Journal of Immigrant and Minority Health

, Volume 13, Issue 6, pp 1125–1133 | Cite as

Disparities in Access to HIV Prevention Among Men of Mexican Descent Living in the Midwestern United States

  • Laura R. Glasman
  • Lance S. Weinhardt
  • Kristin L. Hackl
Original Paper

Abstract

Men of Mexican descent (MMD) in the U.S. are disproportionately affected by HIV. Understanding MMD’s access to HIV prevention is necessary to reduce their transmission rates. We explored disparities in access to HIV prevention among MMD of different assimilation status, healthcare access, and sexual risk behavior. 322 Midwestern MMD completed a survey assessing their access to passive interventions (e.g., lectures), interactive interventions (e.g., counseling), HIV testing, media information, and information from the Internet. 64% MMD had received passive interventions, 36% interactive interventions, 42% HIV testing, 41% information from media, and 12% from the Internet. MMD who were less assimilated to the U.S., had lower healthcare access, and were at risk for HIV, were less likely to have accessed prevention interventions but more likely to have received media information. Access to HIV prevention among Midwestern MMD is tied to their assimilation and healthcare access. Findings have implications for developing strategies of intervention delivery.

Keywords

HIV prevention Mexican men Access Health disparities Immigrants 

References

  1. 1.
    Census Bureau: USA QuickFacts. 2009; 2009.Google Scholar
  2. 2.
    Centers for Disease Control and Prevention (CDC). HIV/AIDS Surveillance Report. 2009;19.Google Scholar
  3. 3.
    Hall HI, Byers RH, Ling Q. Espinoza L: racial/ethnic and age disparities in HIV prevalence and disease progression among men who have sex with men in the United States. Am J Public Health. 2007;97:1060–6.PubMedCrossRefGoogle Scholar
  4. 4.
    Albarracín D, Gillette JC, Earl AN, Glasman LR, Durantini MR, Ho MH. A test of major assumptions about behavior change: a comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic. Psychol Bull. 2005;131:856–97.PubMedCrossRefGoogle Scholar
  5. 5.
    Johnson WD, Diaz RM, Flanders WD, Goodman M, Hill AN, Holtgrave D, Malow R, McClellan WM. Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men. Cochrane Database Syst Rev. 2008;3:CD001230.PubMedGoogle Scholar
  6. 6.
    The NIMH Collaborative HIV/STD Prevention Trial Group. Results of the NIMH collaborative HIV/STD prevention trial group. J Acquir Immune Defic Syndr. 2010;54:204–14.Google Scholar
  7. 7.
    Vergidis PI, Falagas ME. Meta-analyses on behavioral interventions to reduce the risk of transmission of HIV. Infect Dis Clin North Am. 2009;23:309–14.PubMedCrossRefGoogle Scholar
  8. 8.
    Carter-Pokras O, Zambrana RE, Yankelvich G, Estrada M, Castillo-Salgado C, Ortega AN. Health status of Mexican-origin persons: do proxy measures of acculturation advance our understanding of health disparities? J Immigr Minor Health. 2008;10:475–88.PubMedCrossRefGoogle Scholar
  9. 9.
    Diaz T, Buehler JW, Castro KG, Ward JW. AIDS trends among Hispanics in the United States. Am J Public Health. 1993;83:504–9.PubMedCrossRefGoogle Scholar
  10. 10.
    Espinoza L, Hall HI, Selik RM, Hu X. Characteristics of HIV infection among Hispanics, United States 2003–2006. J Acquir Immune Defic Syndr. 2008;49:94–101.PubMedCrossRefGoogle Scholar
  11. 11.
    Espinoza L, Hall HI, Hu X. Increases in HIV diagnoses at the U.S.-Mexico border, 2003-2006. AIDS Educ Prev. 2009;21:19–33.PubMedCrossRefGoogle Scholar
  12. 12.
    Livingston G, Minushkin S, Cohn D. Hispanics and Health Care in the United States: access, information, and knowledge. A joint pew hispanic center and robert wood johnson foundation research report. 2008.Google Scholar
  13. 13.
    Marks G, Garcia M, Solis JM. Health risk behaviors of Hispanics in the United States: findings from HHANES, 1982–84. Am J Public Health. 1990;80(Suppl):20–6.PubMedCrossRefGoogle Scholar
  14. 14.
    Gresenz CR, Rogowski J, Escarce JJ. Community demographics and access to health care among U.S. Hispanics. Health Serv Res. 2009;44:1542–62.PubMedCrossRefGoogle Scholar
  15. 15.
    Levy V, Page-Shafer K, Evans J, Ruiz J, Morrow S, Reardon J, Lynch M, Raymond HF, Klausner JD, Facer M, Molitor F, Allen B, Ajufo BG, Ferrero D, Sanford GB, McFarland W. The HeyMan Study Team: HIV-related risk behavior among Hispanic immigrant men in a population-based household survey in low-income neighborhoods of northern California. Sex Transm Dis. 2005;32:487–90.PubMedCrossRefGoogle Scholar
