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Social Support and Other Factors Associated with HIV Testing by Hispanic/Latino Gay, Bisexual, and Other Men Who Have Sex with Men in the U.S. South

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Abstract

Cognitive-psychosocial and other factors may affect participation in HIV testing, particularly by Hispanic/Latino gay, bisexual, and other men who have sex with men (MSM) in the U.S. South, a region hard-hit by HIV. We used univariate and multivariable logistic regression analyses to examine the association between social support and other cognitive-psychosocial factors; sociodemographic characteristics; risk behaviors; and self-reported HIV testing in a sample of 304 Hispanic/Latino MSM in North Carolina. In the multivariable logistic regression analysis, general and HIV-related social support and HIV-related knowledge were associated with greater odds of testing; speaking only Spanish was associated with reduced odds of testing. Social support and aspects of social connectedness may constitute community-based resources for use in HIV prevention efforts with Hispanic/Latino MSM. However, harnessing these resources for HIV prevention will require a better understanding of how social support relationships and processes shape HIV risks and protective actions by these vulnerable MSM.

Resumen

Factores cognitivos y psicosociales y otros, pueden afectar participación en pruebas de VIH, particularmente por parte de Hispanos/Latinos gay, bisexuales y otros hombres que tienen sexo con hombres (HSH) en el sur de los EE. UU., una región duramente afectada por el VIH. Usamos análisis de regresión logística univariable y multivariable para examinar la asociación entre apoyo social y otros factores cognitivos y psicosociales; características demográficas; comportamientos de riesgo y autorreportes de pruebas de VIH en una muestra de 304 HSH Hispanos/Latinos en Carolina del Norte. En el análisis de regresión logística multivariable, el apoyo social general y aquél relacionado con VIH y conocimiento relacionado con VIH, fueron asociados con mayores probabilidades de pruebas de VIH realizadas; hablar español solamente fue asociado con probabilidades reducidas de pruebas realizadas. Apoyo social y aspectos de conectividad social pueden constituir recursos comunitarios para ser usados en esfuerzos de prevención de VIH con HSH Hispanos/Latinos. Sin embargo, aprovechar estos recursos para prevención de VIH requerirá una mejor comprensión de cómo las relaciones y los procesos de apoyo social condicionan los riesgos de infección por VIH y acciones de protección efectuadas por estos vulnerables HSH.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention (CDC).

Funding

The study on which our analysis is based was supported by funding from the Centers for Disease Control and Prevention (Cooperative Agreement PS09-007, Award U01PS001570) to the Wake Forest University School of Medicine. The clinical trials protocol number for the study is NCT01626898.

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Authors and Affiliations

  1. Prevention Research Branch, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS E-37, Atlanta, GA, 30329, USA

    Thomas M. Painter & Mary M. Mullins

  2. Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Eunyoung Y. Song, Lilli Mann-Jackson, Jorge Alonzo & Scott D. Rhodes

  3. Department of Biostatistics and Data Science, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Beth A. Reboussin

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  1. Thomas M. Painter
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Painter, T.M., Song, E.Y., Mullins, M.M. et al. Social Support and Other Factors Associated with HIV Testing by Hispanic/Latino Gay, Bisexual, and Other Men Who Have Sex with Men in the U.S. South. AIDS Behav 23 (Suppl 3), 251–265 (2019). https://doi.org/10.1007/s10461-019-02540-6

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