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AIDS and Behavior
Published in: AIDS and Behavior 4/2019

01-04-2019 | Sexually Transmitted Infection | Original Paper

High HIV/STI Test Acceptance Through a Behavioral Health Encounter in Latino Immigrants with Substance Use and Mental Health Problems

Authors: Julie H. Levison, Margarita Alegría, Ye Wang, Sheri L. Markle, Larmiar Fuentes, Dianna L. Mejia, Andrew Tarbox, Lucía Albarracín García, Lucía Cellerino, Nabila El-Bassel

Published in: AIDS and Behavior | Issue 4/2019

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Abstract

Latino immigrants with substance use and mental health problems are at risk for undiagnosed HIV and sexually transmitted infections (STIs). Participants in a randomized control trial were recruited in Boston, USA and Madrid and Barcelona, Spain. Eligibility criteria were Latino self-identification, age 18–70, elevated substance use and mental health symptoms, and not currently in substance or mental health care. A multinomial logistic regression examined predictors of HIV/STI testing decline and lost to follow-up (LTFU) prior to testing compared with acceptance. Of 341 participants, 74% accepted testing, 4% declined, and 22% were LTFU. The odds of LTFU were higher in those with high concern for HIV and those whose main partner had done HIV testing. Age ≥ 35 years, females, higher education, and higher report of discrimination lowered the odds of LTFU. Delivery of HIV/STI testing through community agencies and outreach could overcome barriers to HIV/STI diagnosis in this population of Latinos.
Clinical Trial Number: NCT02038855
Literature
1.
Dailey AF, Hoots BE, Hall HI, Song R, Hayes D, Fulton P Jr, et al. Vital signs: human immunodeficiency virus testing and diagnosis delays—United States. MMWR Morb Mortal Wkly Rep. 2017;66(47):1300–6.PubMedPubMedCentralCrossRef
2.
Nunez O, Hernando V, Diaz A. Estimating the number of people living with HIV and the undiagnosed fraction in Spain in 2013. AIDS. 2018;32:2573.PubMed
3.
Sapsirisavat V, Phanuphak N, Keadpudsa S, Egan JE, Pussadee K, Klaytong P, et al. Psychosocial and behavioral characteristics of high-risk men who have sex with men (MSM) of unknown HIV positive serostatus in Bangkok, Thailand. AIDS Behav. 2016;20(Suppl 3):386–97.PubMedCrossRef
4.
Zea MC, Reisen CA, del Rio-Gonzalez AM, Bianchi FT, Ramirez-Valles J, Poppen PJ. HIV prevalence and awareness of positive serostatus among men who have sex with men and transgender women in Bogota, Colombia. Am J Public Health. 2015;105(8):1588–95.PubMedPubMedCentralCrossRef
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Zhang X, Rhoads N, Rangel MG, Hovell MF, Magis-Rodriguez C, Sipan CL, et al. Understanding the impact of migration on HIV risk: an analysis of Mexican migrants’ sexual practices, partners, and contexts by migration phase. AIDS Behav. 2017;21(3):935–48.PubMedPubMedCentralCrossRef
16.
17.
Rhodes SD, McCoy TP. Condom use among immigrant Latino sexual minorities: multilevel analysis after respondent-driven sampling. AIDS Educ Prev. 2015;27(1):27–43.PubMedPubMedCentralCrossRef
18.
Kutner BA, Nelson KM, Simoni JM, Sauceda JA, Wiebe JS. Factors associated with sexual risk of HIV Transmission among hiv-positive latino men who have sex with men on the U.S.-Mexico Border. AIDS Behav. 2017;21(3):923–34.PubMedPubMedCentralCrossRef
19.
Poppen PJ, Reisen CA, Zea MC, Bianchi FT, Echeverry JJ. Predictors of unprotected anal intercourse among HIV-positive Latino gay and bisexual men. AIDS Behav. 2004;8(4):379–89.PubMedCrossRef
20.
Campbell AN, Tross S, Calsyn DA. Substance use disorders and HIV/AIDS prevention and treatment intervention: research and practice considerations. Soc Work Public Health. 2013;28(3–4):333–48.PubMedPubMedCentralCrossRef
21.
