Dolwick Grieb Suzanne M, Flores-Miller Alejandra, Page Kathleen R
*Center for Child and Community Health Research, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD; †Baltimore City Health Department Bureau of HIV/STD Services, Baltimore, MD; and ‡Center for Clinical and Global Health Education, Division of Infectious Disease, Johns Hopkins University, Baltimore, MD.
J Acquir Immune Defic Syndr. 2017 Feb 1;74 Suppl 2(Suppl 2):S104-S112. doi: 10.1097/QAI.0000000000001239.
Although Latinos living in the United States are disproportionately affected by HIV, the development, implementation, and evaluation of HIV prevention, testing, and linkage to care interventions lag behind efforts occurring in other communities. To address sociocultural barriers to testing, we developed a multilevel intervention. This study is a pilot evaluation of the individual-level component of the intervention-animated video modules that address specific barriers to HIV testing common among foreign-born Latino men.
We conducted a survey assessing HIV risk and barriers to testing with a convenience sample of 104 foreign-born Latino men in Baltimore, MD, who had not tested for HIV within the past year. Intention to test in the next 3 months was measured before and after viewing an intervention module selected based on survey responses.
Fifty-two (50.0%) participants had never tested for HIV. Of the participants who had previously tested for HIV, the mean time since their last test was 3.48 years (SD = 3.55). Participants' intention to test for HIV significantly increased after watching the module (t = -8.28, P < 0.001). Increased intention to test was not associated with any socio-demographic characteristics (ie, age, country of origin) or reported sexual behaviors (ie, number of sex partners in the past year).
These results suggest that our culturally sensitive, individually tailored intervention can be an additional tool to encourage HIV testing among previously untested foreign-born Latino men, one of the demographic groups at highest risk for delayed HIV diagnosis in the United States.
尽管生活在美国的拉丁裔受艾滋病病毒（HIV）影响的比例过高，但HIV预防、检测及护理干预的发展、实施和评估却落后于其他社区的努力。为解决检测方面的社会文化障碍，我们开发了一种多层次干预措施。本研究是对该干预措施个体层面组成部分——动画视频模块的试点评估，这些模块解决了外国出生的拉丁裔男性中常见的HIV检测特定障碍。
我们对马里兰州巴尔的摩市104名在过去一年未进行HIV检测的外国出生的拉丁裔男性进行了便利抽样调查，评估HIV风险和检测障碍。在观看根据调查回复选择的干预模块之前和之后，测量未来3个月内的检测意愿。
52名（50.0%）参与者从未进行过HIV检测。在之前进行过HIV检测的参与者中，自上次检测以来的平均时间为3.48年（标准差 = 3.55）。观看模块后，参与者进行HIV检测的意愿显著增加（t = -8.28，P < 0.001）。检测意愿的增加与任何社会人口学特征（即年龄、原籍国）或报告的性行为（即过去一年的性伴侣数量）无关。
这些结果表明，我们具有文化敏感性、个性化定制的干预措施可以成为鼓励之前未检测的外国出生的拉丁裔男性进行HIV检测的额外工具，这是美国HIV诊断延迟风险最高的人群之一。
