title: HIV Stigma, Testing Attitudes and Health Care Access Among African-Born Men Living in the United States.
abstract: The purpose of this study was to describe HIV-testing attitudes, HIV related stigma and health care access in African-born men taking part in the African Health Cup (AHC), a soccer tournament held annually to improve HIV awareness and testing. Venue sampling was used to collect survey and qualitative interview data related to HIV-testing attitudes, stigma and experiences associated with the AHC. The sample included 135 survey respondents and 27 interview participants. AHC participants were successfully accessing health care services. Although the AHC was viewed positively, HIV testing rates remain low due to stigma and privacy concerns. This population continues to have misconceptions about HIV transmission and to use condoms inconsistently. The AHC is a successful intervention to engage African-born men in HIV awareness and education. More work is needed to enhance these AHC aspects and address stigma and privacy concerns related to using onsite health screenings. Continuing to develop novel strategies to educate African-born immigrants about HIV is urgently needed.
authors.affiliation: Graduate School of Nursing, University of Massachusetts Worcester, 55 Lake Avenue North, Worcester, MA, 01655, USA. carol.bova@umassmed.edu.
authors.forename: Carol
authors.initials: C
authors.lastname: Bova
authors.affiliation: Africans for Improved Access Program, Multicultural AIDS Coalition, Jamaica Plain, MA, USA.
authors.forename: Chioma
authors.initials: C
authors.lastname: Nnaji
authors.affiliation: Africans for Improved Access Program, Multicultural AIDS Coalition, Jamaica Plain, MA, USA.
authors.forename: Augustus
authors.initials: A
authors.lastname: Woyah
authors.affiliation: Graduate School of Nursing, University of Massachusetts Worcester, 55 Lake Avenue North, Worcester, MA, 01655, USA.
authors.forename: Akwasi
authors.initials: A
authors.lastname: Duah
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D055812:Community-Based Participatory Research; D054242:Emigrants and Immigrants / Q000523:psychology; D015658:HIV Infections / Q000175:diagnosis / Q000208:ethnology*; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D057545:Social Stigma; D014481:United States
keywords: African-born men; Community-based participatory research; HIV awareness; HIV stigma; HIV testing attitudes; Immigrant health