title: Factors influencing health care access perceptions and care-seeking behaviors of immigrant Latino sexual minority men and transgender individuals: baseline findings from the HOLA intervention study.
abstract: Little is known about immigrant Latino sexual minorities’ health seeking behaviors. This study examined factors associated with perceptions of access and actual care behaviors among this population in North Carolina.
  
  
  METHODS
  A community-based participatory research partnership recruited 180 Latino sexual minority men and transgender individuals within preexisting social networks to participate in a sexual health intervention. Mixed-effects logistic regression models and GIS mapping examined factors influencing health care access perceptions and use of services (HIV testing and routine check-ups).
  
  
  RESULTS
  Results indicate that perceptions of access and actual care behaviors are low and affected by individual and structural factors, including: years living in NC, reported poor general health, perceptions of discrimination, micro-, meso-, and macro-level barriers, and residence in a Medically Underserved Area.
  
  
  CONCLUSIONS
  To improve Latino sexual minority health, focus must be placed on multiple levels, including: individual characteristics (e.g., demographics), clinic factors (e.g., provider competence and clinic environment), and structural factors (e.g., discrimination).
authors.forename: Amanda E
authors.initials: AE
authors.lastname: Tanner
authors.forename: Beth A
authors.initials: BA
authors.lastname: Reboussin
authors.forename: Lilli
authors.initials: L
authors.lastname: Mann
authors.forename: Alice
authors.initials: A
authors.lastname: Ma
authors.forename: Eunyoung
authors.initials: E
authors.lastname: Song
authors.forename: Jorge
authors.initials: J
authors.lastname: Alonzo
authors.forename: Scott D
authors.initials: SD
authors.lastname: Rhodes
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health / Q000208:ethnology; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000208:ethnology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000706:statistics & numerical data; D063106:Transgender Persons / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult; D005260:Female