Gray KM, Valverde EE, Tang T, Siddiqi AE, Hall HI. Diagnoses and prevalence of HIV infection among hispanics or latinos—United States, 2008–2013. MMWR Morb Mortal Wkly Rep. 2015;64(39):1097–103.PubMedCrossRef
22.
Trepka MJ, Fennie KP, Sheehan DM, Lutfi K, Maddox L, Lieb S. Late HIV diagnosis: differences by rural/urban residence, Florida, 2007–2011. AIDS Patient Care STDS. 2014;28(4):188–97.PubMedPubMedCentralCrossRef
23.
Levison JH, Levinson JK, Alegria M. A critical review and commentary on the challenges in engaging HIV-infected latinos in the continuum of HIV care. AIDS Behav. 2018;22(8):2500–12.PubMedPubMedCentralCrossRef
24.
Dennis AM, Wheeler JB, Valera E, Hightow-Weidman L, Napravnik S, Swygard H, et al. HIV risk behaviors and sociodemographic features of HIV-infected Latinos residing in a new Latino settlement area in the Southeastern United States. AIDS Care. 2013;25(10):1298–307.PubMedPubMedCentralCrossRef
25.
Navaza B, Abarca B, Bisoffi F, Pool R, Roura M. Provider-initiated HIV testing for migrants in Spain: a qualitative study with health care workers and foreign-born sexual minorities. PLoS ONE. 2016;11(2):e0150223.PubMedPubMedCentralCrossRef
26.
Hernando V, Arco DA, Alejos B, Monge S, Amato-Gauci AJ, Noori T, et al. HIV infection in migrant populations in the European Union and European Economic Area in 2007–2012: an epidemic on the move. J Acquir Immune Defic Syndr. 2015;70(2):204–11.PubMedCrossRef
27.
Monge S, Alejos B, Dronda F, Del Romero J, Iribarren JA, Pulido F, et al. Inequalities in HIV disease management and progression in migrants from Latin America and sub-Saharan Africa living in Spain. HIV Med. 2013;14(5):273–83.PubMedCrossRef
28.
Galvan FH, Bogart LM, Klein DJ, Wagner GJ, Chen YT. Medical mistrust as a key mediator in the association between perceived discrimination and adherence to antiretroviral therapy among HIV-positive Latino men. J Behav Med. 2017;40(5):784–93.PubMedPubMedCentralCrossRef
29.
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(11):628–36.PubMedPubMedCentralCrossRef
30.
Zambrana RE, Cornelius LJ, Boykin SS, Lopez DS. Latinas and HIV/AIDS risk factors: implications for harm reduction strategies. Am J Public Health. 2004;94(7):1152–8.PubMedPubMedCentralCrossRef
31.
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(10):672–83.PubMedCrossRef
32.
Kinsler JJ, Lee SJ, Sayles JN, Newman PA, Diamant A, Cunningham W. The impact of acculturation on utilization of HIV prevention services and access to care among an at-risk Hispanic population. J Health Care Poor Underserved. 2009;20(4):996–1011.PubMedPubMedCentralCrossRef
33.
Martinez-Donate AP, Zhang X, Rangel MG, Hovell M, Gonzalez-Fagoaga JE, Magis-Rodriguez C, et al. Does acculturative stress influence immigrant sexual HIV risk and HIV testing behavior? Evidence from a survey of male Mexican migrants. J Racial Ethn Health Disparities. 2017;5:798.PubMedPubMedCentralCrossRef
34.
Jardin C, Garey L, Sharp C, Zvolensky MJ. Acculturative stress and risky sexual behavior: the roles of sexual compulsivity and negative affect. Behav Modif. 2016;40(1–2):97–119.PubMedCrossRef
35.
Senn TE, Carey MP. HIV testing among individuals with a severe mental illness: review, suggestions for research and clinical implications. Psychol Med. 2009;39:355–63.PubMedCrossRef
36.
Karamouzian M, Shoveller J, Dong H, Gilbert M, Kerr T, DeBeck K. Perceived devaluation and STI testing uptake among a cohort of street-involved youth in a Canadian setting. Arch Sex Behav. 2017;46(7):2165–72.PubMedPubMedCentralCrossRef
37.
Blank MB, Himelhoch SS, Balaji AB, Metzger DS, Dixon LB, Rose CE, et al. A multisite study of the prevalence of HIV with rapid testing in mental health settings. Am J Public Health. 2014;104(12):2377–84.PubMedPubMedCentralCrossRef
38.
De Leon J, Rendon DM, Baca-Garcia E, Aizpuru F, Gonzalez-Pinto A, Anitua C, et al. Association between smoking and alcohol use in the general population: stable and unstable odds ratios across two years in two different countries. Alcohol Alcohol. 2007;42(3):252–7.PubMedCrossRef
39.
Baca-Garcia E, Perez-Rodriguez MM, Basurte-Villamor I, Saiz-Ruiz J, Leiva-Murillo JM, de Prado-Cumplido M, et al. Using data mining to explore complex clinical decisions: a study of hospitalization after a suicide attempt. J Clin Psychiatry. 2006;67(7):1124–32.PubMedCrossRef
40.
Qureshi A, Collazos F. The intercultural and interracial therapeutic relationship: challenges and recommendations. Int Rev Psychiatry. 2011;23(1):10–9.PubMedCrossRef
41.
Chavez LM, Shrout PE, Wang Y, Collazos F, Carmona R, Alegria M. Evaluation of the AC-OK mental health and substance abuse screening measure in an international sample of Latino immigrants. Drug Alcohol Depend. 2017;180:121–8.PubMedPubMedCentralCrossRef
42.
Cherry AL, Dillon ME. The AC-OK cooccurring screen: reliability, convergent validity, sensitivity, and specificity. J Addict. 2013;2013:573906.PubMedCrossRef
43.
Paykel ES, Hallowell C, Dressler DM, Shapiro DL, Weissman MM. Treatment of suicide attempters. A descriptive study. Arch Gen Psychiatry. 1974;31(4):487–91.PubMedCrossRef
44.
Alegria M, Falgas-Bague I, Collazos F, Carmona Camacho R, Lapatin Markle S, Wang Y, et al. Evaluation of the Integrated Intervention for Dual Problems and Early Action Among Latino Immigrants With Co-occurring Mental Health and Substance Misuse Symptoms: A Randomized Clinical Trial. JAMA Netw Open. 2019;2:e186927.PubMedPubMedCentralCrossRef
45.
El-Bassel N, Witte SS, Gilbert L, Wu E, Chang M, Hill J, et al. The efficacy of a relationship-based HIV/STD prevention program for heterosexual couples. Am J Public Health. 2003;93(6):963–9.PubMedPubMedCentralCrossRef
46.
Kamb ML, Fishbein M, Douglas JM Jr, Rhodes F, Rogers J, Bolan G, et al. Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases: a randomized controlled trial. Project RESPECT Study Group. JAMA. 1998;280(13):1161–7.PubMedCrossRef
47.
48.
Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7.CrossRefPubMed
49.
Blevins CA, Weathers FW, Davis MT, Witte TK, Domino JL. The posttraumatic stress disorder checklist for DSM-5 (PCL-5): development and initial psychometric evaluation. J Trauma Stress. 2015;28(6):489–98.PubMedCrossRef
50.
Yudko E, Lozhkina O, Fouts A. A comprehensive review of the psychometric properties of the drug abuse screening test. J Subst Abuse Treat. 2007;32(2):189–98.PubMedCrossRef
51.
Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT: the alcohol use disorders indentification test: guidelines for use in primary care. 2nd ed. Geneva: World Health Organization, Department of Mental Health and Substance Dependence; 2001.
52.
Baillie AJ, Mattick RP. The benzodiazepine dependence questionnaire: development, reliability and validity. Br J Psychiatry. 1996;169(3):276–81.PubMedCrossRef
53.
Schnurr PP, Vieilhauer MJ, Weathers F, Findler M. The brief trauma questionnaire. White River Junction: National Center for PTSD; 1999.
54.
Schnurr PP, Spiro A III, Vielhauer MJ, Findler MN, Hamblen JL. Trauma in the lives of older men: findings from the normative aging study. J Clin Geropsych. 2002;8:175–87.CrossRef
55.
Cervantes RC, Padilla AM, de Snyder NS. The Hispanic stress inventory: a culturally relevant approach to psychosocial assessment. Psychol Assess: J Consult Clin Psychol. 1991;3(3):438.CrossRef
56.
Alegria M, Jackson JS, Kessler, RC. Collaborative Psychiatric Epidemiology Surveys (CPES), 2001–2003 [United States]. NCS-R Specific Documentation (ICPSR 20240). Inter-University Consortium for Political and Social Research: Ann Arbor, Michigan. Ann Arbor, MI: Inter-University Consortium for Political and Social Research. 2001. http://​www.​icpsr.​umich.​edu/​cgibin/​file.
57.
Morris NS, MacLean CD, Chew LD, Littenberg B. The single item literacy screener: evaluation of a brief instrument to identify limited reading ability. BMC Fam Pract. 2006;7:21.PubMedPubMedCentralCrossRef
58.
Williams DR, Yan Y, Jackson JS, Anderson NB. Racial differences in physical and mental health: socio-economic status, stress and discrimination. J Health Psychol. 1997;2(3):335–51.PubMedCrossRef
59.
Steidel AGL, Contreras JM. A new familism scale for use with latino populations. Hispanic J Behav Sci. 2003;25(3):312–30.CrossRef
60.
Cervantes RC, Padilla AM, Amado M, de Snyder NS. Reliability and validity of the hispanic stress inventory. Hispanic J Behav Sci. 1990;12:76–82.CrossRef
61.
62.
Fisher JD, Fisher WA, Cornman DH, Amico RK, Bryan A, Friedland GH. Clinician-delivered intervention during routine clinical care reduces unprotected sexual behavior among HIV-infected patients. J Acquir Immune Defic Syndr. 2006;41(1):44–52.PubMedCrossRef
63.
Jones HE, Berkman ND, Kline TL, Ellerson RM, Browne FA, Poulton W, et al. Initial feasibility of a woman-focused intervention for pregnant African-American women. Int J Pediatr. 2011;2011:389285.PubMedPubMedCentral
64.
Haukoos JS, Lyons MS, Lindsell CJ, Hopkins E, Bender B, Rothman RE, et al. Derivation and validation of the denver human immunodeficiency virus (HIV) risk score for targeted HIV screening. Am J Epidemiol. 2012;175(8):838–46.PubMedPubMedCentralCrossRef
65.
Hoenigl M, Weibel N, Mehta SR, Anderson CM, Jenks J, Green N, et al. Development and validation of the San Diego early test score to predict acute and early HIV infection risk in men who have sex with men. Clin Infect Dis. 2015;61(3):468–75.PubMedPubMedCentralCrossRef
66.
Datta SD, Sternberg M, Johnson RE, Berman S, Papp JR, McQuillan G, et al. Gonorrhea and chlamydia in the United States among persons 14 to 39 years of age, 1999 to 2002. Ann Intern Med. 2007;147(2):89–96.PubMedCrossRef
67.
Hosmer DW, Lemeshow S. Applied logistic regression. 2nd ed. New York: Wiley; 2000. p. 373.CrossRef
68.
Heinze G, Schemper M. A solution to the problem of separation in logistic regression. Stat Med. 2002;21(16):2409–19.PubMedCrossRef
69.
StataCorp. Stata Statistical Software: Release 14. College Station: StataCorp LP; 2015.
70.
Evangeli M, Pady K, Wroe AL. Which psychological factors are related to HIV testing? A quantitative systematic review of global studies. AIDS Behav. 2016;20(4):880–918.PubMedCrossRef
71.
Ford CL, Wallace SP, Newman PA, Lee SJ, Cunningham WE. Belief in AIDS-related conspiracy theories and mistrust in the government: relationship with HIV testing among at-risk older adults. Gerontologist. 2013;53(6):973–84.PubMedPubMedCentralCrossRef
72.
Gu J, Lau JT, Tsui H. Psychological factors in association with uptake of voluntary counselling and testing for HIV among men who have sex with men in Hong Kong. Public Health. 2011;125(5):275–82.PubMedCrossRef
73.
