Rosina Cianelli1, Natalia Villegas2, Lisette Irarrazabal3, Jose Castro4, Emmanuela Nneamaka Ojukwu5, Oluwamuyiwa Winifred Adebayo6, Lilian Ferrer7, Nilda Peragallo Montano8. 1. Beta Tau Chapter , Associate Professor of clinical, University of Miami School of Nursing and Health Studies, Coral Gables, FL, USA. 2. Beta Tau Chapter , Associate Professor, University of Miami School of Nursing and Health Studies, Coral Gables, FL, USA. 3. Beta Tau Chapter , Assistant Professor, School of Nursing, Pontificia Universidad Catolica de Chile, Santiago, Chile. 4. Beta Tau Chapter , Infectious Disease Specialist, Professor of Clinical Medicine, University of Miami School of Medicine, Miami, FL, USA. 5. Beta Tau Chapter , Doctoral Candidate, University of Miami School of Nursing and Health Studies, Coral Gables, FL, USA. 6. Beta Tau Chapter , Assistant Professor, Pennsylvania State University, University Park, PA, USA. 7. Alpha Lamba and Beta Tau, Associate Professor, School of Nursing, Pontificia Universidad Catolica de Chile, Santiago, Chile. 8. Alpha Alpha, Dean and Professor, University of North Carolina School of Nursing, Chapel Hill, NC, USA.
Abstract
PURPOSE: The purpose of this study was to examine the influence of selected facilitators, barriers, beliefs, and knowledge suggested by the literature to be associated with human immunodeficiency virus (HIV) testing among heterosexual Hispanic women. DESIGN: This study utilizes a cross-sectional design to analyze secondary data from SEPA III: The Effectiveness Trial. SEPA stands for Salud, Educacion, Prevencion y Autocuidado, which translates to Health, Education, Prevention, and Self-Care. The Social Cognitive Model (SCM) guided this study. METHODS: Three hundred twenty heterosexual Hispanic women 18 to 50 years of age participated in this study. Data were analyzed using descriptive statistics and logistic regression. FINDINGS: The most common facilitators for HIV testing were receiving recommendations from a healthcare provider (HCP) and the test is offered by an HCP rather than women asking for it. The most common barrier to testing was having no reason to believe they were infected. Most women believed a positive test result would encourage them to take better care of themselves. However, as much as 15% of women reported desires to kill or hurt themselves if they test positive. On the other hand, a negative result would make them assume their partners are negative and thus do not need to be tested. Significantly, explanatory variables related to HIV testing were knowledge and the HIV test is offered by an HCP instead of women asking for it. CONCLUSIONS: Strengthening HIV knowledge and offering HIV tests are significant contributions that nurses make to the health of Hispanic women. The SCM can be used to design programs to increase HIV testing among Hispanic women. CLINICAL RELEVANCE: Nurses are encouraged to offer testing and provide culturally competent HIV prevention education to increase HIV testing among Hispanic women.
PURPOSE: The purpose of this study was to examine the influence of selected facilitators, barriers, beliefs, and knowledge suggested by the literature to be associated with human immunodeficiency virus (HIV) testing among heterosexual Hispanic women. DESIGN: This study utilizes a cross-sectional design to analyze secondary data from SEPA III: The Effectiveness Trial. SEPA stands for Salud, Educacion, Prevencion y Autocuidado, which translates to Health, Education, Prevention, and Self-Care. The Social Cognitive Model (SCM) guided this study. METHODS: Three hundred twenty heterosexual Hispanic women 18 to 50 years of age participated in this study. Data were analyzed using descriptive statistics and logistic regression. FINDINGS: The most common facilitators for HIV testing were receiving recommendations from a healthcare provider (HCP) and the test is offered by an HCP rather than women asking for it. The most common barrier to testing was having no reason to believe they were infected. Most women believed a positive test result would encourage them to take better care of themselves. However, as much as 15% of women reported desires to kill or hurt themselves if they test positive. On the other hand, a negative result would make them assume their partners are negative and thus do not need to be tested. Significantly, explanatory variables related to HIV testing were knowledge and the HIV test is offered by an HCP instead of women asking for it. CONCLUSIONS: Strengthening HIV knowledge and offering HIV tests are significant contributions that nurses make to the health of Hispanic women. The SCM can be used to design programs to increase HIV testing among Hispanic women. CLINICAL RELEVANCE: Nurses are encouraged to offer testing and provide culturally competent HIV prevention education to increase HIV testing among Hispanic women.
Authors: Melissa C Hempling; Anna Zielicka-Hardy; Jayne P Ellis; Wendy Majewska; Gosaye Fida Journal: Int J STD AIDS Date: 2015-10-25 Impact factor: 1.359