Deterrents and motivators of HIV testing among young Black men who have sex with men in North Carolina
| Autor: | Megan Threats, Donte T. Boyd, José E. Diaz, Oluwamuyiwa Winifred Adebayo |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Gerontology Health (social science) Social Psychology Psychological intervention HIV Infections Hiv testing Article Men who have sex with men HIV Testing Sexual and Gender Minorities 03 medical and health sciences Social support 0302 clinical medicine North Carolina Humans Medicine 030212 general & internal medicine Homosexuality Male 030505 public health business.industry Public Health Environmental and Occupational Health virus diseases United States Black or African American Risk perception Healthcare settings Health maintenance Thematic analysis 0305 other medical science business |
| Zdroj: | AIDS Care |
| ISSN: | 1360-0451 0954-0121 |
| Popis: | In the United States (US), young, Black men who have sex with men (YBMSM) are disproportionately affected by HIV. Delayed and infrequent HIV testing has been associated with the increased likelihood of YBMSM to be infected, yet unaware. Despite increased efforts to provide HIV testing to Black men who have sex with men (MSM) in the US, HIV testing remains underutilized by YBMSM in the South. To develop strategies to increase HIV testing, this study sought to understand the factors that affect HIV testing utilization among those at highest risk for infection. Twenty-two HIV-positive and HIV-negative YBMSM aged 18-34 in North Carolina participated in semistructured interviews. Qualitative thematic analysis revealed that deterrents and motivators to HIV testing spanned individual, social, and structural levels. Deterrents included a low perceived risk of HIV, fear of receiving an HIV-positive test result, lack of HIV testing locations, healthcare provider mistreatment and privacy concerns due to intersectional stigma. Motivators of HIV testing included health maintenance, social support, and increased access to HIV testing. The findings from this study contribute to ongoing research efforts that seek to address inconsistent HIV testing and late HIV diagnosis among YBMSM. Interventions to address intersectional stigma in community and healthcare settings can enhance utilization of HIV prevention services. |
| Databáze: | OpenAIRE |
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