Correlates of Intent for Repeat HIV Testing Among Low-Income Women Attending an Urgent Care Clinic in the Urban South


  • Richard Crosby, Department of Behavioral Sciences and Health Education, Rollins School of Public Health and Emory Center for AIDS Research, 1518 Clifton Road, NE, Atlanta, Georgia. Elizabeth A. Bonney, Department of Gynecology and Obstetrics, University of Vermont College of Medicine, Burlington, Vermont. Lydia Odenat, Department of Gynecology and Obstetrics, Emory University School of Medicine Atlanta, Georgia.

Richard A. Crosby, Department of Health Behavior, College of Public Health, University of Kentucky, 121 Washington Avenue, Room 111-C, Lexington, KY 40536-0003. E-mail:


Abstract  A central challenge of the AIDS epidemic among African American women is promoting acceptance of repeat HIV testing among those at risk of infection. We conducted an exploratory study designed to identify behavioral and psychosocial correlates of intent for repeat HIV testing among women disenfranchised from traditional health care delivery systems. Face-to-face interviews were conducted with 143 women attending an urgent care center in the urban South. In multivariate analyses, three psychosocial correlates were significantly associated with women's intent for repeat testing. Women who expressed less worry about HIV were substantially more likely, than those expressing greater worry, to report low intent for repeat testing [adjusted odds ratio (AOR) = 10.6, p = 0.001]. Concern about having blood drawn was also robustly associated with intent (AOR = 7.3, p = 0.002). Finally, a one unit increase on the 5-point scale assessing less agreement that having HIV would make life complicated corresponded to 3.3 greater odds of indicating low intent (AOR = 3.3, p = 0.002). Study findings provide a potential focal point for efforts designed to promote repeat HIV testing among women from the study population.