“HIV Is Still Real”: Perceptions of HIV Testing and HIV Prevention Among Black Men Who Have Sex With Men in New York City

Nanín, José; Osubu, Tokes; Walker, Ja’Nina J.; Powell, Borris; Powell, Donald; Parsons, Jeffrey T.

doi:10.1177/1557988308315154

Cited by 45 publications

(44 citation statements)

References 15 publications

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“…Though the facilitator did not ask participants to directly contrast the two settings, participants frequently did compare non-health care settings unfavorably to health care settings in terms of privacy, competency, confidentiality, and test accuracy. These findings echo those from two other studies among specific client populations (Nanin et al, 2009;Prost et al, 2007). Testing agencies should recognize that clients may harbor these sentiments and address them.…”

Section: Discussionsupporting

confidence: 77%

“…This stigma appeared to be due in large part to persistent associations with marginalized populations and behaviors, sometimes described as compound stigma. Other studies examining the effect of stigma on HIV testing have reported similar findings (Nanin et al, 2009;Worthington & Myers, 2003). Recognizing that HIV stigma is a social process rather than an individual psychological state, community-level anti-stigma interventions can include conducting educational campaigns, teaching coping skills, and facilitating contact with persons living with HIV, all strategies demonstrated to be effective in reducing HIV stigma (Brown, Macintyre, & Trujillo, 2003).…”

Section: Discussionmentioning

confidence: 80%

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“The Anticipation Alone could Kill You”: Past and Potential Clients' Perspectives on HIV Testing in Non-Health Care Settings

Joseph

Fasula²,

Morgan³

et al. 2011

AIDS Education and Prevention

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HIV testing in non-health care settings is an effective strategy for increasing the proportion of persons aware of their infection. We conducted 21 focus groups with 186 past and potential clients in five U.S. cities to explore attitudes and experiences related to HIV counseling and testing in non-health care settings. Qualitative analysis yielded several key themes. HIV-related stigma and fear emerged as a main theme throughout the discussions. Knowing one's HIV status quickly and accurately was of primary importance; HIV prevention counseling was secondary. Participants prioritized a supportive, nonjudgmental environment with adequate privacy and confidentiality. Provision of immediate emotional support, medical information, and linkage services to HIV-infected clients were considered essential. Staff with HIV-specific skills to address clients' emotional and informational needs was considered a strength of non-health care testing programs. Frequently, however, participants compared non-health care settings unfavorably to health care settings regarding privacy, competency, confidentiality, and test accuracy. Recommendations for enhancing counseling and testing services in non-health care settings are discussed.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 80%

“The Anticipation Alone could Kill You”: Past and Potential Clients' Perspectives on HIV Testing in Non-Health Care Settings

Joseph

Fasula²,

Morgan³

et al. 2011

AIDS Education and Prevention

View full text Add to dashboard Cite

show abstract

“…Because race/ethnicity is typically more visible than is HIV-serostatus or sexual orientation, men may have been more vulnerable to racial stigma. Due to the highly stigmatized nature of HIV and gay sexual orientation, especially in African–American communities [42-44], some men may choose to hide their serostatus and sexual orientation from others, and consequently would experience less discrimination from these characteristics.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Relationships Between Antiretroviral Treatment Adherence and Discrimination Due to HIV-Serostatus, Race, and Sexual Orientation Among African–American Men with HIV

et al. 2010

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African–Americans show worse HIV disease outcomes compared to Whites. Health disparities may be aggravated by discrimination, which is associated with worse health and maladaptive health behaviors. We examined longitudinal effects of discrimination on antiretroviral treatment adherence among 152 HIV-positive Black men who have sex with men. We measured adherence and discrimination due to HIV-serostatus, race/ethnicity, and sexual orientation at baseline and monthly for 6 months. Hierarchical repeated-measures models tested longitudinal effects of each discrimination type on adherence. Over 6 months, participants took 60% of prescribed medications on average; substantial percentages experienced discrimination (HIV-serostatus, 38%; race/ethnicity, 40%; and sexual orientation, 33%). Greater discrimination due to all three characteristics was significantly bivariately associated with lower adherence (all p’s<0.05). In the multivariate model, only racial discrimination was significant (p<0.05). Efforts to improve HIV treatment adherence should consider the context of multiple stigmas, especially racism.

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“…For example, research suggests that among MSM perception of HIV risk varies by race of partner [21] and by type of partner [22]. Studies have found that perception of risk is associated with HIV testing and delayed HIV diagnosis [23][24][25].…”

Section: Introductionmentioning

confidence: 97%

Partner Characteristics and Undiagnosed HIV Seropositivity among Men Who Have Sex with Men Only (MSMO) and Men Who Have Sex with Men and Women (MSMW) in Baltimore

et al. 2011

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This study examined the relationship between HIV risk behaviors, partner characteristics, and undiagnosed seropositivity among men who have sex with men and women (MSMW) and men who have sex with men only (MSMO). BESURE-MSM2 is a venue-based cross-sectional HIV surveillance study conducted among MSM in 2008. Stratified log-binomial regression was used to assess adjusted prevalence ratios of undiagnosed seropositivity among 103 MSMW and 296 MSMO (N = 399). Among MSMO, race/ethnicity, age, having had a sexually transmitted infection, concurrency, and having a black/African American male partner were associated with undiagnosed seropositivity. Among MSMW, having five or more male partners, having a main male partner, and having a main female partner were associated with undiagnosed seropositivity. Our findings underscore the importance of partner characteristics in understanding HIV transmission. HIV programs for men with both male and female partners are needed to address the unique partnership dynamics of MSMW.

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“HIV Is Still Real”: Perceptions of HIV Testing and HIV Prevention Among Black Men Who Have Sex With Men in New York City

Cited by 45 publications

References 15 publications

“The Anticipation Alone could Kill You”: Past and Potential Clients' Perspectives on HIV Testing in Non-Health Care Settings

“The Anticipation Alone could Kill You”: Past and Potential Clients' Perspectives on HIV Testing in Non-Health Care Settings

Longitudinal Relationships Between Antiretroviral Treatment Adherence and Discrimination Due to HIV-Serostatus, Race, and Sexual Orientation Among African–American Men with HIV

Partner Characteristics and Undiagnosed HIV Seropositivity among Men Who Have Sex with Men Only (MSMO) and Men Who Have Sex with Men and Women (MSMW) in Baltimore

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