Differences in HIV Risk and Prevention Among Cisgender Latino Sexual Minority Men by Language of Online Survey Completion: Analysis of National and Washington State Data

Lee, Jane; Rao, Darcy White; Robles, Gabriel; Kerani, Roxanne P.; Naismith, Kelly; Rodríguez-Díaz, Carlos E.; Rendina, H. Jonathon; Katz, David A.

doi:10.1007/s10461-021-03426-2

Cited by 6 publications

(2 citation statements)

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“…Studies should examine the mechanism through which Spanish and English participants differ as it relates to the association between PrEP stigma and PrEP cascade outcomes, and additional factors associated with PrEP outcomes with greater specificity. In examining HIV and sexually transmitted infection testing, recent research has found that there may be different risk profiles for English-dominant relative to Spanish-dominant Latino SMM (Lee et al, 2022). Given that the rate of PrEP uptake remains low among Latino SMM, future research may benefit from stratified efforts to recruit more Spanish-dominant Latino SMM into studies as well as intentionally over sample Latino SMM who are currenting taking PrEP (Lee et al, 2022; Rivera et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…In examining HIV and sexually transmitted infection testing, recent research has found that there may be different risk profiles for English-dominant relative to Spanish-dominant Latino SMM (Lee et al, 2022). Given that the rate of PrEP uptake remains low among Latino SMM, future research may benefit from stratified efforts to recruit more Spanish-dominant Latino SMM into studies as well as intentionally over sample Latino SMM who are currenting taking PrEP (Lee et al, 2022; Rivera et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

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The use of a Spanish-translated PrEP Stigma Scale among the Latino sample of the UNITE cohort study.

Robles¹,

López-Matos²,

Cienfuegos-Szalay³

et al. 2024

Stigma and Health

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Preexposure prophylaxis (PrEP)-related stigma is linked to inadequate PrEP uptake, yet there are no validated scales to test this association among Spanish-speaking Latino sexual minority men (SMM). The present study examined if the Spanish-translated PrEP Stigma Scale (PSS) was psychometrically appropriate for implementing in Spanish language-dominant Latino SMM. Recruitment was conducted using geosocial networking applications, social media sites, and email blasts (N = 3,049). First, we utilized item response theory (IRT) modeling to evaluate the reliability of the PSS items and the latent construct across both language groups (n English = 2,844 and n Spanish = 205). Subsequently, we applied the PSS scale in a theoretical application by examining its association with key steps in the PrEP uptake cascade (i.e., perceived PrEP candidacy, PrEP willingness, PrEP intentions, and having spoken to provider about PrEP) stratified by language. Results of the IRT analyses provided evidence that the translated version of the PSS was appropriate for use among this sample. Further, among English respondents, PrEP stigma was negatively associated with perceived PrEP candidacy (B = −0.30, p ≤ .001), PrEP willingness (B = −0.46, p ≤ .001), and PrEP intentions (B = −0.23, p = .003). PrEP stigma, among Spanish respondents, was not significantly associated with any of the PrEP cascade steps. This study demonstrated that the PSS scale performs adequately for both English-and Spanish-speaking Latino SMM. However, researchers and health professionals alike should pay close attention to the nuanced effects in U.S.-based English-and Spanishlanguage samples as PrEP stigma may impact the PrEP cascade for one language sample and not the other.

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Section: Discussionmentioning

confidence: 99%