title: Health care and HIV testing experiences among Black men in the South: implications for "Seek, Test, Treat, and Retain" HIV prevention strategies.
abstract: Few studies have explored how overall general health care and HIV/STI testing experiences may influence receipt of "Seek, Test, Treat, and Retain" (STTR) HIV prevention approaches among Black men in the southern United States. Using in-depth qualitative interviews with 78 HIV-negative/unknown Black men in Georgia, we explored factors influencing their general health care and HIV/STI testing experiences. The Andersen behavioral model of health care utilization (Andersen model) offers a useful framework through which to examine the general health care experiences and HIV testing practices of Black men. It has four primary domains: Environment, Population characteristics, Health behavior, and Outcomes. Within the Andersen model framework, participants described four main themes that influenced HIV testing: access to insurance, patient-provider communication, quality of services, and personal belief systems. If STTR is to be successful among Black men, improving access and quality of general health care, integrating HIV testing into general health care, promoting health empowerment, and consumer satisfaction should be addressed.
authors.affiliation: Department of Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA. rkdoshi@emory.edu
authors.forename: Rupali Kotwal
authors.initials: RK
authors.lastname: Doshi
authors.forename: David
authors.initials: D
authors.lastname: Malebranche
authors.forename: Lisa
authors.initials: L
authors.lastname: Bowleg
authors.forename: Thurka
authors.initials: T
authors.lastname: Sangaramoorthy
mesh_terms: D000328:Adult; D001741:Black or African American; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006297:Health Services Accessibility; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011209:Power, Psychological; D036301:Qualitative Research; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology