grant, National Institute on Alcohol Abuse and Alcoholism
Link
Abstract
We used the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions III (NESARC-III), a nationally representative sample of US adults (n = 34,653), to estimate the prevalence and correlates of HIV testing and HIV status. The diagnostic interview used was the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-5 Version. We found that in 2012-2013, the prevalence of a history of HIV testing was 53.0% among females and 47.0% among males. Among individuals tested, the prevalence of HIV was 1.06%, resulting in a known estimated prevalence of 0.54% in the full sample. In adjusted results, being non-white, aged 30-44, having college, being non-heterosexual, having history of unprotected sex or history of childhood sexual abuse and lower mental health-related quality of life increased the odds of having been tested, whereas being foreign-born, 45 years or older, family income ≥$20,000, being unemployed or a student, living in a rural setting and older age at first sex lowered those odds. Among those tested, being 30-64, being non-heterosexual, having history of unprotected sex or having a sexually transmitted disease in the last year was associated with greater odds of being HIV+. Having some college decreased those odds. In the adjusted results all psychiatric disorders were associated with increased rates of HIV testing, but only a lifetime history of drug use disorder and antisocial personality disorders were associated with HIV status among those tested. Despite CDC recommendations, only about half of US adults have ever been tested for HIV, interfering with efforts to eradicate HIV infection.
Keywords
  • CDC recommendations,
  • comorbidity,
  • HIV,
  • NESARC-III,
  • NESARC,
  • psychiatric disorders
Disciplines
Publication Date
October, 2018
DOI
10.1016/j.jpsychires.2018.08.007
Citation Information
Carlos Blanco, Melanie M. Wall, Wilson M Compton, Shoshana Y Kahana, et al.. "Prevalence and correlates of HIV testing and HIV-positive status in the US: Results from the National Epidemiological Survey on Alcohol and Related Conditions III (NESARC-III)" Journal of Psychiatric Research Vol. 105 (2018) p. 1 - 8
Available at: http://works.bepress.com/jennifer-elliott/9/