The Experiences of Discrimination Measure In a Rural Population: Initial Validation of Measure and Association with HIV-Related Risk-Taking: Poster Presentation
Methods:214 respondents (56.07% female) were recruited at alcohol consumption and purchase venues and other public locations. Demographics, experiences of discrimination, and HIV-related risk-taking were assessed in anonymous interviews, lasting approximately 30 minutes. Univariate, bivariate, and multivariate analyses were performed using SAS version 9.2, including principal components analysis (PCA) and Cronbach’s alpha for internal consistency reliability of EOD. We conducted a bivariate analysis between EOD (scaled both by frequency of occurrence and situational counts) and socio-demographic characteristics, lifetime history of having a sexual transmitted infection, the sexual risk composite score, perceived risk of HIV and HIV knowledge. We conducted crude and adjusted linear and logistic regressions to assess associations between the sexual risk composite and having ever had an STI, respectively, and EOD scaled on frequency (regression 1) and situations (regression 2). All socio-demographic characteristics were entered into each model and included if they had at least a 10% influence on the predictor parameter estimate.
Results:The EOD measure demonstrated sound psychometric properties, including a factor structure comparable to that observed in the initial validation study and good to excellent internal consistency reliability. EOD frequency and situations scores significantly predicted sexual risk and lifetime history of a sexually transmitted disease in multiple linear and logistic regression analyses.
Implications: Findings presented here suggest that the EOD measure is a psychometrically sound tool for use in research on health disparities in rural areas. Furthermore, results indicate that experiences of discrimination, as captured by the EOD measure, are positively associated with HIV-related risk taking in this population. Findings emphasize the importance of addressing discrimination across various settings as a way of improving sexual health and halting the rising HIV rate in rural regions of the United States.