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A Systematic Review of Behavioral Interventions to Reduce Condomless Sex and Increase HIV Testing for Latino MSM

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Abstract

Latino men who have sex with men (MSM) in the United States are disproportionately affected by HIV, and there have been calls to improve availability of culturally sensitive HIV prevention programs for this population. This article provides a systematic review of intervention programs to reduce condomless sex and/or increase HIV testing among Latino MSM. We searched four electronic databases using a systematic review protocol, screened 1777 unique records, and identified ten interventions analyzing data from 2871 Latino MSM. Four studies reported reductions in condomless anal intercourse, and one reported reductions in number of sexual partners. All studies incorporated surface structure cultural features such as bilingual study recruitment, but the incorporation of deep structure cultural features, such as machismo and sexual silence, was lacking. There is a need for rigorously designed interventions that incorporate deep structure cultural features in order to reduce HIV among Latino MSM.

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Funding

This work was in part funded by the National Institutes of Health under grant U24AA022000.

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Authors and Affiliations

  1. Department of Social and Behavioral Sciences, Brown University School of Public Health, 121 South Main Street, Box G-S121-3, Providence, RI, 02912, USA

    Ashley Pérez, E. Karina Santamaria & Don Operario

  2. Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI, USA

    Ashley Pérez & Don Operario

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  1. Ashley Pérez
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  2. E. Karina Santamaria
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Correspondence to Ashley Pérez.

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Pérez, A., Santamaria, E.K. & Operario, D. A Systematic Review of Behavioral Interventions to Reduce Condomless Sex and Increase HIV Testing for Latino MSM. J Immigrant Minority Health 20, 1261–1276 (2018). https://doi.org/10.1007/s10903-017-0682-5

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