Feasibility and Acceptability of Door-to-Door Rapid HIV Testing Among Latino Immigrants and Their HIV Risk Factors in North Carolina
Abstract
Latino immigrants in the United States are disproportionally impacted by the HIV epidemic
but face barriers to clinic-based testing. We assessed a community-based strategy
for rapid HIV testing by conducting "door-to-door'' outreaches in apartments with
predominately Latino immigrants in Durham, North Carolina, that has experienced an
exponential growth in its Latino population. Eligible persons were 18 years or older,
not pregnant, and reported no HIV test in the previous month. Participants were asked
to complete a survey and offered rapid HIV testing. Of the 228 Latino participants,
75.4% consented to HIV testing. There was a high prevalence of sexual risk behaviors
among participants, with 42.5% acknowledging ever having sex with a commercial sex
worker (CSW). Most (66.5%) had no history of prior HIV testing. In bivariate analysis,
perceived HIV risk, no history of HIV testing, sex with a CSW, sex in exchange for
drugs or money, living with a partner, and alcohol use were significantly associated
with test acceptance. In the multivariate analysis, participants who had never been
tested for HIV were more likely to consent to rapid HIV testing than those who had
tested in the past (adjusted odds ratio 2.5; 95% confidence interval [CI], 1.1, 5.6).
Most participants supported rapid HIV testing in the community (97%). Door-to-door
rapid HIV testing is a feasible and acceptable strategy for screening high-risk Latino
immigrants in the community. Factors associated with HIV risk among Latino migrants
and immigrants in the United States should be considered along with novel testing
strategies in HIV prevention programs.
Type
Journal articleSubject
Health-care settingsUnited States
Mexican migrants
Participatory research
Community settings
Commercial sex
US cities
Men
Behavior
AIDS
public, environmental & occupational health
infectious diseases
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https://hdl.handle.net/10161/3302Published Version (Please cite this version)
10.1089/apc.2009.0135Citation
Sena,Arlene C.;Hammer,Juliana P.;Wilson,Kate;Zeveloff,Abigail;Gamble,Julia. 2010.
Feasibility and Acceptability of Door-to-Door Rapid HIV Testing Among Latino Immigrants
and Their HIV Risk Factors in North Carolina. AIDS Patient Care and STDs 24(3): 165-173.
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