  16. 16.
    Morales LS, Lara M, Kington RS, Valdez RO, Escarce JJ. Socioeconomic, cultural, and behavioral factors affecting Hispanic health outcomes. J Health Care Poor Underserved. 2002;13:477–503.PubMedGoogle Scholar
  17. 17.
    Glasman LR, Weinhardt LS, Di Franceisco W, Hackl KL. Intentions to seek and accept an HIV test among men of Mexican descent in Midwestern U.S. AIDS Care. 2010;22:718–28.PubMedCrossRefGoogle Scholar
  18. 18.
    Rios-Ellis B, Frates J, D’Anna LH, Dwyer M, Lopez-Zetina J, Ugarte C. Addressing the need for access to culturally and linguistically appropriate HIV/AIDS prevention for Latinos. J Immigr Minor Health. 2008;10:445–60.PubMedCrossRefGoogle Scholar
  19. 19.
    Sobralske M. Machismo sustains health and illness beliefs of Mexican American men. J Am Acad Nurse Pract. 2006;18:348–50.PubMedCrossRefGoogle Scholar
  20. 20.
    Sobralske MC. Health care seeking among Mexican American men. J Transcult Nurs. 2006;17:129–38.PubMedCrossRefGoogle Scholar
  21. 21.
    Lopez-Quintero C, Shtarkshall R, Neumark YD. Barriers to HIV-testing among Hispanics in the United States: analysis of the National Health Interview Survey, 2000. AIDS Patient Care STDS. 2005;19:672–83.PubMedCrossRefGoogle Scholar
  22. 22.
    Wallace SP, Gutierrez VF, Castaneda X. Access to preventive services for adults of Mexican origin. J Immigr Minor Health. 2008;10:363–71.PubMedCrossRefGoogle Scholar
  23. 23.
    Levy V, Prentiss D, Balmas G, Chen S, Israelski D, Katzenstein D, Page-Shafer K. Factors in the delayed HIV presentation of immigrants in Northern California: implications for voluntary counseling and testing programs. J Immigr Minor Health. 2007;9:49–54.PubMedCrossRefGoogle Scholar
  24. 24.
    Quesada GM, Heller PL. Sociocultural barriers to medical care among Mexican Americans in Texas: A summary report of research conducted by the Southwest Medical Sociology Ad Hoc Committee. Med Care. 1977;15:93–101.PubMedCrossRefGoogle Scholar
  25. 25.
    Timmins CL. The impact of language barriers on the health care of Latinos in the United States: a review of the literature and guidelines for practice. J Midwifery Womens Health. 2002;47:80–96.PubMedCrossRefGoogle Scholar
  26. 26.
    Solis JM, Marks G, Garcia M, Shelton D. Acculturation, access to care, and use of preventive services by Hispanics: Findings from HHANES 1982–84. Am J Public Health. 1990;80(Suppl):11–9.PubMedCrossRefGoogle Scholar
  27. 27.
    Rountree MA, Chen L, Brown A, Pomeroy EC. HIV testing rates and testing locations, by race and ethnicity. Health Soc Work. 2009;34:247–55.PubMedGoogle Scholar
  28. 28.
    Fernandez MI, Bowen GS, Perrino T, Royal S, Mattson T, Arheart KL, Cohn S. Promoting HIV testing among never-tested Hispanic men: a doctor’s recommendation may suffice. AIDS Behav. 2003;7:253–62.PubMedCrossRefGoogle Scholar
  29. 29.
    Petroll AE, DiFranceisco W, McAuliffe TL, Seal DW, Kelly JA, Pinkerton SD. HIV testing rates, testing locations, and healthcare utilization among urban African-American men. J Urban Health. 2009;86:119–31.PubMedCrossRefGoogle Scholar
  30. 30.
    Noguchi K, Albarracin D, Durantini MR, Glasman LR. Who participates in which health promotion programs? A meta-analysis of motivations underlying enrollment and retention in HIV-prevention interventions. Psychol Bull. 2007;133:955–75.PubMedCrossRefGoogle Scholar
  31. 31.
    Fernandez MI, Perrino T, Royal S, Ghany D, Bowen GS. To test or not to test: Are Hispanic men at highest risk for HIV getting tested? AIDS Care. 2002;14:375–84.PubMedCrossRefGoogle Scholar
  32. 32.
    Kalichman SC, Schaper PE, Belcher L, Abush-Kirsh T, Cherry C, Williams EA, Nachimson D, Smith S. It’s like a regular part of gay life: repeat HIV antibody testing among gay and bisexual men. AIDS Educ Prev. 1997;9:41–51.PubMedGoogle Scholar
  33. 33.
    Harawa NT, Bingham TA. Exploring HIV prevention utilization among female sex workers and male-to-female transgenders. AIDS Educ Prev. 2009;21:356–71.PubMedCrossRefGoogle Scholar
  34. 34.
    Bogart LM, Howerton D, Lange J, Becker K, Setodji CM, Asch SM. Scope of rapid HIV testing in private nonprofit urban community health settings in the United States. Am J Public Health. 2008;98:736–42.PubMedCrossRefGoogle Scholar
