Evidence of the Negative Effect of Sexual Minority

Authors: Katherine Andrinopoulos John Hembling Maria Elena Guardado Flor de Maria Hernández Ana Isabel Nieto Giovanni Melendez

Publish Date: 2014/06/08

Volume: 19, Issue: 1, Pages: 60-71

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Abstract

A cross sectional survey was administered to 670 men who have sex with men MSM and transgender women TW in San Salvador through respondent driven sampling to identify determinants of ever testing for HIV using a minority stress framework A positive association was found between ever testing and older age adjusted odds ratio aOR 210 past experience of sexual assault aOR 292 perceiving that most social acquaintances had tested aOR 181 and knowing a PLHIV aOR 194 A negative association was found between homelessness and ever testing aOR 043 Among the MSM subsample n = 506 similar results were found for older age aOR 263 and past experience of sexual assault aOR 256 Internalized homonegativity was negatively associated with ever testing for HIV among MSM aOR 046 and HIV testing stigma and experienced provider discrimination further strengthened this relationship It is important to mitigate sexual minority stigma in order to increase HIV testing among MSM Future research should explore this construct among TWUna encuesta transversal usando RDS fue administrada a 670 hombres que tienen sexo con hombres HSH y mujeres trans MT en San Salvador para identificar los factores determinantes para la toma de la prueba de VIH a través de un marco de estrés de minorías Se encontró una asociación positiva entre haberse hecho la prueba alguna vez y tener mayor edad Odds Ratio ajustado ORa 210 abuso sexual previo ORa 292 la percepción de que la mayoría de sus conocidos se la habían realizado ORa 181 y conocer personas con VIH ORa 194 Se encontró una asociación negativa entre la falta de vivienda y haberse hecho la prueba de VIH alguna vez ORa 043 Entre la submuestra de HSH n = 506 se encontraron resultados similares al tener mayor edad ORa 263 y el abuso sexual previo ORa 256 Entre los HSH la homonegatividad internalizada se asoció negativamente con haberse hecho la prueba de VIH alguna vez ORa 046 y esta relación se hizo más fuerte al relacionar el estigma de hacerse la prueba y haber sido discriminado por el proveedor Es importante disminuir el estigma a las minorías sexuales con el fin de aumentar las pruebas de VIH entre los HSH Las investigaciones futuras deberían explorar este construcción entre MTWe are thankful to the people who participated in this study and contributed their time and knowledge to our understanding of this topic We are also grateful to the dedicated field team and local Transgender MSM and HIV advocacy organizations that supported this study This study was funded by the United States Agency for International Development USAID through a cooperative agreement GHAA00080000300 with the MEASURE Evaluation Project The views expressed in this paper do not necessarily reflect those of USAID

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