Division of HIV/AIDS Prevention, NCHHSTP, Centers for Disease Control, Atlanta, GA, 30329, USA.
Lifesource Biomedical, Herndon, VA, USA.
Arch Sex Behav. 2018 Jan;47(1):289-297. doi: 10.1007/s10508-017-0950-4. Epub 2017 Apr 25.
In 2014, Black/African-American and Hispanic/Latino men who have sex with men (BLMSM) comprised 64.1% of HIV diagnoses among MSM in the U.S. Routine HIV testing allows earlier diagnosis, linkage to care, and improved health outcomes. HIV testing campaigns may increase HIV awareness and testing behaviors, but perceptions of these campaigns by BLMSM have been understudied. We explored perceptions of HIV testing campaigns with BLMSM in New York City (NYC) to inform campaign strategies that target BLMSM for HIV testing. Using respondent-driven sampling methods, we conducted semi-structured interviews from 2011 to 2012 with BLMSM in NYC who participated in a larger HIV research study. Interview responses from 108 participants were examined for main themes using computer-assisted thematic analyses. The four main themes identified were that HIV testing campaigns should: (1) use non-stereotypical messages and images on the basis of race and sexuality, (2) use non-gay identified images, (3) be maximally inclusive and visible, and (4) raise risk perception of HIV. These findings can inform future campaigns for strengthening HIV testing among BLMSM in support of earlier diagnosis, linkage to care, and reduced disparities.
2014 年，美国男男性行为人群（MSM）中，黑人和西班牙裔/拉丁裔男性 HIV 诊断占比为 64.1%。常规 HIV 检测可以实现更早的诊断、与医疗服务的对接，并改善健康结果。HIV 检测活动可能会提高 HIV 意识和检测行为，但对 BLMSM 对这些活动的看法研究不足。我们对纽约市 BLMSM 的 HIV 检测活动的看法进行了探索，以提供针对 BLMSM 的 HIV 检测活动的策略。使用应答者驱动抽样方法，我们对参加更大规模 HIV 研究的纽约市 BLMSM 进行了 2011 年至 2012 年的半结构式访谈。使用计算机辅助主题分析，对 108 名参与者的访谈回复进行了主要主题的检查。确定的四个主要主题是，HIV 检测活动应该：（1）根据种族和性取向使用非刻板的信息和图像，（2）使用非同性恋识别的图像，（3）最大化包容性和可见性，以及（4）提高对 HIV 风险的认识。这些发现可以为未来在 BLMSM 中加强 HIV 检测的活动提供信息，以支持更早的诊断、与医疗服务的对接，并减少差异。
