AIDS and Behavior
Volume 23, Issue 4, 2019, Pages 835-846

High HIV/STI Test Acceptance Through a Behavioral Health Encounter in Latino Immigrants with Substance Use and Mental Health Problems (Article)

Levison J.H.* , Alegría M. , Wang Y. , Markle S.L. , Fuentes L. , Mejia D.L. , Tarbox A. , Albarracín García L. , Cellerino L. , El-Bassel N.
  • a Department of Medicine, Massachusetts General Hospital of Harvard Medical School, Boston, United States, Division of General Internal Medicine, Massachusetts General Hospital, Boston, United States
  • b Department of Medicine, Massachusetts General Hospital of Harvard Medical School, Boston, United States, Department of Psychiatry, Massachusetts General Hospital of Harvard Medical School, Boston, United States, Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, United States
  • c Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, United States
  • d Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, United States
  • e Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, United States
  • f Division of General Internal Medicine, Massachusetts General Hospital, Boston, United States
  • g Division of General Internal Medicine, Massachusetts General Hospital, Boston, United States
  • h Department of Psychiatry, Hospital Universitario Fundación Jiménez Diaz, Madrid, Spain
  • i Department of Psychiatry, Vall d’Hebron University Hospital, Barcelona, Spain
  • j Columbia School of Social WorkNY, United States

Abstract

Latino immigrants with substance use and mental health problems are at risk for undiagnosed HIV and sexually transmitted infections (STIs). Participants in a randomized control trial were recruited in Boston, USA and Madrid and Barcelona, Spain. Eligibility criteria were Latino self-identification, age 18–70, elevated substance use and mental health symptoms, and not currently in substance or mental health care. A multinomial logistic regression examined predictors of HIV/STI testing decline and lost to follow-up (LTFU) prior to testing compared with acceptance. Of 341 participants, 74% accepted testing, 4% declined, and 22% were LTFU. The odds of LTFU were higher in those with high concern for HIV and those whose main partner had done HIV testing. Age ≥ 35 years, females, higher education, and higher report of discrimination lowered the odds of LTFU. Delivery of HIV/STI testing through community agencies and outreach could overcome barriers to HIV/STI diagnosis in this population of Latinos. Clinical Trial Number: NCT02038855. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Sexually transmitted infections Mental health HIV Substance use Testing Latinos

Index Keywords

HIV Infections Human immunodeficiency virus infection mass screening Massachusetts follow up mental health Serologic Tests human epidemiology middle aged sexuality Sexual Partners statistics and numerical data controlled study Substance-Related Disorders randomized controlled trial Aged drug dependence ethnology Hispanic Americans Mental Disorders sexually transmitted disease mental disease Sexually Transmitted Diseases Humans migrant psychology Hispanic Adolescent male Emigrants and Immigrants Spain female adult serology patient attitude Patient Acceptance of Health Care Lost to Follow-Up Boston
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061288427&doi=10.1007%2fs10461-019-02413-y&partnerID=40&md5=d5319480bae0eb28e7d2fda48ab67b58
DOI: 10.1007/s10461-019-02413-y
ISSN: 10907165
Original Language: English