دورية أكاديمية
أعرض في EDS

Factors Associated with HIV Testing Among Spanish and English-Speaking Latino Adolescents Aged 13-18.

التفاصيل البيبلوغرافية
العنوان: Factors Associated with HIV Testing Among Spanish and English-Speaking Latino Adolescents Aged 13-18.
المؤلفون: Zapata JP; Department of Medical Social Science and the Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N Michigan Ave, Chicago, IL, USA., Queiroz A; Department of Medical Social Science and the Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N Michigan Ave, Chicago, IL, USA., Rodriguez-Diaz CE; School of Public Health, Boston University, 801 Massachusetts Ave. Suite 431, Boston, MA, USA., Mustanski B; Department of Medical Social Science and the Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N Michigan Ave, Chicago, IL, USA. brian@northwestern.edu.
المصدر: AIDS and behavior [AIDS Behav] 2024 Jan; Vol. 28 (1), pp. 343-356. Date of Electronic Publication: 2023 Oct 17.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9712133 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3254 (Electronic) Linking ISSN: 10907165 NLM ISO Abbreviation: AIDS Behav Subsets: MEDLINE
أسماء مطبوعة: Publication: 2005- : New York, NY : Springer Science + Business Media
Original Publication: New York, NY : Plenum Press, 1997-
مواضيع طبية MeSH: HIV Infections*/diagnosis , HIV Infections*/epidemiology , HIV Infections*/prevention & control, Adolescent ; Humans ; Male ; Female ; Sexual Behavior ; HIV Testing ; Surveys and Questionnaires ; Hispanic or Latino ; Homosexuality, Male
مستخلص: Adolescent Latino men who have sex with men (LMSM) in the U.S. are disproportionately impacted by HIV. However, there has been limited focus on their HIV prevention and risk behaviors. In this study, we examine the rates of HIV testing and explore the significant demographic and healthcare factors that influence HIV prevention among adolescent LMSM. The analysis for this study utilized data collected during the baseline assessment of SMART, a pragmatic trial aimed at evaluating the effectiveness of an online HIV prevention intervention for adolescent LMSM (N = 524). Only 35.5% of participants had ever had an HIV test in their lifetime. Rates of testing increased among adolescent LMSM who had a doctor with whom they spoke about their sexual health (odds ratio: 4.0; 95% confidence interval: 2.1-8.4; P < 0.001) or HIV testing (odds ratio: 5.8; 95% confidence interval: 3.1-10.7; P < 0.001). Out of the 61 participants who took part in the survey conducted in Spanish, only 26% reported ever having an HIV test. Additionally, 24.5% stated that they had discussed their sexual orientation with a doctor, and only 8.2% had undergone HIV testing. Spanish-speaking adolescents who completed the SMART survey were less likely to openly discuss their sexual orientation or sexual health with most people or have a doctor with whom they discussed these topics, compared to those who completed the survey in English. These findings suggest that Spanish-speaking adolescent LMSM may face obstacles in accessing HIV prevention services in the U.S.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
References: Rodriguez-Diaz CE, Martinez O, Bland S, Crowley JS. Ending the HIV epidemic in US Latinx sexual and gender minorities. The Lancet. 2021;397(10279):1043–5. (PMID: 10.1016/S0140-6736(20)32521-6)
Guilamo-Ramos V, Thimm-Kaiser M, Benzekri A, Chacón G, López OR, Scaccabarrozzi L, Rios E. The invisible US Hispanic/Latino HIV crisis: addressing gaps in the national response. Am J Public Health. 2020;110(1):27–31. (PMID: 31725313689333510.2105/AJPH.2019.305309)
Pitasi MA, Beer L, Cha S, Lyons SJ, Hernandez AL, Prejean J, et al. Vital Signs: HIV infection, diagnosis, treatment, and prevention among gay, bisexual, and other men who have sex with men—United States, 2010–2019. Morb Mortal Wkly Rep. 2021;70(48):1669. (PMID: 10.15585/mmwr.mm7048e1)
Hall HI, An Q, Tang T, Song R, Chen M, Green T, Kang J. Prevalence of diagnosed and undiagnosed HIV infection-United States, 2008–2012. Morb Mortal Wkly Rep. 2015;64(24):657.
Gray KM, Valverde EE, Tang T, Siddiqi AEA, Hall HI. Diagnoses and prevalence of HIV infection among Hispanics or Latinos—United States, 2008–2013. Morb Mortal Wkly Rep. 2015;64(39):1097–103. (PMID: 10.15585/mmwr.mm6439a2)
Gant Z, Dailey A, Hu X, Johnson AS. HIV care outcomes among Hispanics or Latinos with diagnosed HIV infection—United States, 2015. Morb Mortal Wkly Rep. 2017;66(40):1065. (PMID: 10.15585/mmwr.mm6640a2)
Fauci AS, Redfield RR, Sigounas G, Weahkee MD, Giroir BP. Ending the HIV epidemic: a plan for the United States. JAMA. 2019;321(9):844–5. (PMID: 3073052910.1001/jama.2019.1343)
Lee JJ, Rao DW, Robles G, Kerani RP, Naismith K, Rodriguez-Díaz CE, et al. Differences in HIV risk and prevention among cisgender latino sexual minority men by language of online survey completion: analysis of national and Washington State data. AIDS Behavior. 2022;26(3):662–73. (PMID: 3440530310.1007/s10461-021-03426-2)
Lescano CM, Castillo HL, Calcano E, Mayor M, Porter M, Rivera-Torgerson Y, Latino STYLE Research Group, et al. Latino STYLE: preliminary findings from an HIV prevention RCT among Latino youth. J Pediatr Psychol. 2020;45(4):411–22. (PMID: 32330945718240410.1093/jpepsy/jsaa019)
Lescano CM, Brown LK, Raffaelli M, Lima LA. Cultural factors and family-based HIV prevention intervention for Latino youth. J Pediatr Psychol. 2009;34(10):1041–52. (PMID: 19181820277353110.1093/jpepsy/jsn146)
Ma M, Malcolm LR. Cultural influences on HIV testing among Latino youth. Cult Health Sex. 2016;18(4):470–80. (PMID: 2643073510.1080/13691058.2015.1084650)
Adeyeba M, Schmidt CM, Alba Rosales AD, Su D, Dai H, Tibbits M. A review of bidimensional acculturation and STI/HIV-related sexual risk behaviours among Hispanic youth. Culture, Health Sex. 2022. https://doi.org/10.1080/13691058.2022.2154387 . (PMID: 10.1080/13691058.2022.2154387)
Cardoza VJ, Documét PI, Fryer CS, Gold MA, Butler J III. Sexual health behavior interventions for US Latino adolescents: a systematic review of the literature. J Pediatr Adolesc Gynecol. 2012;25(2):136–49. (PMID: 2220668710.1016/j.jpag.2011.09.011)
Goesling B, Colman S, Trenholm C, Terzian M, Moore K. Programs to reduce teen pregnancy, sexually transmitted infections, and associated sexual risk behaviors: a systematic review. J Adolesc Health. 2014;54(5):499–507. (PMID: 2452522710.1016/j.jadohealth.2013.12.004)
Bossonario PA, Ferreira MRL, Andrade RLDP, Sousa KDLD, Bonfim RO, Saita NM, Monroe AA. Risk factors for HIV infection among adolescents and the youth: a systematic review. Rev Lat Am Enfermagem. 2022. https://doi.org/10.1590/1518-8345.6264.3696 . (PMID: 10.1590/1518-8345.6264.3696361973919647917)
Marzan-Rodriguez M, Rodriguez-Diaz CE, Mustanski B. Recommendations for the development of HIV prevention interventions among Latino young sexual minority groups. Sex Res Soc Policy. 2021;18(4):992–1001. (PMID: 10.1007/s13178-020-00494-2)
Fisher CB, Fried AL, Macapagal K, Mustanski B. Patient–provider communication barriers and facilitators to HIV and STI preventive services for adolescent MSM. AIDS Behav. 2018;22(10):3417–28. (PMID: 29546468613907810.1007/s10461-018-2081-x)
Kasedde S, Luo C, McClure C, Chandan U. Reducing HIV and AIDS in adolescents: opportunities and challenges. Curr HIV/AIDS Rep. 2013;10(2):159–68. (PMID: 2356399010.1007/s11904-013-0159-7)
Wong VJ, Murray KR, Phelps BR, Vermund SH, McCarraher DR. Adolescents, young people, and the 90–90–90 goals: a call to improve HIV testing and linkage to treatment. AIDS (London, England). 2017;31(Suppl 3):S191. (PMID: 2866587610.1097/QAD.0000000000001539)
Du H, Li X. Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis. Health Psychol Rev. 2015;9(1):103–22. (PMID: 2579349310.1080/17437199.2013.840952)
Schwartz SJ, Unger JB, Zamboanga BL, Szapocznik J. Rethinking the concept of acculturation: implications for theory and research. Am Psychol. 2010;65(4):237. (PMID: 20455618370054310.1037/a0019330)
Wohl AR, Tejero J, Frye DM. Factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles. AIDS Care. 2009;21(9):1203–10. (PMID: 2002478110.1080/09540120902729957)
