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AIDS Behav. 2019 Apr;23(4):835-846. doi: 10.1007/s10461-019-02413-y.

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

Author information

1
Department of Medicine, Massachusetts General Hospital of Harvard Medical School, Boston, USA. jlevison@partners.org.
2
Division of General Internal Medicine, Massachusetts General Hospital, Boston, USA. jlevison@partners.org.
3
Department of Medicine, Massachusetts General Hospital of Harvard Medical School, Boston, USA.
4
Department of Psychiatry, Massachusetts General Hospital of Harvard Medical School, Boston, USA.
5
Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, USA.
6
Division of General Internal Medicine, Massachusetts General Hospital, Boston, USA.
7
Department of Psychiatry, Hospital Universitario Fundación Jiménez Diaz, Madrid, Spain.
8
Department of Psychiatry, Vall d'Hebron University Hospital, Barcelona, Spain.
9
Columbia School of Social Work, New York, USA.

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.

KEYWORDS:

HIV; Latinos; Mental health; Sexually transmitted infections; Substance use; Testing

PMID:
30737609
PMCID:
PMC6459707
[Available on 2020-04-01]
DOI:
10.1007/s10461-019-02413-y
[Indexed for MEDLINE]

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