HIV Testing and Healthcare Utilization Among U.S. African-American Women. Academic Article uri icon


  • A severe HIV/AIDS disparity exists for U.S. African-American women. Although HIV testing and healthcare engagement are paramount to HIV prevention and community health, many African-American women do not test for HIV or optimize healthcare services. To unpack the relationship between HIV testing and healthcare utilization among African-American women, latent class analysis (LCA) was used among a national, representative sample from the 2014 National Health Interview Survey to assess subgroup profiles of African-American women regarding HIV testing and healthcare utilization behaviors. This study also explored the covariates predicting latent class membership: age, income, cost of living worry, and healthcare service satisfaction. LCA identified three subgroups of U.S. African-American women: (a) Moderate HIV testing/Low healthcare utilization, (b) Moderate HIV testing/High healthcare utilization, and (c) No HIV testing/High healthcare utilization. Future HIV prevention interventions should be tailored to specific subgroups of African- American women based on HIV testing behaviors and healthcare use and experiences.

published proceedings

  • J Natl Black Nurses Assoc

author list (cited authors)

  • Dangerfield, D. T., Craddock, J. B., & Gilreath, T. D.

citation count

  • 1

complete list of authors

  • Dangerfield, Derek T||Craddock, Jaih B||Gilreath, Tamika D

publication date

  • December 2018