Mustanski B, Moskowitz DA, Moran KO, Newcomb ME, Macapagal K, Rodriguez-Díaz C, et al. Evaluation of a stepped-care eHealth HIV prevention program for diverse adolescent men who have sex with men: protocol for a hybrid type 1 effectiveness implementation trial of SMART. JMIR Res Protoc. 2020;9(8):e19701. (PMID: 32779573744817710.2196/19701)
Ventuneac A, Li DH, Mongrella MC, Moskowitz DA, Weingardt KR, Brown CH, et al. Exploring potential implementation barriers and facilitators of the SMART program: a stepped-care package of Ehealth HIV prevention interventions for adolescent men who have sex with men. Sex Res Soc Policy. 2020;17(3):378–88. (PMID: 10.1007/s13178-019-00402-3)
Li DH, Moskowitz DA, Macapagal K, Saber R, Mustanski B. Using intervention mapping to developmentally adapt an online HIV risk reduction program for adolescent men who have sex with men. Prev Sci. 2020;21(7):885–97. (PMID: 32761287747063010.1007/s11121-020-01148-w)
Mustanski B, Saber R, Macapagal K, Matson M, Laber E, Rodrgiuez-Diaz C, et al. Effectiveness of the SMART Sex Ed program among 13–18 year old English and Spanish speaking adolescent men who have sex with men. AIDS Behavior. 2023;27(2):733–44. (PMID: 3595114310.1007/s10461-022-03806-2)
Centers for Disease Control and Prevention [CDC] (2023). HIV prevention research synthesis project. Compendium of Evidence-Based Interventions and Best Practices for HIV Prevention. https://www.cdc.gov/hiv/research/interventionresearch/compendium/index.html . 2023.
Fisher CB, Mustanski B. Reducing health disparities and enhancing the responsible conduct of research involving LGBT youth. Hastings Cent Rep. 2014;44(s4):S28–31. (PMID: 25231783461752510.1002/hast.367)
Wadsworth ME, Compas BE. Coping with family conflict and economic strain: the adolescent perspective. J Res Adolesc. 2002;12(2):243–74. (PMID: 10.1111/1532-7795.00033)
Wilkerson JM, Noor SW, Galos DL, Rosser BR. Correlates of a single-item indicator versus a multi-item scale of outness about same-sex attraction. Arch Sex Behav. 2016;45(5):1269–77. (PMID: 2629284010.1007/s10508-015-0605-2)
Guilamo-Ramos V, Bouris A, Jaccard J, Lesesne C, Ballan M. Familial and cultural influences on sexual risk behaviors among Mexican, Puerto Rican, and Dominican youth. AIDS Education Prev. 2009;21:61. (PMID: 10.1521/aeap.2009.21.5_supp.61)
Barona A, Miller JA. Short acculturation scale for Hispanic youth (SASH-Y): a preliminary report. Hisp J Behav Sci. 1994;16(2):155–62. (PMID: 10.1177/07399863940162005)
Kann L, Kinchen S, Shanklin SL, Flint KH, Hawkins J, Harris WA. Youth risk behavior surveillance—United States, 2013. Morb Mortal Wkly Rep: Surveill Summ. 2014. https://doi.org/10.1080/13691058.2022.2154387 . (PMID: 10.1080/13691058.2022.2154387)
Swann G, Newcomb ME, Mustanski B. Validation of the HIV risk assessment of sexual partnerships (H-RASP): comparison to a 2-month prospective diary study. Arch Sex Behav. 2018;47(1):121–31. (PMID: 2873382610.1007/s10508-017-1033-2)
Henry-Reid LM, O’Connor KG, Klein JD, Cooper E, Flynn P, Futterman DC. Current pediatrician practices in identifying high-risk behaviors of adolescents. Pediatrics. 2010;125(4):e741–7. (PMID: 2030822010.1542/peds.2009-0271)
Ybarra ML, Prescott TL, Phillips GL, Bull SS, Parsons JT, Mustanski B. Pilot RCT results of an mHealth HIV prevention program for sexual minority male adolescents. Pediatrics. 2017;140(1):e20162999. (PMID: 2865945610.1542/peds.2016-2999)
Janulis P, Newcomb ME, Sullivan P, Mustanski B. Evaluating HIV knowledge questionnaires among men who have sex with men: a multi-study item response theory analysis. Arch Sex Behav. 2018;47(1):107–19. (PMID: 2848812610.1007/s10508-016-0910-4)
Gerrard M, Gibbons FX, Bushman BJ. Relation between perceived vulnerability to HIV and precautionary sexual behavior. Psychol Bull. 1996;119(3):390. (PMID: 866874510.1037/0033-2909.119.3.390)
IBM Corp. IBM SPSS statistics for windows (Version 2750) [Computer software]. Armonk: IBM Corp; 2020.
