TUPE239 - Poster Exhibition
HIV testing behaviours and associated factors among Latino MSM, United States
K. Russell1, A. Oster1, R. Wiegand1, B. Le1, D. Forrest2, E. Valverde1, M. Cribbin1, G. Paz-Bailey1, NHBS Study Group
1Centers for Disease Control & Prevention, Atlanta, United States, 2University of Miami, Miami, United States
Background: In the United States, HIV disproportionately affects Latinos. Among Latinos, 81% of new infections occur in men who have sex with men (MSM), and Latino MSM are more likely to be unaware of their infection than white MSM. HIV testing and diagnosis allow for behavior changes and treatment that result in improved health and decreased transmission. We describe HIV testing behaviors of Latino MSM.
Methods: The 2008 National HIV Behavioral Surveillance System (NHBS) among MSM used venue-based, time-space sampling to recruit and interview men in 20 cities in the continental United States. We analyzed data for Latino men who reported ≥1 male sex partner in the past 12 months (n=1734) and determined the proportion unaware of their infection (those who tested positive but reported a negative or unknown HIV status during the interview). After excluding men who had previously tested positive for HIV, we examined testing behaviors by location of birth (U.S., Puerto Rico, Mexico, Central America, South America, Caribbean) and used generalized estimating equations (clustered on city of interview) to identify factors associated with prevalence of recent HIV testing (in the past 12 months) after controlling for income, education, sexual identity, and health insurance.
Results: Among 322 HIV-infected Latino MSM, 43% were unaware of their infection. Among 1549 Latino MSM not previously diagnosed with HIV, recent HIV testing was more common among U.S.-born Latinos than those born in Central America (65% vs. 55%, p=0.04); other locations of birth were not associated with testing. Factors associated with recent HIV testing in multivariable analysis included lower age, having visited a healthcare provider in the past 12 months and disclosing male-male sexual attraction/behavior to healthcare providers (see table).
Conclusions: Expanding healthcare utilization and encouraging communication with healthcare providers about sexual attraction/behavior may help to increase testing among Latino MSM.
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