Suzanne M Dolwick Grieb1, Alejandra Flores-Miller, Kathleen R Page. 1. *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.
Abstract
BACKGROUND: 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. METHODS: 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. RESULTS: 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). DISCUSSION: 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.
BACKGROUND: 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. METHODS: 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. RESULTS: 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). DISCUSSION: 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.
Authors: Scott D Rhodes; Thomas P McCoy; Aaron T Vissman; Ralph J DiClemente; Stacy Duck; Kenneth C Hergenrather; Kristie Long Foley; Jorge Alonzo; Fred R Bloom; Eugenia Eng Journal: AIDS Behav Date: 2011-11
Authors: Moupali Das; Priscilla Lee Chu; Glenn-Milo Santos; Susan Scheer; Eric Vittinghoff; Willi McFarland; Grant N Colfax Journal: PLoS One Date: 2010-06-10 Impact factor: 3.240
Authors: John A Sauceda; Ronald A Brooks; Jessica Xavier; Andres Maiorana; Lisa Georgetti Gomez; Sophia Zamudio-Haas; Carlos E Rodriguez-Diaz; Adan Cajina; Janet Myers Journal: J Immigr Minor Health Date: 2019-04
Authors: Suzanne M Dolwick Grieb; Matthew Velez; Edward W Corty; Ronald E Saxton; Alejandra Flores-Miller; Harita S Shah; Kathleen R Page Journal: PLoS One Date: 2022-10-06 Impact factor: 3.752
Authors: Harita S Shah; Suzanne M Dolwick Grieb; Alejandra Flores-Miller; Karine Yenokyan; Jimena Castellanos-Aguirre; Adena Greenbaum; Kathleen R Page Journal: AIDS Behav Date: 2021-02-10