Urban-Rural Differences in HIV Testing Uptake Among US Women Survivors of Traumatic Childhood Sexual Abuse: A Cross-Sectional Population-Based Study Using 2022 BRFSS Data.

Wah Wah Myint, Qiping Fan, Roaa Aggad, Benjamin N Montemayor

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Article in American journal of health promotion : AJHP, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 authors.

Wah Wah MyintCenter for Community Health and Aging, School of Public Health, Texas A&M University, College Station, TX, USA.ORCID 0000-0003-4280-2493

Qiping FanDepartment of Public Health Sciences, Clemson University, Clemson, SC, USA.

Roaa AggadDepartment of Family and Community Medicine, King Abdulaziz University, Rabigh, Saudi Arabia.

Benjamin N MontemayorDepartment of Health Behavior, School of Public Health, Texas A&M University, College Station, TX, USA.ORCID 0000-0002-3330-1323

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6 · The paper itself

Abstract

PurposeTo assess the differences in Human Immunodeficiency Virus (HIV) testing among women survivors of traumatic Childhood Sexual Abuse (CSA) by urban-rural residency status.DesignCross-sectional survey.Setting2022 Behavioral Risk Factor Surveillance System (BRFSS).SampleAdult women (N = 6616) with a history of CSA from 12 US states.MeasureOutcome was HIV testing. Covariates included sociodemographic characteristics, health-risk behaviors, perceived health status, presence of any disability, and subjective cognitive decline.AnalysisWe conducted three multivariable logistic regression models for urban-only, rural-only, and both, summarizing associations between HIV testing and covariates using adjusted odds ratios (aORs) and survey-weighted estimates.ResultsLogistic regression analysis highlighted significant urban-rural differences in HIV testing among Women CSA (WCSA) survivors. Among urban women, those aged 45-55 (aOR = 4.96), Asians (aOR = 9.58), current smokers (aOR = 2.13), and those with subjective cognitive decline (aOR = 2.99) had higher odds of HIV testing compared to their counterparts. Among rural women, being Hispanic (aOR = 19.40) and a current smoker (aOR = 3.44) were associated with higher odds of HIV testing. All

Indexed as

BRFSSchildhood sexual abuseHIVHIV testingwomen

Identifiers

PMID40353751

DOI10.1177/08901171251342394

PMCPMC12476471

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