Andrinopoulos Katherine, Hembling John, Guardado Maria Elena, de Maria Hernández Flor, Nieto Ana Isabel, Melendez Giovanni
Department of Global Health Systems and Development, Tulane School of Public Health and Tropical Medicine, 1440 Canal Street, Suite 2200, New Orleans, LA, 70112, USA,
AIDS Behav. 2015 Jan;19(1):60-71. doi: 10.1007/s10461-014-0813-0.
A cross sectional survey was administered to 670 men who have sex with men (MSM) and transgender women (TW) in San Salvador through respondent driven sampling to identify determinants of ever testing for HIV using a minority stress framework. A positive association was found between ever testing and older age [adjusted odds ratio (aOR) 2.10], past experience of sexual assault (aOR 2.92), perceiving that most social acquaintances had tested (aOR 1.81), and knowing a PLHIV (aOR 1.94). A negative association was found between homelessness and ever testing (aOR 0.43). Among the MSM sub-sample (n = 506), similar results were found for older age (aOR 2.63), and past experience of sexual assault (aOR 2.56). Internalized homonegativity was negatively associated with ever testing for HIV among MSM (aOR 0.46), and HIV testing stigma and experienced provider discrimination further strengthened this relationship. It is important to mitigate sexual minority stigma in order to increase HIV testing among MSM. Future research should explore this construct among TW.
通过应答者驱动抽样，对圣萨尔瓦多670名男男性行为者（MSM）和跨性别女性（TW）进行了横断面调查，以利用少数群体压力框架确定曾经进行HIV检测的决定因素。研究发现，曾经检测与年龄较大[调整优势比（aOR）为2.10]、有过性侵犯经历（aOR为2.92）、认为大多数社交熟人都进行过检测（aOR为1.81）以及认识艾滋病毒感染者（aOR为1.94）之间存在正相关。无家可归与曾经检测之间存在负相关（aOR为0.43）。在MSM子样本（n = 506）中，年龄较大（aOR为2.63）和有过性侵犯经历（aOR为2.56）也有类似结果。内化的同性恋消极态度与MSM中曾经进行HIV检测呈负相关（aOR为0.46），HIV检测污名和经历过的医疗服务提供者歧视进一步强化了这种关系。减轻性少数群体的污名对于增加MSM中的HIV检测很重要。未来的研究应在TW中探索这一结构。
