Assessing the Association Between Parent-Child Relationships and HIV Testing in the Asian American Population: A Longitudinal Study


Kaul, Christina (2022). Assessing the Association Between Parent-Child Relationships and HIV Testing in the Asian American Population: A Longitudinal Study. Open Forum Infectious Diseases. vol. 9


Asian Americans (AAs) make up approximately 2% of new HIV diagnoses, 1.5% of all diagnoses, and are the only ethnic group noted to have a continuous increase in infection rate from 2011 to 2016. AAs also report the lowest rates of HIV testing (33.5%). Barriers to HIV testing in Asian Americans continue to exist; however, the predictors of HIV testing among Asians in the United States are not well studied.Prior studies have shown that the parent-child relationship may play a role in increasing the likelihood of HIV testing. One study found that father-child communication in the Black population was positively associated with HIV testing. No such study has been performed in the AA population.This study examined the association between parent-child relationships and HIV testing in AAs to understand what factors can contribute to increased HIV testing uptake.We used data from Waves I and III of the National Longitudinal Study of Adolescent Health, a nationally representative, longitudinal study. Parent-child relationships were categorized as authoritarian (low warmth, high control), permissive (high warmth, low control), neglectful (low warmth, low control) and compared to an authoritative reference group (high warmth, high control. Based on prior studies as well as theory, age, gender, and parental education were included as covariates. Analyses were performed using Stata 17.0. We used multivariate logistic regression, controlling for covariates. Analyses were weighted to account for the complex survey design.302 respondents self-reported as Asian. 147 (48.68%) identified as female. 42 respondents (13.91%) reported having been tested for HIV, while 259 (85.76%) did not. Compared to the authoritative reference group, both authoritarian and neglectful parenting were significantly associated with having a lower likelihood of obtaining an HIV test (authoritarian OR 0.27, p=0.026; neglectful OR 0.08, p=0.026), after adjusting for covariates.Authoritative parenting style is most supportive of HIV testing in Asian American adolescents and young adults, while authoritarian and neglectful parenting predicted decreased HIV testing. Parenting style likely plays a role in HIV testing uptake in the Asian American population.All Authors: No reported disclosures.



Asian American

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Journal Article

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Open Forum Infectious Diseases


Kaul, Christina

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