Flowers P, Knussen C, Li J, McDaid L. Has testing been normalized? An analysis of changes in barriers to HIV testing among men who have sex with men between 2000 and 2010 in Scotland, UK. HIV Med. 2013;14(2):92–8.PubMedCrossRef
74.
Cordova D, Alers-Rojas F, Lua FM, Bauermeister J, Nurenberg R, Ovadje L, et al. The usability and acceptability of an adolescent mHealth HIV/STI and drug abuse preventive intervention in primary care. Behav Med. 2016;44:1–12.
75.
Chiu CJ, Young SD. Correlates of requesting home HIV self-testing kits on online social networks among African-American and latino men who have sex with men. AIDS Care. 2016;28(3):289–93.PubMedCrossRef
76.
Murray A, Gaul Z, Sutton MY, Nanin J. ”We hide…” perceptions of HIV risk among black and Latino MSM in New York City. Am J Mens Health. 2017;12:180.PubMedPubMedCentralCrossRef
77.
Young SD, Daniels J, Chiu CJ, Bolan RK, Flynn RP, Kwok J, et al. Acceptability of using electronic vending machines to deliver oral rapid HIV self-testing kits: a qualitative study. PLoS ONE. 2014;9(7):e103790.PubMedPubMedCentralCrossRef
78.
Pando MA, Dolezal C, Marone RO, Barreda V, Carballo-Dieguez A, Avila MM, et al. High acceptability of rapid HIV self-testing among a diverse sample of MSM from Buenos Aires, Argentina. PLoS ONE. 2017;12(7):e0180361.PubMedPubMedCentralCrossRef
79.
Derose KP, Bogart LM, Kanouse DE, Felton A, Collins DO, Mata MA, et al. An intervention to reduce HIV-related stigma in partnership with African American and Latino churches. AIDS Educ Prev. 2014;26(1):28–42.PubMedPubMedCentralCrossRef
80.
Reisen CA, Zea MC, Bianchi FT, Poppen PJ, del Rio Gonzalez AM, Romero RA, et al. HIV testing among MSM in Bogota, Colombia: the role of structural and individual characteristics. AIDS Educ Prev. 2014;26(4):328–44.PubMedPubMedCentralCrossRef
81.
Holloway IW, Padilla MB, Willner L, Guilamo-Ramos V. Effects of minority stress processes on the mental health of Latino men who have sex with men and women: a qualitative study. Arch Sex Behav. 2015;44(7):2087–97.PubMedCrossRef
82.
Levison JH, Regan S, Khan I, Freedberg KA. Foreign-born status as a predictor of engagement in HIV care in a large US metropolitan health system. AIDS Care. 2016;29:1–8.
83.
Poon KK, Dang BN, Davila JA, Hartman C, Giordano TP. Treatment outcomes in undocumented Hispanic immigrants with HIV infection. PLoS ONE. 2013;8(3):e60022.PubMedPubMedCentralCrossRef
84.
Thierfelder C, Weber R, Elzi L, Furrer H, Cavassini M, Calmy A, et al. Participation, characteristics and retention rates of HIV-positive immigrants in the Swiss HIV Cohort Study. HIV Med. 2012;13(2):118–26.PubMedCrossRef
85.
Branson BM, Handsfield HH, Lampe MA, Janssen RS, Taylor AW, Lyss SB, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recommendations and reports Morbidity and mortality weekly report Recommendations and reports. Centers for Disease Control. 2006;55:1-17.
86.
Moyer VA, U.S. Preventive Services Task Force. Screening for HIV: U.S. preventive services task force recommendation statement. Ann Intern Med. 2013;159(1):51–60.PubMedCrossRef
Metadata
Title
High HIV/STI Test Acceptance Through a Behavioral Health Encounter in Latino Immigrants with Substance Use and Mental Health Problems
Authors
Julie H. Levison
Margarita Alegría
Ye Wang
Sheri L. Markle
Larmiar Fuentes
Dianna L. Mejia
Andrew Tarbox
Lucía Albarracín García
Lucía Cellerino
Nabila El-Bassel
Publication date
01-04-2019
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2019
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02413-y

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