Martez Smith, PhD, LMSW

Health Equity Scholar

Social, Clinical, and Behavioral Determinants of HIV Infection and HIV Testing among Black Men in Toronto, Ontario: A Classification and Regression Tree Analysis


Journal article


P. Djiadeu, Martez D. R. Smith, Sameer Kushwaha, Apondi J Odhiambo, David Absalom, W. Husbands, W. Tharao, R. Regan, Ting Sa, Nanhua Zhang, R. Kaul, LaRon E Nelson
Journal of the International Association of Providers of AIDS Care, 2020

Semantic Scholar DOI PubMedCentral PubMed
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APA   Click to copy
Djiadeu, P., Smith, M. D. R., Kushwaha, S., Odhiambo, A. J., Absalom, D., Husbands, W., … Nelson, L. R. E. (2020). Social, Clinical, and Behavioral Determinants of HIV Infection and HIV Testing among Black Men in Toronto, Ontario: A Classification and Regression Tree Analysis. Journal of the International Association of Providers of AIDS Care.


Chicago/Turabian   Click to copy
Djiadeu, P., Martez D. R. Smith, Sameer Kushwaha, Apondi J Odhiambo, David Absalom, W. Husbands, W. Tharao, et al. “Social, Clinical, and Behavioral Determinants of HIV Infection and HIV Testing among Black Men in Toronto, Ontario: A Classification and Regression Tree Analysis.” Journal of the International Association of Providers of AIDS Care (2020).


MLA   Click to copy
Djiadeu, P., et al. “Social, Clinical, and Behavioral Determinants of HIV Infection and HIV Testing among Black Men in Toronto, Ontario: A Classification and Regression Tree Analysis.” Journal of the International Association of Providers of AIDS Care, 2020.


BibTeX   Click to copy

@article{p2020a,
  title = {Social, Clinical, and Behavioral Determinants of HIV Infection and HIV Testing among Black Men in Toronto, Ontario: A Classification and Regression Tree Analysis},
  year = {2020},
  journal = {Journal of the International Association of Providers of AIDS Care},
  author = {Djiadeu, P. and Smith, Martez D. R. and Kushwaha, Sameer and Odhiambo, Apondi J and Absalom, David and Husbands, W. and Tharao, W. and Regan, R. and Sa, Ting and Zhang, Nanhua and Kaul, R. and Nelson, LaRon E}
}

Abstract

Black men bear a disproportionate burden of HIV infection. These HIV inequities are influenced by intersecting social, clinical, and behavioral factors. The purpose of this analysis was to determine the combinations of factors that were most predictive of HIV infection and HIV testing among black men in Toronto. Classification and regression tree analysis was applied to secondary data collected from black men (N = 460) in Toronto, 82% of whom only had sex with women and 18% whom had sex with men at least once. For HIV infection, 10 subgroups were identified and characterized by number of lifetime male partners, age, syphilis history, and perceived stigma. Number of lifetime male partners was the best single predictor of HIV infection. For HIV testing, the analysis identified 8 subgroups characterized by age, condom use, number of sex partners and Chlamydia history. Age (>24 years old) was the best single predictor of HIV testing.


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