Sources of Human Immunodeficiency Virus and Sexually Transmitted Disease Information and Responses to Prevention Messages among Massachusetts Men Who Have Sex with Men

Mimiaga, Matthew J.; Reisner, Sari L.; Goldhammer, Hilary; Tetu, Ashley M.; Belanoff, Candice; Mayer, Kenneth H.

doi:10.4278/ajhp.08042841

Cited by 8 publications

(7 citation statements)

References 38 publications

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“…Demonstrating the importance of an open and supportive patient-provider relationship for facilitating access to HIV testing and prevention services, MSM who disclosed their sexual behavior to their healthcare provider were more likely to discuss HIV, disclose their HIV status, accurately report unprotected anal intercourse (UAI), and obtain testing [44, 53, 62]. BMSM whose healthcare provider recommended HIV testing were more likely to have been tested in the last 2 years [63]. However, BMSM who disclose their sexual behavior to their healthcare providers may still fail to receive HIV prevention services.…”

Section: Resultsmentioning

confidence: 99%

Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States

et al. 2014

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Structural-level factors have contributed to the substantial disproportionate rates of HIV among Black men who have sex with men (BMSM) in the United States. Despite insufficient HIV testing patterns, however, there is a void in research investigating the relationship between structural factors and access to HIV testing and prevention services among BMSM. Building on previous scholarly work and incorporating a dynamic social systems conceptual framework, we conducted a comprehensive review of the literature on structural barriers to HIV testing and prevention services among BMSM across four domains: healthcare, stigma and discrimination, incarceration, and poverty. We found that BMSM experience inadequate access to culturally competent services, stigma and discrimination that impede access to services, a deficiency of services in correctional institutions, and limited services in areas where BMSM live. Structural interventions that eliminate barriers to HIV testing and prevention services and provide BMSM with core skills to navigate complex systems are needed.

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Section: Resultsmentioning

confidence: 99%

Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States

et al. 2014

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“…These negative experiences likely result from the discomfort, negative attitudes, and low self-efficacy that a minority of health care providers has with regard to treating gay or bisexual patients [106][107][108]. Too many health care providers fail to provide recommended sexual health screening tests and avoid talking about sexual health issues with MSM patients, even those patients who are living with HIV [26,103,[109][110][111][112][113]. Providers need to be able to conduct sexual histories, conduct regular HIV/ STI screening using samples collected from appropriate anatomical sites, and provide sexual health information in an accurate and nonjudgmental manner [104,106].…”

Section: Health Care Provider Training In Msm Healthmentioning

confidence: 99%

Sexual Health, HIV, and Sexually Transmitted Infections among Gay, Bisexual, and Other Men Who Have Sex with Men in the United States

2011

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The sexual health of gay, bisexual, and other men who have sex with men (MSM) in the United States is not getting better despite considerable social, political and human rights advances. Instead of improving, HIV and sexually transmitted infections (STIs) remain disproportionately high among MSM and have been increasing for almost two decades. The disproportionate and worsening burden of HIV and other STIs among MSM requires an urgent re-assessment of what we have been doing as a nation to reduce these infections, how we have been doing it, and the scale of our efforts. A sexual health approach has the potential to improve our understanding of MSM's sexual behavior and relationships, reduce HIV and STI incidence, and improve the health and well-being of MSM.

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“…Given that testing for HIV and other STDs remains a cornerstone of public health prevention interventions, increasing testing rates using strategies such as universal testing in accordance with CDC recommendations may be warranted. 65 Prior research has documented that HCPs are trusted sources of information about HIV and STDs, 66 and can play a significant role in the diagnosis, treatment, and prevention of HIV=STDs among MSM. 14,15,19,25,62 Findings from the current study underscore the pivotal role HCPs play in testing among Black MSM.…”

Section: Discussionmentioning

confidence: 99%

Health System and Personal Barriers Resulting in Decreased Utilization of HIV and STD Testing Services among At-Risk Black Men Who Have Sex with Men in Massachusetts

Mimiaga

Reisner

Bland

et al. 2009

AIDS Patient Care and STDs

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106

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Testing for HIV and other sexually transmitted diseases (STD) remains a cornerstone of public health prevention interventions. This analysis was designed to explore the frequency of testing, as well as health system and personal barriers to testing, among a community-recruited sample of Black men who have sex with men (MSM) at risk for HIV and STDs. Black MSM (n = 197) recruited via modified respondent-driven sampling between January and July 2008 completed an interviewer-administered assessment, with optional voluntary HIV counseling and testing. Logistic regression procedures examined factors associated with not having tested in the 2 years prior to study enrollment for: (1) HIV (among HIV-uninfected participants, n = 145) and (2) STDs (among the entire mixed serostatus sample, n = 197). The odds ratios and their 95% confidence intervals obtained from this analysis were converted to relative risks. (1) HIV: Overall, 33% of HIV-uninfected Black MSM had not been tested for HIV in the 2 years prior to study enrollment. Factors uniquely associated with not having a recent HIV test included: being less educated; engaging in serodiscordant unprotected sex; and never having been HIV tested at a community health clinic, STD clinic, or jail. (2) STDs: Sixty percent had not been tested for STDs in the 2 years prior to study enrollment, and 24% of the sample had never been tested for STDs. Factors uniquely associated with not having a recent STD test included: older age; having had a prior STD; and never having been tested at an emergency department or urgent care clinic. Overlapping factors associated with both not having had a recent HIV or STD test included: substance use during sex; feeling that using a condom during sex is "very difficult"; less frequent contact with other MSM; not visiting a health care provider (HCP) in the past 12 months; having a HCP not recommend HIV or STD testing at their last visit; not having a primary care provider (PCP); current PCP never recommending they get tested for HIV or STDs. In multivariable models adjusting for relevant demographic and behavioral factors, Black MSM who reported that a HCP recommended getting an HIV test (adjusted relative risk [ARR] = 0.26; p = 0.01) or STD test (ARR = 0.11; p = 0.0004) at their last visit in the past 12 months were significantly less likely to have not been tested for HIV or STDs in the past 2 years. Many sexually active Black MSM do not regularly test for HIV or STDs. HCPs play a pivotal role in encouraging testing for Black MSM. Additional provider training is warranted to educate HCPs about the specific health care needs of Black MSM, in order to facilitate access to timely, culturally competent HIV and STD testing and treatment services for this population.

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Sources of Human Immunodeficiency Virus and Sexually Transmitted Disease Information and Responses to Prevention Messages among Massachusetts Men Who Have Sex with Men

Abstract: Health messages that focus on getting tested for HIV and STDs, practicing safe sex, and incorporating straightforward and accurate information on prevention may be the most acceptable to MSM. Providers should be proactive in disseminating information about HIV/STD prevention.

Cited by 8 publications

References 38 publications

Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States

Understanding Structural Barriers to Accessing HIV Testing and Prevention Services Among Black Men Who Have Sex with Men (BMSM) in the United States

Sexual Health, HIV, and Sexually Transmitted Infections among Gay, Bisexual, and Other Men Who Have Sex with Men in the United States

Health System and Personal Barriers Resulting in Decreased Utilization of HIV and STD Testing Services among At-Risk Black Men Who Have Sex with Men in Massachusetts

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