Mustanski B, Moskowitz DA, Moran KO, Rendina HJ, Newcomb ME, Macapagal K. Factors associated with HIV testing in teenage men who have sex with men. Pediatrics. 2020. https://doi.org/10.1542/peds.2019-2265 . (PMID: 10.1542/peds.2019-226532047100)
Petsis D, Min J, Huang YSV, Akers AY, Wood S. HIV testing among adolescents with acute sexually transmitted infections. Pediatrics. 2020. https://doi.org/10.1542/peds.2019-2265 . (PMID: 10.1542/peds.2019-226532179661)
Centers for Disease Control and Prevention (CDC). Vital signs: HIV infection, testing, and risk behaviors among youths-United States. MMWR Morb Mortal Wkly Rep. 2012;61(47):971–6.
Cuffe KM, Newton-Levinson A, Gift TL, McFarlane M, Leichliter JS. Sexually transmitted infection testing among adolescents and young adults in the United States. J Adolesc Health. 2016;58(5):512–9. (PMID: 2698768710.1016/j.jadohealth.2016.01.002)
Van Handel M, Kann L, Olsen EOM, Dietz P. HIV testing among US high school students and young adults. Pediatrics. 2016. https://doi.org/10.1542/peds.2015-2700 . (PMID: 10.1542/peds.2015-270026787047)
Ramírez-Ortiz D, Sheehan DM, Moore MP, Ibañez GE, Ibrahimou B, De La Rosa M, Cano MÁ. HIV testing among Latino emerging adults: examining associations with familism support, nativity, and gender. J Immigr Minor Health. 2020;22(5):1039–48. (PMID: 32222904744271710.1007/s10903-020-01000-x)
Johns MM, Bauermeister JA, Zimmerman MA. Individual and neighborhood correlates of HIV testing among African American youth transitioning from adolescence into young adulthood. AIDS Educ Prev. 2010;22(6):509–22. (PMID: 21204627305137410.1521/aeap.2010.22.6.509)
González HM, Vega WA, Tarraf W. Health care quality perceptions among foreign-born Latinos and the importance of speaking the same language. J Am Board Family Med. 2010;23(6):745–52. (PMID: 10.3122/jabfm.2010.06.090264)
Fredericksen RJ, Fitzsimmons E, Gibbons LE, Loo S, Dougherty S, Avendano-Soto S, et al. How do treatment priorities differ between patients in HIV care and their providers? A mixed-methods study. AIDS Behavior. 2020;24(4):1170–80. (PMID: 3183285410.1007/s10461-019-02746-8)
Garland JM, Andrade AS, Page KR. Unique aspects of the care of HIV-positive Latino patients living in the United States. Curr HIV/AIDS Rep. 2010;7(3):107–16. (PMID: 2052682410.1007/s11904-010-0049-1)
Levison JH, Bogart LM, Khan IF, Mejia D, Amaro H, Alegría M, Safren S. “Where it falls apart”: barriers to retention in HIV care in Latino immigrants and migrants. AIDS Patient Care STDS. 2017;31(9):394–405. (PMID: 28891715561039810.1089/apc.2017.0084)
Cordova D, Huang S, Lally M, Estrada Y, Prado G. Do parent–adolescent discrepancies in family functioning increase the risk of Hispanic adolescent HIV risk behaviors? Fam Process. 2014;53(2):348–63. (PMID: 24617745404713610.1111/famp.12067)
Farrelly C, Cordova D, Huang S, Estrada Y, Prado G. The role of acculturation and family functioning in predicting HIV risk behaviors among Hispanic delinquent youth. J Immigr Minor Health. 2013;15(3):476–83. (PMID: 22532299358420810.1007/s10903-012-9627-1)
Basáñez T, Dennis JM, Crano WD, Stacy AW, Unger JB. Measuring acculturation gap conflicts among Hispanics: Implications for psychosocial and academic adjustment. J Fam Issues. 2014;35(13):1727–53. (PMID: 2685546410.1177/0192513X13477379)
Dennis J, Basañez T, Farahmand A. Intergenerational conflicts among Latinos in early adulthood: separating values conflicts with parents from acculturation conflicts. Hisp J Behav Sci. 2010;32(1):118–35. (PMID: 10.1177/0739986309352986)
