Factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles

Wohl, Amy Rock; Tejero, Judith S.; Frye, Douglas

doi:10.1080/09540120902729957

Cited by 50 publications

(49 citation statements)

References 25 publications

(45 reference statements)

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“…Since African American and Latina women with HIV in this study are heavily embedded in their family networks of support, these data support interventions that counsel family members to improve their HIV-related knowledge and informational support. A large proportion of the Latina women are relatively new immigrants to the US with limited Englishspeaking ability who rely on other immigrant family members, many of whom have limited HIV knowledge and Chi-square Network size 0-2 31 31 22 22 23 23 42 42 118 29 3-5 64 65 72 72 68 68 55 55 259 65 6-8 3 3 5 5 9 9 3 3 are unfamiliar with the US health care system [19,35]. HIV-positive women should also be taught skills to choose network members to whom their HIV status can be safely disclosed without a negative response.…”

Section: Discussionmentioning

confidence: 99%

Social Support, Stress and Social Network Characteristics Among HIV-Positive Latino and African American Women and Men Who have Sex with Men

et al. 2010

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Social support and stress have been poorly characterized for persons with HIV, particularly for racial/ethnic minorities. To address this gap, data on general and HIV-specific support and stress and social network characteristics were collected for 399 African American and Latino women and men who have sex with men (MSM) in Los Angeles County. African American (mean = 41; SD = 17) and Latina (mean = 40; SD = 19) women reported the highest general support. Stress was also highest for Latina women (mean = 18; SD = 11) and higher compared to Latino and African American MSM. African American and Latina women reported receiving most of their social support and stress from family members, while African American and Latino MSM received their support and stress from friends and providers. Finally, Latina and African American women disclosed their HIV status to more network members and received more HIV-specific support compared to MSM. Interventions are needed to help Latino and African American MSM enhance their support networks to manage a stigmatized illness.

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Section: Discussionmentioning

confidence: 99%

Social Support, Stress and Social Network Characteristics Among HIV-Positive Latino and African American Women and Men Who have Sex with Men

et al. 2010

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“…41,42,[53][54][55][56][57][58][59] Having an undocumented immigration status was associated with not ever being tested for HIV in a study in South Flordia. 52 Reasons identified in other studies for foreign birth being associated with delayed diagnosis include stigma, 56,60,61 language barriers, 58,61 and less knowledge about HIV. 56,61 Late HIV/AIDS diagnosis in urban areas was associated with heterosexual compared with MSM and IDU modes of HIV transmission.…”

Section: Discussionmentioning

confidence: 99%

Late HIV Diagnosis: Differences by Rural/Urban Residence, Florida, 2007–2011

Trepka

Fennie

Sheehan

et al. 2014

AIDS Patient Care and STDs

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The purpose of this retrospective cohort study was to identify individual-level demographic and communitylevel socioeconomic and health care resource factors associated with late diagnosis of HIV in rural and urban areas of Florida. Multilevel modeling was conducted with linked 2007-2011 Florida HIV surveillance, American Community Survey, Area Health Resource File, and state counseling and testing data. Late diagnosis (defined as AIDS diagnosis within 3 months of HIV diagnosis) was more common in rural than urban areas (35.8% vs. 27.4%) ( p < 0.0001). This difference persisted after controlling for age, sex, race/ethnicity, HIV transmission mode, country of birth, and diagnosis year (adjusted OR 1.39; 95% CI 1.17-1.66). In rural areas, older age and male sex were associated with late HIV diagnosis; zip code-level socioeconomic and county level health care resource variables were not associated with late diagnosis in rural areas. In urban areas only, Hispanic and non-Hispanic black race/ethnicity, foreign birth, and heterosexual mode of transmission were additionally associated with late HIV diagnosis. These findings suggest that, in rural areas, enhanced efforts are needed to target older individuals and men in screening programs and that studies of psychosocial and structural barriers to HIV testing in rural and urban areas be pursued.

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“…Lower levels of acculturation, based on language use and preference, has been associated with lower likelihood of testing (Parra et al 2001). Among Latino participants in a population-based interview study, choosing to interview in Spanish was predictive of delayed testing after adjusting for age, education, drug injection and country of origin (Wohl, Tejero, and Frye 2009). In contrast, other studies have not detected an association between language preference and history of testing (Gilbert and Rhodes 2013;Uribe et al 2009).…”

mentioning

confidence: 93%

Cultural influences on HIV testing among Latino youth

Malcolm

2015

Culture, Health & Sexuality

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Young Latinos aged 13-24 years in the USA are disproportionately impacted upon by HIV. Despite the elevated risk, lower rates of HIV testing have been documented among Latino youth relative to other racial/ethnic groups. The objective of the current study was to examine the influence of acculturation and cultural values on HIV testing among Latino youth. The study consisted of 51 sexually experienced young Latinos aged 13-16 years from a major city in the Southeastern USA. Participants completed a survey on HIV testing history, cultural orientation and Latino cultural values. Results indicate that 21.6% of the young people had been tested for HIV. The number of times tested ranged from one to four (M = 1.9 ± 1.0). HIV testing was associated with US American cultural orientation and familism (and emphasis on strong family commitment, family support and emotional closeness). Participants with greater orientation to US American culture were more likely, whereas those who endorsed higher familism value were less likely, to have had an HIV test. For participants scoring high on familism, the desire to maintain family honour may serve as a deterrent to testing. Incorporating culturally relevant strategies, such as promoting sexual communication and conversations on HIV prevention within the family, may enhance testing and narrow the gap in HIV infection between Latino youth and other ethnic groups.

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Factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles

Cited by 50 publications

References 25 publications

Social Support, Stress and Social Network Characteristics Among HIV-Positive Latino and African American Women and Men Who have Sex with Men

Social Support, Stress and Social Network Characteristics Among HIV-Positive Latino and African American Women and Men Who have Sex with Men

Late HIV Diagnosis: Differences by Rural/Urban Residence, Florida, 2007–2011

Cultural influences on HIV testing among Latino youth

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