Gender and race matching preferences for HIV post-test counselling in an African-American sample

Abstract

This study tested whether having racially and gender-matched counsellors for HIV Post-test counselling were preferred. In the NIDA-funded EachOneTeachOne study, 115 African American respondents (19–68) were asked would they rather talk to someone of the same sex and race. Forty-three percent of the counsellor-respondent pairs were race concordant, and 58% were gender concordant. Chi-square statistics examined effects of gender, race and match. Out of those who desired a gender-match, 89% were men compared to 11% of women. Only 9% of African-Americans reported that they would feel more comfortable talking to an African-American counsellor. The sample size dropped due to non-response of the matching reference questions. Among the 39 race-counsellor concordant respondents (n=98), 23% expressed a preference for a race matched counsellor while no one with a race discordant counsellor expressed such a preference. Among the 56 respondents with a gender concordant counsellor (n=102), 27% said they would prefer a gender matched counsellor in the future; only 7% of those with a gender discordant counsellor expressed such as preference. Previously matched respondents were more likely to desire matched counsellors, but the majority still did not. Assumptions that race and gender matching are imperative are not supported by these findings.

Acknowledgments

Research funding from NIDA (R01-DA08324, L.B. Cottler, PI) and NIMH training grant (T32-MH17104, L.B.Cottler, Director).