Abraído-Lanza AF, Echeverría SE, Flórez KR. Latino immigrants, acculturation, and health: promising new directions in research. Annu Rev Public Health. 2016;37:219–36. (PMID: 26735431533711010.1146/annurev-publhealth-032315-021545)
Mendez LO, Cortina KS. Within group ethnic diversity in latinx psychological research: a publication analysis. Hisp J Behav Sci. 2021;43(1–2):114–30. (PMID: 10.1177/0739986321996478)
Driscoll MW, Torres L. Cultural adaptation profiles among Mexican-descent Latinxs: acculturation, acculturative stress, and depression. Cultur Divers Ethnic Minor Psychol. 2022;28(2):248. (PMID: 3473517010.1037/cdp0000503)
Lueck K, Wilson M. Acculturative stress in Latino immigrants: The impact of social, socio-psychological and migration-related factors. Int J Intercult Relat. 2011;35(2):186–95. (PMID: 10.1016/j.ijintrel.2010.11.016)
Fischer SM, Kline DM, Min SJ, Okuyama S, Fink RM. Apoyo con Cariño: strategies to promote recruiting, enrolling, and retaining Latinos in a cancer clinical trial. J Natl Compr Canc Netw. 2017;15(11):1392–9. (PMID: 2911823110.6004/jnccn.2017.7005)
Oh SS, Galanter J, Thakur N, Pino-Yanes M, Barcelo NE, White MJ, et al. Diversity in clinical and biomedical research: a promise yet to be fulfilled. PLoS Med. 2015;12(12):e1001918. (PMID: 26671224467983010.1371/journal.pmed.1001918)
Cervantes RC, Fisher DG, Padilla AM, Napper LE. The Hispanic stress inventory version 2: improving the assessment of acculturation stress. Psychol Assess. 2016;28(5):509. (PMID: 2634802910.1037/pas0000200)
Li M. Pre-migration trauma and post-migration stressors for Asian and Latino American immigrants: transnational stress proliferation. Soc Indic Res. 2016;129:47–59. (PMID: 10.1007/s11205-015-1090-7)
González-Guarda RM, McCabe BE, Leblanc N, De Santis JP, Provencio-Vasquez E. The contribution of stress, cultural factors, and sexual identity on the substance abuse, violence, HIV, and depression syndemic among Hispanic men. Cultur Divers Ethnic Minor Psychol. 2016;22(4):563. (PMID: 27159650505383510.1037/cdp0000077)
Glasgow RE, Eckstein ET, ElZarrad MK. Implementation science perspectives and opportunities for HIV/AIDS research: integrating science, practice, and policy. JAIDS J Acquir Immune Defic Syndr. 2013;63:S26–31. (PMID: 2367388210.1097/QAI.0b013e3182920286)
Psihopaidas D, Cohen SM, West T, Avery L, Dempsey A, Brown K, et al. Implementation science and the health resources and services administration’s ryan white HIV/AIDS Program’s work towards ending the HIV epidemic in the United States. PLoS Med. 2020;17(11):e1003128. (PMID: 33156852764705810.1371/journal.pmed.1003128)
Eisinger RW, Dieffenbach CW, Fauci AS. Role of implementation science: linking fundamental discovery science and innovation science to ending the HIV epidemic at the community level. JAIDS J Acquir Immune Defic Syndr. 2019;82:S171–2. (PMID: 3176425010.1097/QAI.0000000000002227)
Bourdeau B, Shade S, Koester K, Rebchook G, Dawson-Rose C, Guzé M, et al. Implementation Science Protocol: evaluating evidence-informed interventions to improve care for people with HIV seen in Ryan White HIV/AIDS program settings. AIDS Care. 2021;33(12):1551–9. (PMID: 3342748410.1080/09540121.2020.1861585)
Moullin JC, Dickson KS, Stadnick NA, Rabin B, Aarons GA. Systematic review of the exploration, preparation, implementation, sustainment (EPIS) framework. Implement Sci. 2019;14(1):1–16. (PMID: 30611302632167310.1186/s13012-018-0842-6)
