{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:34:00Z","timestamp":1777376040010,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Health Promot"],"published-print":{"date-parts":[[2025,11]]},"abstract":"\n Purpose<\/jats:title>\n To assess the differences in Human Immunodeficiency Virus (HIV) testing among women survivors of traumatic Childhood Sexual Abuse (CSA) by urban-rural residency status.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross-sectional survey.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n 2022 Behavioral Risk Factor Surveillance System (BRFSS).<\/jats:p>\n <\/jats:sec>\n \n Sample<\/jats:title>\n Adult women (N = 6616) with a history of CSA from 12 US states.<\/jats:p>\n <\/jats:sec>\n \n Measure<\/jats:title>\n Outcome was HIV testing. Covariates included sociodemographic characteristics, health-risk behaviors, perceived health status, presence of any disability, and subjective cognitive decline.<\/jats:p>\n <\/jats:sec>\n \n Analysis<\/jats:title>\n We 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.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Logistic 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\n P<\/jats:italic>\n -values < .05.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Findings highlight the need for future research on interventions including raising awareness on different testing strategies for rural WCSA survivors with lesser education to enhance HIV testing uptake.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/08901171251342394","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T09:58:54Z","timestamp":1747043934000},"page":"1180-1184","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["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"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4280-2493","authenticated-orcid":false,"given":"Wah Wah","family":"Myint","sequence":"first","affiliation":[{"name":"Texas A&M University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiping","family":"Fan","sequence":"additional","affiliation":[{"name":"Clemson University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roaa","family":"Aggad","sequence":"additional","affiliation":[{"name":"King Abdulaziz University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3330-1323","authenticated-orcid":false,"given":"Benjamin N.","family":"Montemayor","sequence":"additional","affiliation":[{"name":"Texas A&M University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Centers for Disease Control and Prevention (CDC). About chid sexual abuse: quick facts and stats: preventing Child Sexual Abuse. 2024. Available from: https:\/\/www.cdc.gov\/child-abuse-neglect\/about\/about-child-sexual-abuse.html. Accessed 24 Feb 2025."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-020-0784-y"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/10538712.2011.607753"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2016.05.019"},{"issue":"1","key":"e_1_3_3_6_2","first-page":"8","article-title":"Estimated HIV incidence and prevalence in the United States, 2018\u20132022","volume":"29","author":"Centers for Disease Control and Prevention","year":"2024","unstructured":"Centers for Disease Control and Prevention. Estimated HIV incidence and prevalence in the United States, 2018\u20132022. HIV Surveillance Supplemental Report. 2024;29(1):8.","journal-title":"HIV Surveillance Supplemental Report"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00395-0f"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.90.4.560"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2023.2208323"},{"key":"e_1_3_3_10_2","unstructured":"Behavior risk factor surveillance System 2022 summary data quality report 2023. Available from: https:\/\/www.cdc.gov\/brfss\/annual_data\/2022\/pdf\/2022-DQR-508.pdf. Accessed 25 Feb 2025."},{"key":"e_1_3_3_11_2","unstructured":"Centers for Disease Control and Prevention (CDC). Comparability of data: BRFSS 2022. Available from: https:\/\/www.cdc.gov\/brfss\/annual_data\/2022\/pdf\/Compare_2022-508.pdf. Accessed 25 Feb 2025."},{"key":"e_1_3_3_12_2","unstructured":"Centers for Disease Control and Prevention (CDC). BRFSS questionnarie 2023. 2022. Available from: https:\/\/www.cdc.gov\/brfss\/questionnaires\/pdf-ques\/2022-BRFSS-Questionnaire-508.pdf. Accessed 25 Feb 2025."},{"key":"e_1_3_3_13_2","volume-title":"Stata Statistical Software","author":"StataCorp","year":"2023","unstructured":"StataCorp. Stata Statistical Software. College Station, TX; 2023."},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-019-02689-0"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-015-1144-5"},{"key":"e_1_3_3_16_2","unstructured":"University of California San Francisco(UCSF) Weill Institute for Neurosciences\u2019 Memory and Aging Center. HIV-related cognitive impairment. Available from: https:\/\/memory.ucsf.edu\/dementia\/hiv-related-cognitive-impairment. Accessed 12 Feb 2025."}],"container-title":["American Journal of Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08901171251342394","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08901171251342394","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08901171251342394","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:03:46Z","timestamp":1777367026000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08901171251342394"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,12]]},"references-count":15,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1177\/08901171251342394"],"URL":"https:\/\/doi.org\/10.1177\/08901171251342394","relation":{},"ISSN":["0890-1171","2168-6602"],"issn-type":[{"value":"0890-1171","type":"print"},{"value":"2168-6602","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,12]]}}}