title: Predictors for Using a HIV Self-Test Among Migrant and Seasonal Farmworkers in North Carolina.
abstract: BACKGROUND
  Approximately, two million migrant and seasonal farmworkers (MSF) work in the United States annually. Several factors, such as lack of access to healthcare services and health behaviors, contribute to risk of HIV transmission. Relatively few studies have explored MSF knowledge of HIV transmission and testing options.
  
  
  METHODS
  A 12-question, self-administered survey of farmworkers (n = 178) from 19 migrant camps was conducted. The survey assessed knowledge of factors related to HIV transmission, testing, and intention to use a HIV home-test kit.
  
  
  RESULTS
  Participants with knowledge of treatment for HIV (p = 0.03) and that condom use protects against HIV (p = 0.04) were more willing to express intent to use a home test kit than those with less knowledge. Concern among farmworkers that HIV was a very or somewhat serious problem in their community was associated with expressing intent to use a home test kit (OR = 2.3, 95% CI = 0.92-5.5). Respondents with less knowledge were less likely to use a home test kit.
  
  
  CONCLUSIONS
  MSF were concerned about HIV in their community and would be willing to use to a home test kit. This pilot study provides a basis for additional research related to HIV testing within the MSF community.
authors.affiliation: Department of Health and Human Services, Mendocino County Health and Human Services Agency, Public Health Services, Ukiah, CA 95482, USA. kearneyg@ecu.edu.|Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA. kearneyg@ecu.edu.
authors.forename: Samantha
authors.initials: S
authors.lastname: Kinney
authors.affiliation: Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA. leac@ecu.edu.
authors.forename: C Suzanne
authors.initials: CS
authors.lastname: Lea
authors.affiliation: Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA. kearneyg@ecu.edu.
authors.forename: Greg
authors.initials: G
authors.lastname: Kearney
authors.affiliation: Kinston Community Health Center, 324 N Queen St., Kinston, NC 28501, USA. akinsey@kinstonhealth.org.
authors.forename: Anna
authors.initials: A
authors.lastname: Kinsey
authors.affiliation: Kinston Community Health Center, 324 N Queen St., Kinston, NC 28501, USA. camaya@kinstonhealth.org.
authors.forename: Carlos
authors.initials: C
authors.lastname: Amaya
mesh_terms: D000328:Adult; D000383:Agriculture / Q000706:statistics & numerical data*; D018562:Disease Transmission, Infectious / Q000517:prevention & control*; D000067565:Farmers / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000175:diagnosis* / Q000635:transmission*; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009657:North Carolina; D010865:Pilot Projects; D011933:Reagent Kits, Diagnostic / Q000706:statistics & numerical data*; D012646:Self Administration; D011795:Surveys and Questionnaires; D014171:Transients and Migrants / Q000706:statistics & numerical data*
chemical_list: D011933:Reagent Kits, Diagnostic
keywords: HIV testing; North Carolina; behavioral factors; seasonal and migrant farmworkers; survey