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Structural Determinants of Black MSM HIV Testing Coverage (2011-2016).
Tempalski, Barbara; Beane, Stephanie; Cooper, Hannah L F; Friedman, Samuel R; McKetta, Sarah C; Ibragimov, Umedjon; Williams, Leslie D; Stall, Ronald.
Afiliação
  • Tempalski B; Institute for Infectious Disease Research, National Development and Research Institutes, 71 West 23rd Street, 4th Fl, New York, NY, 10010, USA. tempalski@ndri.org.
  • Beane S; Rollins School of Public Health at Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322, USA.
  • Cooper HLF; Rollins School of Public Health at Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322, USA.
  • Friedman SR; Department of Population Health, New York University, 550 First Avenue, New York, NY, 10016, USA.
  • McKetta SC; Columbia University Mailman School of Public Health, 722 W 168th St., New York, NY, 10032, USA.
  • Ibragimov U; Rollins School of Public Health at Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322, USA.
  • Williams LD; Division of Community Health Sciences, University of Illinois at Chicago School of Public Health, 1603 W. Taylor Street, Chicago, IL, 60612, USA.
  • Stall R; University of Pittsburgh School of Public Health, 130 De Soto St., Pittsburgh, PA, 15261, USA.
AIDS Behav ; 24(9): 2572-2587, 2020 Sep.
Article em En | MEDLINE | ID: mdl-32124108
Over 30 years into the US HIV/AIDS epidemic, Black men who have sex with men (BMSM) continue to carry the highest burden of both HIV and AIDS cases. There is then, an urgent need to expand access to HIV prevention and treatment for all gay and bisexual men, underscoring the importance of the federal initiative 'Ending the Epidemic: A Plan for America'. This research examines structural factors associated with BMSM HIV testing coverage over time (2011-2016) in 85 US Metropolitan Statistical Areas (MSAs). We calculated MSA-specific annual measures of BMSM HIV testing coverage (2011-2016). Variables suggested by the Theory of Community Action (i.e., need, resource availability, institutional opposition and organized support) were analyzed as possible predictors of coverage using multilevel modeling. Relationships between BMSM HIV testing and the following covariates were positive: rates of BMSM living with HIV (b = 0.28), percent of Black residents employed (b = 0.19), Black heterosexual testing rate (b = 0.46), health expenditures per capita (b = 0.16), ACT UP organization presence in 1992 (b = 0.19), and syringe service presence (b = 0.12). Hard drug arrest rates at baseline (b = - 0.21) and change since baseline (b = - 0.10) were inversely associated with the outcome. Need, resources availability, organized support and institutional opposition are important determinants of place associated with BMSM HIV testing coverage. Efforts to reduce HIV incidence and lessen AIDS-related disparities among BMSM in the US require improved and innovative HIV prevention approaches directed toward BMSM including a fuller understanding of structural factors that may influence place variation in BMSM testing patterns and risk behavior in places of high need.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Negro ou Afro-Americano / Infecções por HIV / Programas de Rastreamento / Homossexualidade Masculina Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Prognostic_studies / Screening_studies Limite: Adult / Humans / Male Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Negro ou Afro-Americano / Infecções por HIV / Programas de Rastreamento / Homossexualidade Masculina Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Prognostic_studies / Screening_studies Limite: Adult / Humans / Male Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos