Intentions to seek and accept an HIV test among men of Mexican descent in the Midwestern USA. AIDS Care 2010 Jun;22(6):718-28
Date
05/15/2010Pubmed ID
20467940Pubmed Central ID
PMC4527609DOI
10.1080/09540120903431322Scopus ID
2-s2.0-77953708989 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
In the USA, a high proportion of men of Mexican descent (MMD) test for HIV late in the course of the infection and miss opportunities for prevention. Given the need to promote timely HIV testing among MMD, we studied how MMD's motivations and previous experiences with disease prevention influence their intentions to seek (i.e., client-initiated HIV testing) and accept (i.e., provider-initiated HIV testing) an HIV test. We conducted a survey (N=302) at a large Mexican festival in the Midwestern USA. We elicited MMD's sexual risk behavior, social norms and culturally supported HIV testing expectations, previous experiences with disease prevention, and their intentions to seek and accept a free HIV test. Forty-one percent of MMD intended to actively seek an HIV test and 70% said they would accept it from a provider. Multivariate analyses indicated that MMD's intentions to seek and intentions to accept an HIV test were stronger when they expected desirable outcomes of an HIV test, including benefits for their family and community. Whereas MMD's intentions to actively seek an HIV test were stronger when they had more previous experiences with disease prevention and normative support, their intentions to accept an HIV test from a provider were stronger when they expected less negative outcomes from testing for HIV (e.g., stigma). Provider-initiated HIV testing may improve HIV testing access, particularly among MMD with lower experience and support. However, efforts to promote provider-initiated HIV testing among MMD should challenge negative HIV testing expectations and associate HIV testing with positive outcomes.
Author List
Glasman LR, Weinhardt LS, Difranceisco W, Hackl KLAuthors
Wayne J. DiFranceisco Research Scientist II in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinLaura R. Glasman PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Lance S. Weinhardt MS,PhD Associate Dean for Research and Professor of Community and Behavioral Health Promotion in the Joseph. J. Zilber School of Public Health department at University of Wisconsin - Milwaukee
MESH terms used to index this publication - Major topics in bold
AIDS SerodiagnosisAdolescent
Adult
Analysis of Variance
HIV Infections
Health Behavior
Humans
Intention
Male
Mass Screening
Mexican Americans
Mexico
Middle Aged
Midwestern United States
Motivation
Patient Acceptance of Health Care
United States
Young Adult
