Barriers to HIV Testing Within a Sample of Spanish-speaking Latinx Gay, Bisexual, and Other Men Who Have Sex with Men: Implications for HIV Prevention and Care

Gay, bisexual, and other men who have sex with men (GBMSM) have higher rates of HIV infection compared to the general population in the United States, and the infection rate is growing among Latinx GBMSM, compared to a decline in most other demographic subgroups. Uptake of pre-exposure prophylaxis (...

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Autores principales:	Danielle N. Horridge, Timothy S. Oh, Jorge Alonzo, Lilli Mann-Jackson, Amanda E. Tanner, Eunyoung Y. Song, Benjamin D. Smart, Cornelius N. Van Dam, Logan S. Baker, Scott D. Rhodes
Formato:	article
Lenguaje:	EN
Publicado:	New Prairie Press 2019
Materias:	latinx barriers hiv men who have sex with men msm gay masculinity Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f7a6df592c72461b9d7d9a5e0661fe58
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spelling	oai:doaj.org-article:f7a6df592c72461b9d7d9a5e0661fe582021-11-19T21:54:11ZBarriers to HIV Testing Within a Sample of Spanish-speaking Latinx Gay, Bisexual, and Other Men Who Have Sex with Men: Implications for HIV Prevention and Care10.4148/2572-1836.10692572-1836https://doaj.org/article/f7a6df592c72461b9d7d9a5e0661fe582019-07-01T00:00:00Zhttps://newprairiepress.org/cgi/viewcontent.cgi?article=1069&context=hbrhttps://doaj.org/toc/2572-1836Gay, bisexual, and other men who have sex with men (GBMSM) have higher rates of HIV infection compared to the general population in the United States, and the infection rate is growing among Latinx GBMSM, compared to a decline in most other demographic subgroups. Uptake of pre-exposure prophylaxis (PrEP), a biomedical strategy designed to reduce HIV transmission, is very low among Latinx GBMSM. HIV testing is a critical first step in the HIV prevention and care continua. We analyzed data from a community-based sample of Latinx GBMSM in the southeastern United States to identify the most common HIV testing barriers and the factors associated with barriers. The five most commonly reported HIV testing barriers included not knowing where to get tested, not having health insurance, fear of being HIV positive, practicing safer sex and perceiving not needing to be tested, and not being recommended to get tested. Using multivariable logistic regression modeling, speaking only Spanish, being unemployed, and adhering to traditional notions of masculinity were associated with increased barriers to HIV testing. We recommend that interventions to increase HIV testing among Latinx GBMSM be provided in Spanish and use culturally congruent messaging, be accessible to those who are unemployed, and incorporate positive risk-reducing aspects of masculinity.Danielle N. HorridgeTimothy S. OhJorge AlonzoLilli Mann-JacksonAmanda E. TannerEunyoung Y. SongBenjamin D. SmartCornelius N. Van DamLogan S. BakerScott D. RhodesNew Prairie Pressarticlelatinxbarriershivmen who have sex with menmsmgaymasculinitySpecial aspects of educationLC8-6691Public aspects of medicineRA1-1270ENHealth Behavior Research, Vol 2, Iss 3 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	latinx barriers hiv men who have sex with men msm gay masculinity Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
spellingShingle	latinx barriers hiv men who have sex with men msm gay masculinity Special aspects of education LC8-6691 Public aspects of medicine RA1-1270 Danielle N. Horridge Timothy S. Oh Jorge Alonzo Lilli Mann-Jackson Amanda E. Tanner Eunyoung Y. Song Benjamin D. Smart Cornelius N. Van Dam Logan S. Baker Scott D. Rhodes Barriers to HIV Testing Within a Sample of Spanish-speaking Latinx Gay, Bisexual, and Other Men Who Have Sex with Men: Implications for HIV Prevention and Care
description	Gay, bisexual, and other men who have sex with men (GBMSM) have higher rates of HIV infection compared to the general population in the United States, and the infection rate is growing among Latinx GBMSM, compared to a decline in most other demographic subgroups. Uptake of pre-exposure prophylaxis (PrEP), a biomedical strategy designed to reduce HIV transmission, is very low among Latinx GBMSM. HIV testing is a critical first step in the HIV prevention and care continua. We analyzed data from a community-based sample of Latinx GBMSM in the southeastern United States to identify the most common HIV testing barriers and the factors associated with barriers. The five most commonly reported HIV testing barriers included not knowing where to get tested, not having health insurance, fear of being HIV positive, practicing safer sex and perceiving not needing to be tested, and not being recommended to get tested. Using multivariable logistic regression modeling, speaking only Spanish, being unemployed, and adhering to traditional notions of masculinity were associated with increased barriers to HIV testing. We recommend that interventions to increase HIV testing among Latinx GBMSM be provided in Spanish and use culturally congruent messaging, be accessible to those who are unemployed, and incorporate positive risk-reducing aspects of masculinity.
format	article
author	Danielle N. Horridge Timothy S. Oh Jorge Alonzo Lilli Mann-Jackson Amanda E. Tanner Eunyoung Y. Song Benjamin D. Smart Cornelius N. Van Dam Logan S. Baker Scott D. Rhodes
author_facet	Danielle N. Horridge Timothy S. Oh Jorge Alonzo Lilli Mann-Jackson Amanda E. Tanner Eunyoung Y. Song Benjamin D. Smart Cornelius N. Van Dam Logan S. Baker Scott D. Rhodes
author_sort	Danielle N. Horridge
title	Barriers to HIV Testing Within a Sample of Spanish-speaking Latinx Gay, Bisexual, and Other Men Who Have Sex with Men: Implications for HIV Prevention and Care
title_short	Barriers to HIV Testing Within a Sample of Spanish-speaking Latinx Gay, Bisexual, and Other Men Who Have Sex with Men: Implications for HIV Prevention and Care
title_full	Barriers to HIV Testing Within a Sample of Spanish-speaking Latinx Gay, Bisexual, and Other Men Who Have Sex with Men: Implications for HIV Prevention and Care
title_fullStr	Barriers to HIV Testing Within a Sample of Spanish-speaking Latinx Gay, Bisexual, and Other Men Who Have Sex with Men: Implications for HIV Prevention and Care
title_full_unstemmed	Barriers to HIV Testing Within a Sample of Spanish-speaking Latinx Gay, Bisexual, and Other Men Who Have Sex with Men: Implications for HIV Prevention and Care
title_sort	barriers to hiv testing within a sample of spanish-speaking latinx gay, bisexual, and other men who have sex with men: implications for hiv prevention and care
publisher	New Prairie Press
publishDate	2019
url	https://doaj.org/article/f7a6df592c72461b9d7d9a5e0661fe58
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Barriers to HIV Testing Within a Sample of Spanish-speaking Latinx Gay, Bisexual, and Other Men Who Have Sex with Men: Implications for HIV Prevention and Care

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