Department of Medical Social Science and the Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N Michigan Ave, Chicago, IL, USA.
School of Public Health, Boston University, 801 Massachusetts Ave. Suite 431, Boston, MA, USA.
AIDS Behav. 2024 Jan;28(1):343-356. doi: 10.1007/s10461-023-04206-w. Epub 2023 Oct 17.
Adolescent Latino men who have sex with men (LMSM) in the U.S. are disproportionately impacted by HIV. However, there has been limited focus on their HIV prevention and risk behaviors. In this study, we examine the rates of HIV testing and explore the significant demographic and healthcare factors that influence HIV prevention among adolescent LMSM. The analysis for this study utilized data collected during the baseline assessment of SMART, a pragmatic trial aimed at evaluating the effectiveness of an online HIV prevention intervention for adolescent LMSM (N = 524). Only 35.5% of participants had ever had an HIV test in their lifetime. Rates of testing increased among adolescent LMSM who had a doctor with whom they spoke about their sexual health (odds ratio: 4.0; 95% confidence interval: 2.1-8.4; P < 0.001) or HIV testing (odds ratio: 5.8; 95% confidence interval: 3.1-10.7; P < 0.001). Out of the 61 participants who took part in the survey conducted in Spanish, only 26% reported ever having an HIV test. Additionally, 24.5% stated that they had discussed their sexual orientation with a doctor, and only 8.2% had undergone HIV testing. Spanish-speaking adolescents who completed the SMART survey were less likely to openly discuss their sexual orientation or sexual health with most people or have a doctor with whom they discussed these topics, compared to those who completed the survey in English. These findings suggest that Spanish-speaking adolescent LMSM may face obstacles in accessing HIV prevention services in the U.S.
美国与男性发生性行为的拉丁裔青少年男同性恋者（LMSM）受到 HIV 的不成比例影响。然而，针对他们的 HIV 预防和风险行为的关注有限。在这项研究中，我们检查了 HIV 检测率，并探讨了影响青少年 LMSM 进行 HIV 预防的重要人口统计学和医疗保健因素。这项研究的分析利用了 SMART 基线评估期间收集的数据，SMART 是一项旨在评估针对青少年 LMSM 的在线 HIV 预防干预措施的有效性的实用试验（N=524）。只有 35.5%的参与者在其一生中曾进行过 HIV 检测。在与讨论过他们的性健康的医生（优势比：4.0；95%置信区间：2.1-8.4；P<0.001）或 HIV 检测（优势比：5.8；95%置信区间：3.1-10.7；P<0.001）的青少年 LMSM 中，检测率有所增加。在参加西班牙语调查的 61 名参与者中，只有 26%报告曾进行过 HIV 检测。此外，24.5%表示曾与医生讨论过他们的性取向，只有 8.2%接受过 HIV 检测。与用英语完成 SMART 调查的青少年相比，用西班牙语完成 SMART 调查的青少年更不可能公开讨论他们的性取向或性健康，并且与大多数人或讨论这些话题的医生的交流也较少。这些发现表明，讲西班牙语的青少年 LMSM 在美国可能在获得 HIV 预防服务方面面临障碍。
