Everyday Discrimination and HIV Testing Among Partnered Latino/x Sexual Minority Men in the United States: A Stratified Analysis by Birth Location

AIDS Educ Prev. 2023 Oct;35(5):376-389. doi: 10.1521/aeap.2023.35.5.376.

Abstract

We examined the association between everyday discrimination and HIV testing patterns-current (≤ 6 months), recent (7-12 months), and delayed (> 12 months or never tested)-among partnered Latino/x sexual minority men (SMM). Multinomial regression analyses revealed that in the full sample (N = 484) experiencing discrimination based on sexual orientation and race/ethnicity attributions concurrently (vs. no discrimination) was associated with higher odds of delayed (vs. current) HIV testing (AOR = 2.6, 95% CI [1.0, 6.7]). Similarly, in the subset of Latino/x SMM born outside the mainland U.S. (n = 209), experiencing concurrent sexual orientation- and race/ethnicity-based discrimination (vs. no discrimination) was associated with higher odds of recent (AOR = 12.4, 95% CI [1.3, 115.7]) and delayed HIV testing (AOR = 7.3, 95% CI [1.6, 33.0]), compared with current testing. Findings suggest that addressing discrimination may improve HIV testing uptake among partnered Latino/x SMM, particularly those born outside the U.S.

Keywords: HIV testing; Latino/x; discrimination; migrants; sexual minority men.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Emigrants and Immigrants / statistics & numerical data
  • Female
  • HIV Infections* / diagnosis
  • HIV Infections* / epidemiology
  • HIV Infections* / ethnology
  • HIV Infections* / prevention & control
  • HIV Testing* / statistics & numerical data
  • Health Services Accessibility / statistics & numerical data
  • Hispanic or Latino* / statistics & numerical data
  • Homophobia / ethnology
  • Homophobia / statistics & numerical data
  • Homosexuality, Male / ethnology
  • Homosexuality, Male / statistics & numerical data
  • Humans
  • Male
  • Racism / ethnology
  • Racism / statistics & numerical data
  • Sexual Behavior
  • Sexual Partners*
  • Sexual and Gender Minorities* / statistics & numerical data
  • Social Determinants of Health
  • United States / epidemiology