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Acceptability of Rapid HIV Testing Among Latinos in Washington Heights, New York City, New York, USA

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Abstract

In the United States, human immunodeficiency virus (HIV) has a disproportionately large impact on Latino Americans. This study assessed the acceptability of rapid HIV testing among a sample of Latinos from New York City. A cross-sectional study was conducted with 192 participants from The Washington Heights/Inwood Informatics Infrastructure for Community-Centered Comparative Effectiveness Research (WICER) study. Participants were interviewed and offered rapid HIV testing and post-test counseling. Seventy-five percent (n = 143) accepted rapid HIV testing when offered. More religious participants were less likely than less religious participants to undergo testing (RR = 0.73; 95% CI 0.54–0.99). Participants tested for HIV within the past year were less likely than those who had not been tested within the past year to agree to undergo testing (RR = 0.27; 95% CI 0.11–0.66). Community-based rapid HIV testing is feasible among Latinos in urban environments. Outreach efforts to engage religious individuals and encouraging routine testing should be reinforced.

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References

  1. Stone VE. HIV/AIDS in women and racial/ethnic minorities in the U.S. Curr Infect Dis Rep. 2012;14:53–60.

    Article  PubMed  Google Scholar 

  2. Centers for Disease Control and Prevention. HIV surveillance report, 2013, Atlanta, GA2015.

  3. Centers for Disease Control and Prevention. HIV and AIDS among Latinos. Atlanta: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services; 2015.

  4. Granich RM, Gilks CF, Dye C, DeCock KM, Williams BG. Universal voluntary HIV testing with immediate antiretroviral therapy as a strategy for elimination of HIV transmission: a mathematical model. Lancet. 2009;373:48–57.

    Article  PubMed  Google Scholar 

  5. Hayden EC. ‘Seek, test and treat’ slows HIV. Nature. 2010;463:1006.

    Article  Google Scholar 

  6. Walensky RP, Paltiel AD, Losina E, Morris BL, Scott CA, Rhode ER. Test and treat DC: forecasting the Impact of a comprehensive HIV strategy in Washington DC. (vol 51, pg 392, 2010). Clin Infect Dis. 2011;53:502.

    Article  Google Scholar 

  7. Conway B, Tossonian H. Comprehensive approaches to the diagnosis and treatment of HIV infection in the community: can “Seek and Treat” really deliver?. Curr Infect Dis Rep. 2011;13:68–74.

    Article  PubMed  Google Scholar 

  8. Gardner EM, McLees MP, Steiner JF, del Rio C, Burman WJ. The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clin Infect Dis. 2011;52:793–800.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Grieb SMD, Desir F, Flores-Miller A, Page K. Qualitative assessment of HIV prevention challenges and opportunities among Latino immigrant men in a new receiving city. J Immigr Minor Health. 2015;17:118–24.

    Article  Google Scholar 

  10. Poon KK, Dang BN, Davila JA, Hartman C, Giordano TP. Treatment outcomes in undocumented Hispanic immigrants with HIV infection. PLoS One. 2013;8:e60022.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Dennis AM, Napravnik S, Sena AC, Eron JJ. Late Entry to HIV care among Latinos compared with non-Latinos in a southeastern US cohort. Clin Infect Dis. 2011;53:480–87.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Chen NE, Gallant JE, Page KR. “A Systematic Review of HIV/AIDS Survival and Delayed Diagnosis Among Hispanics in the United States”. J Immigrant Minority Health. 2012;14:65–81.

    Article  Google Scholar 

  13. HIV-Causal Collaboration, Cain LE, Logan R, Robins JM, Sterne JA, Sabin C, et al. When to initiate combined antiretroviral therapy to reduce mortality and AIDS-defining illness in HIV-infected persons in developed countries: an observational study. Ann Intern Med. 2011;154:509–15.

    Article  Google Scholar 

  14. Smith LV, Rudy ET, Javanbakht M, Uniyal A, Sy LS, Horton T, et al. Client satisfaction with rapid HIV testing: comparison between an urban sexually transmitted disease clinic and a community-based testing center. AIDS Patient Care STDS. 2006;20:693–700.

    Article  PubMed  Google Scholar 

  15. Keller S, Jones J, Erbelding E. Choice of rapid HIV testing and entrance into care in Baltimore city sexually transmitted infections clinics. AIDS Patient Care STDS. 2011;25:237–43.

    Article  PubMed  Google Scholar 

  16. Marks G, Crepaz N, Janssen RS. Estimating sexual transmission of HIV from persons aware and unaware that they are infected with the virus in the USA. AIDS. 2006;20:1447–50.

    Article  PubMed  Google Scholar 

  17. Gilbert PA, Rhodes SD. HIV testing among immigrant sexual and gender minority Latinos in a US region with little historical Latino presence. AIDS Patient Care STDS. 2013;27:628–36.

    Article  PubMed  PubMed Central  Google Scholar 

  18. 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.

    Article  PubMed  Google Scholar 

  19. Bowles KE, Clark HA, Tai E, Sullivan PS, Song B, Tsang J, et al. Implementing rapid HIV testing in outreach and community settings: results from an advancing HIV prevention demonstration project conducted in seven U.S. cities. Public Health Rep. 2008;123:78–85.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Qvist T, Cowan SA, Graugaard C, Helleberg M. High linkage to care in a community-based rapid HIV testing and counseling project among men who have sex with men in Copenhagen. Sex Transm Dis. 2014;41:209–14.

    Article  PubMed  Google Scholar 

  21. Thornton AC, Delpech V, Kall MM, Nardone A. HIV testing in community settings in resource-rich countries: a systematic review of the evidence (vol 13, pg 416, 2012). HIV Med. 2014;15:637–8.

    Article  Google Scholar 

  22. Roberts KJ, Grusky O, Swanson AN. Outcomes of blood and oral fluid rapid HIV testing: a literature review, 2000–2006. AIDS Patient Care STDS. 2007;21:621–37.

    Article  PubMed  Google Scholar 

  23. Liang TS, Erbelding E, Jacob CA, Wicker H, Christmyer C, Brunson S, et al. Rapid HIV testing of clients of a mobile STD/HIV clinic. AIDS Patient Care STDS. 2005;19:253–7.

    Article  PubMed  Google Scholar 

  24. Galvan FH, Bluthenthal RN, Ani C, Bing EG. Increasing HIV testing among latinos by bundling HIV testing with other tests. J Urban Health. 2006;83:849–59.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Yoon S, Bakken S, Wilcox A. Comparisons among health behavior surveys: implications for the design of informatics infrastructures that support comparative effectiveness research. EGEMS. 2013;1:1201.

    Google Scholar 

  26. Fort D, Weng C, Bakken S, Wilcox A. Considerations for using research data to verify clinical data accuracy. AMIA Jt Summits Transl Sci Proc. 2014;2014:211–7.

    PubMed  PubMed Central  Google Scholar 

  27. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41:1149–60.

    Article  PubMed  Google Scholar 

  28. Sena AC, Hammer JP, Wilson K, Zeveloff A, Gamble J. Feasibility and acceptability of door-to-door rapid HIV testing among latino immigrants and their HIV risk factors in North Carolina. AIDS Patient Care STDS. 2010;24:165–73.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Kissinger P, Liddon N, Schmidt N, Curtin E, Salinas O, Narvaez A. HIV/STI risk behaviors among Latino migrant workers in New Orleans post-Hurricane Katrina disaster. Sex Transm Dis. 2008;35:924–9.

    Article  PubMed  Google Scholar 

  30. Carey MP, Braaten LS, Jaworski BC, Durant LE, Forsyth AD. HIV and AIDS relative to other health, social, and relationship concerns among low-income urban women: a brief report. J Womens Health Gend Based Med. 1999;8:657–61.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Barros AJD, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;3:21.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Diaz-Quijano FA. A simple method for estimating relative risk using logistic regression. BMC Med Res Methodol. 2012;12:14.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Bogart LM, Derose KP, Kanouse DE, Griffin BA, Haas AC, Williams MV. Correlates of HIV testing among African American and Latino church congregants: the role of HIV stigmatizing attitudes and discussions about HIV (vol 92, pg 93, 2015)”. J Urban Health. 2015;92:401.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Sutton MY, Parks CP. HIV/AIDS prevention, faith, and spirituality among black/African American and Latino communities in the United States: strengthening scientific faith-based efforts to shift the course of the epidemic and reduce HIV-related health disparities. J Relig Health. 2013;52:514–30.

    Article  PubMed  Google Scholar 

  35. Akers A, Bernstein L, Henderson S, Doyle J, Corbie-Smith G. Factors associated with lack of interest in HIV testing in older at-risk women. J Womens Health (Larchmt). 2007;16:842–58.

    Article  Google Scholar 

  36. Solorio R, Forehand M, Simoni J. Attitudes towards and beliefs about HIV Testing among Latino immigrant MSM: a comparison of testers and nontesters. AIDS Res Treat. 2013. doi:10.1155/2013/563537.

    PubMed  PubMed Central  Google Scholar 

  37. De Wit JBF, Adam PCG. To test or not to test: psychosocial barriers to HIV testing in high-income countries. HIV Med. 2008;9:20–2.

    Article  PubMed  Google Scholar 

  38. Lopez-Quintero C, Rojas P, Dillon FR, Varga LM, De La Rosa M. HIV testing practices among Latina women at risk of getting infected: a five-year follow-up of a community sample in South Florida. AIDS Care. 2016;28:137–46.

  39. Cunningham CO, Doran B, DeLuca J, Dyksterhouse R, Asgary R, Sacajiu G. Routine opt-out HIV testing in an urban community health center. AIDS Patient Care STDS. 2009;23:619–23.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Weis KE, Liese AD, Hussey J, Coleman J, Powell P, Gibson JJ, et al. A routine HIV screening program in a South Carolina community health center in an area of low HIV prevalence. AIDS Patient Care STDS. 2009;23:251–8.

    Article  PubMed  Google Scholar 

  41. Murray K, Oraka E. Racial and ethnic disparities in future testing intentions for HIV: United States, 2007–2010: results from the National Health Interview Survey. AIDS Behav. 2014;18:1247–55.

    Article  PubMed  Google Scholar 

  42. Schwarcz S, Richards TA, Frank H, Wenzel C, Hsu LC, Chin CSJ, et al. Identifying barriers to HIV testing: personal and contextual factors associated with late HIV testing. AIDS Care. 2011;23:892–900.

    Article  PubMed  Google Scholar 

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Acknowledgements

This research was supported by grants from the Agency for Healthcare Research and Quality (PI: Bakken; 1R01HS022961) and the Columbia University Office of the Vice Provost for Academic Planning (PI: Rowell-Cunsolo). Drs. Rowell-Cunsolo and Cortes were supported by training grants from the National Institute on Drug Abuse (PI: Rowell-Cunsolo; K01DA036411) and the National Institute of Nursing Research (PI: Larson; T32NR013454-03). The content is solely the responsibility of the author and does not necessarily represent the official views of Columbia University or the National Institutes of Health.

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Authors and Affiliations

  1. School of Nursing, Columbia University, 617 West 168th Street, New York, NY, 10032, USA

    Tawandra L. Rowell-Cunsolo, Erida Castro-Rivas & Jianfang Liu

  2. School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA

    Yamnia I. Cortes

  3. Graduate School of Arts and Science, Columbia University, New York, NY, USA

    Yue Long

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  1. Tawandra L. Rowell-Cunsolo
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  2. Yamnia I. Cortes
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  3. Yue Long
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Correspondence to Tawandra L. Rowell-Cunsolo.

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All procedures performed in this study were in accordance with the ethical standards of the Columbia University Medical Center Institutional Review Board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants in the study.

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Rowell-Cunsolo, T.L., Cortes, Y.I., Long, Y. et al. Acceptability of Rapid HIV Testing Among Latinos in Washington Heights, New York City, New York, USA. J Immigrant Minority Health 19, 861–867 (2017). https://doi.org/10.1007/s10903-016-0525-9

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  • DOI: https://doi.org/10.1007/s10903-016-0525-9

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