Joseph Heather A, Belcher Lisa, O'Donnell Lydia, Fernandez M Isabel, Spikes Pilgrim S, Flores Stephen A
Centers for Disease Control and Prevention, Atlanta, GA, USA
Centers for Disease Control and Prevention, Atlanta, GA, USA.
Health Promot Pract. 2014 Nov;15(6):867-80. doi: 10.1177/1524839914537493. Epub 2014 Jun 11.
HIV testing behavior is important in understanding the high rates of undiagnosed infection among Hispanic/Latino men who have sex with men (MSM). Correlates of repeat/recent testing (within the past year and ≥5 tests during lifetime) and test avoidance (never or >5 years earlier) were examined among 608 sexually active Hispanic/Latino MSM (Miami-Dade County and New York City). Those who reported repeat/recent testing were more likely to have incomes over $30,000, speak English predominately, and have visited and disclosed same-sex behavior to a health care provider (HCP) in the past year. Those who were classified as test avoiders were less likely to have incomes over $10,000 and to have seen an HCP in the past year. The main reason for not testing (in both groups) was fear of HIV positivity; however, twice as many test avoiders considered this their main reason, and more test avoiders had confidentiality concerns. Results suggest that messages to encourage testing among Hispanic/Latino MSM may be most effective if past testing patterns and reasons for not testing are considered. HCPs can play an important role by consistently offering HIV tests to MSM and tailoring messages based on prior testing histories.
了解男男性行为的西班牙裔/拉丁裔男性中未确诊感染率居高不下的情况，艾滋病毒检测行为至关重要。在608名性活跃的西班牙裔/拉丁裔男男性行为者（迈阿密-戴德县和纽约市）中，研究了重复/近期检测（过去一年内且终生检测≥5次）和检测回避（从未检测或超过5年前检测）的相关因素。报告重复/近期检测的人更有可能收入超过3万美元，主要说英语，并且在过去一年中曾就医并向医疗服务提供者（HCP）披露过同性性行为。被归类为检测回避者的人收入超过1万美元且在过去一年中看过医疗服务提供者的可能性较小。不进行检测的主要原因（两组都是）是害怕艾滋病毒呈阳性；然而，两倍多的检测回避者将此视为主要原因，并且更多的检测回避者担心保密性。结果表明，如果考虑过去的检测模式和不检测的原因，鼓励西班牙裔/拉丁裔男男性行为者进行检测的信息可能最有效。医疗服务提供者可以通过持续为男男性行为者提供艾滋病毒检测并根据先前的检测历史量身定制信息来发挥重要作用。
