title: Predictors of unrecognized HIV infection among poor and ethnic men who have sex with men in Los Angeles.
abstract: This study evaluates associations between unrecognized HIV infection and demographic factors, internalized homonegativity, drug use, and sexual behaviors among HIV positive men who have sex with men (MSM). We analyzed data from 347 HIV positive participants from the Los Angeles site for NIDA's Sexual Acquisition and Transmission of HIV-Cooperative Agreement Program. Participants were HIV positive MSM and MSM/W and predominantly African American (36.0%) or Latino (38.7%), and unemployed (82.8%). Results from a multivariate logistic regression suggest that, compared to HIV positive participants who correctly reported their HIV positive status, being African-American (OR: 9.81, CI: 1.2-77.9) or Latino (OR: 10.92, CI: 1.3-88.4) rather than White, MSM/W rather than MSM (OR: 3.24, CI: 1.09-9.62), and having higher homonegativity scores (OR: 1.22, CI: 1.02-1.4) is associated with unrecognized HIV infection, controlling for age, education, and homelessness. Findings provide some immediate evidence to help craft HIV prevention interventions.
authors.affiliation: Division of Infectious Diseases/Program in Global Health, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90024, USA. sdyoung@mednet.ucla.edu
authors.forename: Sean D
authors.initials: SD
authors.lastname: Young
authors.forename: Steven
authors.initials: S
authors.lastname: Shoptaw
authors.forename: Robert E
authors.initials: RE
authors.lastname: Weiss
authors.forename: Brett
authors.initials: B
authors.lastname: Munjas
authors.forename: Pamina M
authors.initials: PM
authors.lastname: Gorbach
mesh_terms: D000328:Adult; D001741:Black or African American; D001727:Bisexuality / Q000208:ethnology* / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006679:HIV Seropositivity / Q000208:ethnology*; D006630:Hispanic or Latino; D018451:Homosexuality, Male / Q000208:ethnology* / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D015141:Los Angeles / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011203:Poverty; D012309:Risk-Taking; D012747:Sexual Partners; D019966:Substance-Related Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires