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08.02.2019 | Original Paper | Ausgabe 4/2019

AIDS and Behavior 4/2019

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

AIDS and Behavior > Ausgabe 4/2019
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
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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

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