Anticipated HIV Stigma and Delays in Regular HIV Testing Behaviors Among Sexually-Active Young Gay, Bisexual, and Other Men Who Have Sex with Men and Transgender Women

被引:67
作者
Gamarel, Kristi E. [1 ,2 ,3 ]
Nelson, Kimberly M. [4 ,5 ,6 ]
Stephenson, Rob [1 ,2 ,7 ]
Rivera, Olga J. Santiago [8 ]
Chiaramonte, Danielle [8 ]
Miller, Robin Lin [8 ]
机构
[1] Univ Michigan, Sch Publ, Dept Hlth Behav & Hlth Educ, 1415 Washington Hts, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Ctr Sexual & Hlth Dispar, Ann Arbor, MI 48109 USA
[3] Brown Univ, Sch Publ Hlth, Dept Behav & Social Sci, Providence, RI 02912 USA
[4] Miriam Hosp, Ctr Behav Med, Providence, RI 02906 USA
[5] Miriam Hosp, Ctr Preventat Med, Providence, RI 02906 USA
[6] Brown Univ, Alpert Med Sch, Dept Psychiat & Human Behav, Providence, RI 02912 USA
[7] Univ Michigan, Sch Nursing, Dept Hlth Behav & Biol Sci, Ann Arbor, MI 48109 USA
[8] Michigan State Univ, Dept Psychol, E Lansing, MI 48824 USA
基金
美国国家卫生研究院;
关键词
Stigma; HIV testing; Youth; Gay and bisexual men; Young transgender women; UNITED-STATES; SUBSTANCE USE; COMMUNITY MOBILIZATION; RISK BEHAVIORS; ADOLESCENT; HEALTH; CARE; INFECTION; CONNECT-TO-PROTECT(R); DETERMINANTS;
D O I
10.1007/s10461-017-2005-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Young gay, bisexual and other men who have sex with men (YGBMSM) and young transgender women are disproportionately affected by HIV/AIDS. The success of biomedical prevention strategies is predicated on regular HIV testing; however, there has been limited uptake of testing among YGBMSM and young transgender women. Anticipated HIV stigma-expecting rejection as a result of seroconversion- may serve as a significant barrier to testing. A cross-sectional sample of YGBMSM (n = 719, 95.5%) and young transgender women (n = 33, 4.4%) ages 15-24 were recruited to participate in a one-time survey. Approximately one-third of youth had not tested within the last 6 months. In a multivariable model, anticipated HIV stigma and reporting a non-gay identity were associated with an increased odds of delaying regular HIV testing. Future research and interventions are warranted to address HIV stigma, in order to increase regular HIV testing among YGBMSM and transgender women.
引用
收藏
页码:522 / 530
页数:9
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