Tsuyuki K, Stockman JK, Stadnick NA, Moore V, Zhu H, Torres V, et al. Proyecto Compadre: Using Implementation Science to Tailor Peer Navigation for Latino Men in the US–Mexico Border Region. JAIDS J Acquir Immune Defic Syndr. 2022;90(1):S98–104. (PMID: 3570376110.1097/QAI.0000000000002985)
معلومات مُعتمدة: U01MD011281 United States NH NIH HHS; T32MH130325 United States MH NIMH NIH HHS; U01MD011281 United States NH NIH HHS; T32MH130325 United States MH NIMH NIH HHS
فهرسة مساهمة: Keywords: Behavioral health; HIV testing behavior; Latino adolescents; Latino men who have sex with men; Sexual orientation
Local Abstract: [Publisher, Spanish; Castilian] Los adolescentes latinos hombres que tienen sexo con otros hombres (LHSH) tienen mayor probabilidad de recibir tratamiento para el VIH más tarde en comparación con todos los casos nuevos del VIH en los Estados Unidos. Sin embargo, se ha estudiado muy poco sus prácticas de prevención de VIH o prácticas de riesgo, que similar a la de jóvenes no latinos, es determinada por múltiples factores. En este estudio describimos las tasas de pruebas para el VIH e identificamos los factores lingüísticos, individuales, familiares, escolares y de cuidado de salud que influencian a los adolescentes LHSH. Los datos provinieron de la evaluación inicial para SMART, un ensayo práctico de una intervención en línea para prevenir el VIH entre adolescentes LHSH (N = 524). Las medidas incluían la experiencia de hacerse la prueba del VIH a lo largo de la vida, factores de aculturación, datos demográficos, prácticas sexuales, educación sobre el VIH en la escuela y el hogar, comunicación sobre salud sexual con los médicos, conocimiento sobre el VIH y actitudes de riesgo. Solo 35.5% de los participantes se han realizado la prueba de VIH al menos una vez en su vida. La tasa de pruebas del VIH fue más alta entre los adolescentes LHSH que indicaron haber hablado con su médico sobre su salud sexual (odds ratio: 4.0; intervalo de confianza del 95%: 2.1–8.4; P < 0.001) o de la prueba del VIH (odds ratio: 5.8; intervalo de confianza del 95%: 3.1–10.7; P < 0.001). Más de 60 participantes completaron la encuesta en español. De estos, pocos reportaron alguna vez haberse hecho la prueba del HIV (26%), tener un médico con quien hablar sobre su orientación sexual (24.5%) o hablar sobre la prueba del VIH (8.2%). Estas cifras son significativamente más bajas que las obtenidas en la encuesta en inglés. Este estudio es uno de los primeros en evaluar los factores para hacerse la prueba del VIH entre adolescentes latinos que hablan inglés y español con edades entre 13 y 18 años. Los adolescentes latinos que completaron SMART en español tuvieron menos probabilidad de haber compartido sobre su orientación sexual con la mayoría de las personas o tener un médico con quien hablar sobre su orientación sexual o su salud sexual, en comparación con aquellos que completaron SMART en inglés, lo que sugiere que los jóvenes latinos que prefieren comunicarse en español pueden experimentar mayores barreras para acceder a los servicios de prevención del VIH en los Estados Unidos.
تواريخ الأحداث: Date Created: 20231017 Date Completed: 20240123 Latest Revision: 20240123
رمز التحديث: 20240123
DOI: 10.1007/s10461-023-04206-w
PMID: 37848599
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-3254
DOI:10.1007/s10461-023-04206-w