  35. 35.
    Branson BM, Handsfield HH, Lampe MA, Janssen RS, Taylor AW, Lyss SB, Clark JE, Centers for Disease Control and Prevention (CDC). Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recomm Rep. 2006;55:1–17; quiz CE1-4.Google Scholar
  36. 36.
    Weinhardt LS, Carey MP, Johnson BT, Bickham NL. Effects of HIV counseling and testing on sexual risk behavior: a meta-analytic review of published research, 1985–1997. Am J Public Health. 1999;89:1397–405.PubMedCrossRefGoogle Scholar
  37. 37.
    DuBard CA, Gizlice Z. Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics. Am J Public Health. 2008;98:2021–8.PubMedCrossRefGoogle Scholar
  38. 38.
    Chen N, Erbelding E, Yeh HC, Page K. Predictors of HIV testing among latinos in Baltimore city. J Immigr Minor Health. 2009.Google Scholar
  39. 39.
    Ehrlich SF, Organista KC, Oman D. Migrant Latino day laborers and intentions to test for HIV. AIDS Behav. 2007;11:743–52.PubMedCrossRefGoogle Scholar
  40. 40.
    Fernandez MI, Collazo JB, Bowen GS, Varga LM, Hernandez N, Perrino T. Predictors of HIV testing and intention to test among Hispanic farmworkers in South Florida. J Rural Health. 2005;21:56–64.PubMedCrossRefGoogle Scholar
  41. 41.
    Olshefsky AM, Zive MM, Scolari R, Zuniga M. Promoting HIV risk awareness and testing in Latinos living on the U.S.-Mexico border: the Tu No Me Conoces social marketing campaign. AIDS Educ Prev. 2007;19:422–35.PubMedCrossRefGoogle Scholar
  42. 42.
    Organista KC, Balls Organista P, Garcia de Alba JE, Castillo Moran MA, Ureta Carrillo LE. Survey of condom-related beliefs, behaviors, and perceived social norms in Mexican migrant laborers. J Community Health. 1997;22:185–98.PubMedCrossRefGoogle Scholar
  43. 43.
    Organista KC, Kubo A. Pilot survey of HIV risk and contextual problems and issues in Mexican/Latino migrant day laborers. J Immigr Health. 2005;7:269–81.PubMedCrossRefGoogle Scholar
  44. 44.
    Organista KC, Organista PB, Bola JR, Garcia de Alba JE, Castillo Moran MA. Predictors of condom use in Mexican migrant laborers. Am J Community Psychol. 2000;28:245–65.PubMedCrossRefGoogle Scholar
  45. 45.
    Gordon NP, Iribarren C. Health-related characteristics and preferred methods of receiving health education according to dominant language among Latinos aged 25 to 64 in a large Northern California health plan. BMC Public Health. 2008;8:305.PubMedCrossRefGoogle Scholar
  46. 46.
    Rajabiun S, Rumptz MH, Felizzola J, Frye A, Relf M, Yu G, Cunningham WE. The impact of acculturation on Latinos’ perceived barriers to HIV primary care. Ethn Dis. 2008;18:403–8.PubMedGoogle Scholar
  47. 47.
    Sabogal F, Faigeles B, Catania JA. Data from the National AIDS Behavioral Surveys. II. Multiple sexual partners among Hispanics in high-risk cities. Fam Plann Perspect. 1993;25:257–62.PubMedCrossRefGoogle Scholar
  48. 48.
    Gonzalez JS, Hendriksen ES, Collins EM, Duran RE, Safren SA. Latinos and HIV/AIDS: examining factors related to disparity and identifying opportunities for psychosocial intervention research. AIDS Behav. 2009;13:582–602.PubMedCrossRefGoogle Scholar
  49. 49.
    Apostolopoulos Y, Sonmez S, Kronenfeld J, Castillo E, McLendon L, Smith D. STI/HIV risks for Mexican migrant laborers: exploratory ethnographies. J Immigr Minor Health. 2006;8:291–302.PubMedCrossRefGoogle Scholar
  50. 50.
    Albarracín D, McNatt PS, Klein CT, Ho RM, Mitchell AL, Kumkale GT. Persuasive communications to change actions: an analysis of behavioral and cognitive impact in HIV prevention. Health Psychol. 2003;22:166–77.PubMedCrossRefGoogle Scholar
  51. 51.
    Albarracín D, Leeper J, Earl A, Durantini MR. From brochures to videos to counseling: exposure to HIV-prevention programs. AIDS Behav. 2008;12:354–62.PubMedCrossRefGoogle Scholar
  52. 52.
    Carey MP, Coury-Doniger P, Senn TE, Vanable PA, Urban MA. Improving HIV rapid testing rates among STD clinic patients: a randomized controlled trial. Health Psychol. 2008;27:833–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Laura R. Glasman
    • 1
  • Lance S. Weinhardt
    • 1
  • Kristin L. Hackl
    • 1
  1. 1.Center for AIDS Intervention Research, Department of Psychiatry and Behavioral MedicineMedical College of WisconsinMilwaukeeUSA

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