Intentions to seek and accept an HIV test among men of Mexican descent in the Midwestern USA.
In the USA, a high proportion of men of Mexican descent (MMD) test for HIV late in the course of the infection and miss opportunities for prevention. Given the need to promote timely HIV testing among MMD, we studied how MMD's motivations and previous experiences with disease prevention influence their intentions to seek (i.e., client-initiated HIV testing) and accept (i.e., provider-initiated HIV testing) an HIV test. We conducted a survey (N=302) at a large Mexican festival in the Midwestern USA. We elicited MMD's sexual risk behavior, social norms and culturally supported HIV testing expectations, previous experiences with disease prevention, and their intentions to seek and accept a free HIV test. Forty-one percent of MMD intended to actively seek an HIV test and 70% said they would accept it from a provider. Multivariate analyses indicated that MMD's intentions to seek and intentions to accept an HIV test were stronger when they expected desirable outcomes of an HIV test, including benefits for their family and community. Whereas MMD's intentions to actively seek an HIV test were stronger when they had more previous experiences with disease prevention and normative support, their intentions to accept an HIV test from a provider were stronger when they expected less negative outcomes from testing for HIV (e.g., stigma). Provider-initiated HIV testing may improve HIV testing access, particularly among MMD with lower experience and support. However, efforts to promote provider-initiated HIV testing among MMD should challenge negative HIV testing expectations and associate HIV testing with positive outcomes.
Glasman
Laura R
LR
Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, 53202, USA. lglasman@mcw.edu <lglasman@mcw.edu>
Weinhardt
Lance S
LS
Difranceisco
Wayne
W
Hackl
Kristin L
KL
D015492:AIDS Serodiagnosis / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D015658:HIV Infections / Q000175:diagnosis*; D015438:Health Behavior; D006801:Humans; D033182:Intention; D008297:Male; D008403:Mass Screening; D017058:Mexican Americans / Q000523:psychology*; D008800:Mexico / Q000208:ethnology; D008875:Middle Aged; D015146:Midwestern United States; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D014481:United States; D055815:Young Adult
AIDS Educ Prev. 2007 Oct;19(5):422-35
17967112
AIDS Care. 2004 Aug;16(6):700-23
15370059
Psychol Bull. 2007 Nov;133(6):955-75
17967090
J Health Care Poor Underserved. 2008 Nov;19(4):1350-67
19029757
AIDS Educ Prev. 2003 Feb;15(1 Suppl A):105-16
12630603
Am J Public Health. 2002 Feb;92(2):294-7
11818309
Med Care. 1977 May;15(5 SUPPL):93-101
857103
J Health Psychol. 2002 May;7(3):219-31
22114246
AIDS. 2006 Jun 26;20(10):1447-50
16791020
AIDS Educ Prev. 1999 Oct;11(5):400-13
10555624
AIDS Patient Care STDS. 2005 Oct;19(10):672-83
16232051
AIDS Behav. 2009 Jun;13(3):582-602
18498050
MMWR Morb Mortal Wkly Rep. 2003 Jun 27;52(25):581-6
12836626
J Acquir Immune Defic Syndr. 2005 Sep 1;40(1):96-101
16123689
AIDS Care. 2002 Jun;14(3):375-84
12042082
Br J Soc Psychol. 2001 Dec;40(Pt 4):471-99
11795063
AIDS Behav. 2006 Sep;10(5):579-86
16552623
AIDS Behav. 2003 Sep;7(3):253-62
14586188
J Rural Health. 2005 Winter;21(1):56-64
15667010
Sex Transm Dis. 2005 Aug;32(8):487-90
16041250
AIDS. 1995 Jul;9(7):769-75
7546423
Soc Sci Med. 2007 Jun;64(11):2201-9
17383784
J Acquir Immune Defic Syndr. 2002 Oct 1;31(2):202-10
12394799
AIDS Behav. 2007 Sep;11(5):743-52
17086437
AIDS Behav. 2003 Jun;7(2):183-93
14586203
Psychol Bull. 2006 Sep;132(5):778-822
16910754
Am J Public Health. 2001 Nov;91(11):1832-41
11684612
AIDS Educ Prev. 1997 Jun;9(3 Suppl):41-51
9241397
J Sex Res. 2004 Nov;41(4):390-9
15765279
Public Health Rep. 1993 Nov-Dec;108(6):742-50
8265759
J Immigr Minor Health. 2007 Jan;9(1):49-54
17031578
AIDS Patient Care STDS. 2005 Nov;19(11):737-44
16283834