Date of Degree

2-2021

Document Type

Dissertation

Degree Name

Ph.D.

Program

Social Welfare

Advisor

Juan Battle

Committee Members

Harriet Goodman

Michael Lewis

Subject Categories

Social Work

Keywords

HIV, HIV testing

Abstract

Using intersectionality, Critical Race Theory and Quare theory as theoretical frameworks, this dissertation employs hierarchical logistic regression and data from New York City’s Department of Health and Mental Hygiene (DOHMH) Community Health Survey (CHS) to examine the relative association of key variables and domains -- demographics, sexual characteristics, risk factors and engagement in medical care variables -- on recent HIV testing for a sample of 3997 men. Further, this study explores these effects separately for White, Black, Latino and Asian men.

Findings shows that respondents who were 18-24 years old, 45-64 years old, residing in Queens or Staten Island, employed, partnered, had one or more sexual partners in the past 12 months, or who identified as heterosexual were more likely to have a recent HIV test. Conversely, speaking English primarily at home, residing in the Bronx, having less than a high school diploma, completing a high school diploma, completing some college courses, or seeing a personal doctor in the past 12 months were negatively associated with being tested for HIV in the past 12 months. Seeing a personal doctor was a particularly strong predictor for every racial/ethnic group, a finding strongly supported in the existing literature.

Recommendations are provided for researchers, clinicians, and policymakers committed to ending the HIV epidemic in New York City.

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