Journal Title
Title of Journal: AIDS Behav
|
Abbravation: AIDS and Behavior
|
|
|
|
|
Authors: José A Bauermeister Emily S Pingel Laura JadwinCakmak Steven Meanley Deepak Alapati Michael Moore Matthew Lowther Ryan Wade Gary W Harper
Publish Date: 2015/08/25
Volume: 19, Issue: 10, Pages: 1919-1927
Abstract
Young men who have sex with men YMSM are at increased risk for HIV and STI infection While encouraging HIV and STI testing among YMSM remains a public health priority we know little about the cultural competency of providers offering HIV/STI tests to YMSM in public clinics As part of a larger intervention study we employed a mystery shopper methodology to evaluate the LGBT cultural competency and quality of services offered in HIV and STI testing sites in Southeast Michigan n = 43We trained and deployed mystery shoppers n = 5 to evaluate the HIV and STI testing sites by undergoing routine HIV/STI testing Two shoppers visited each site recording their experiences using a checklist that assessed 13 domains including the clinic’s structural characteristics and interactions with testing providers We used the site scores to examine the checklist’s psychometric properties and tested whether site evaluations differed between sites only offering HIV testing n = 14 versus those offering comprehensive HIV/STI testing n = 29 On average site scores were positive across domains In bivariate comparisons by type of testing site HIV testing sites were more likely than comprehensive HIV/STI testing clinics to ascertain experiences of intimate partner violence offer action steps to achieve safer sex goals and provide safer sex education The developed checklist may be used as a quality assurance indicator to measure HIV/STI testing sites’ performance when working with YMSM Our findings also underscore the need to bolster providers’ provision of safer sex education and behavioral counseling within comprehensive HIV/STI testing sitesLos hombres jóvenes que tienen sexo con otros hombres JHCH tienen mayor riesgo de contraer VIH y otras enfermedades transmitidas sexualmente ETS La promoción de pruebas de VIH/ETS entre los JHCH sigue siendo una prioridad de salud pública sin embargo sabemos poco acerca de la competencia cultural de los proveedores que ofrecen pruebas de VIH/ETS a JHCH en clínicas públicas Como parte de un estudio de intervención utilizamos la metodología del cliente misterioso para evaluar la competencia cultural y la calidad de los servicios ofrecidos durante el testeo de VIH y ETS en el sudeste de Michigan n = 43 Entrenamos a 5 clientes misteriosos a evaluar los servicios ofrecidos al someterse a pruebas rutinarias de VIH/ETS Dos clientes misteriosos visitaron cada clínica registrando sus experiencias utilizando un instrumento que evaluó 13 dimensiones incluyendo las características estructurales de la clínica y las interacciones con los proveedores Utilizamos los puntajes del sitio para examinar las propiedades psicométricas del instrumento y evaluar si las puntuaciones diferían entre clínicas que sólo ofrecen la prueba del VIH n = 14 y las clínicas que ofrecen las pruebas comprehensivas de VIH/ETS n = 29 En promedio los puntajes de las dimensiones fueron positivos En comparaciones entre los dos tipos de clínica las clínicas que sólo ofrecen VIH fueron más propensas que las clínicas con pruebas comprehensivas en tener puntajes mas positivos en las áreas de experiencias de violencia entre pareja pasos para alcanzar los objetivos de sexo seguro y educación sexual El instrumento desarrollo puede ser utilizado como un índice para medir el desempeño de clínicas donde se le ofrecen pruebas de VIH/ETS a JHCH Nuestros resultados también reiteran la necesidad de reforzar la provisión de educación sexual y consejería entre proveedores de pruebas de VIH/ETS
Keywords:
.
|
Other Papers In This Journal:
- Associations Between Drug and Alcohol Use Patterns and Sexual Risk in a Sample of African American Men Who Have Sex with Men
- Adolescents’ Emotions Prior to Sexual Activity and Associations with Sexual Risk Factors
- Sampling Methods Used in Developed Countries for Behavioural Surveillance Among Men who have Sex with Men
- Attitude Mismatching: Discrepancies in the Sexual Attitudes of African American Mothers and their Pre-adolescent Children
- Attitude Mismatching: Discrepancies in the Sexual Attitudes of African American Mothers and their Pre-adolescent Children
- Differences Between Seven Measures of Self-Reported Numbers of Clients of Female Sex Workers in Southern India: Implications for Individual- and Population-Level Analysis
- HIV Symptoms and Health-Related Quality of Life Prior to Initiation of HAART in a Sample of HIV-Positive South Africans
- The Impact of DSM-IV Mental Disorders on Adherence to Combination Antiretroviral Therapy Among Adult Persons Living with HIV/AIDS: A Systematic Review
- Sexual Partners and Condom Use of Migrant Workers in Thailand
- Caregiver Role Overload and Network Support in a Sample of Predominantly Low-Income, African-American Caregivers of Persons Living with HIV/AIDS: A Structural Equation Modeling Analysis
- Mobile VCT: Reaching Men and Young People in Urban and Rural South African Pilot Studies (NIMH Project Accept, HPTN 043)
- The Positive Outlook Study: A Randomised Controlled Trial Evaluating Online Self-Management for HIV Positive Gay Men
- What Do People Actually Learn from Public Health Campaigns? Incorrect Inferences About Male Circumcision and Female HIV Infection Risk Among Men and Women in Malawi
- A Protective Effect of Circumcision Among Receptive Male Sex Partners of Indian Men Who Have Sex with Men
- Documentation of Psychiatric Disorders and Related Factors in a Large Sample Population of HIV-Positive Patients in California
- Association of Violence Victimization with Inconsistent Condom Use in HIV-Infected Persons
- Associations Between Perceived Characteristics of the Peer Social Network Involving Significant Others and Risk of HIV Transmission Among Men Who Have Sex with Men in China
- Repeat Voluntary HIV Counseling and Testing (VCT), Sexual Risk Behavior and HIV Incidence in Rakai, Uganda
- Partner-Provided Social Support Influences Choice of Risk Reduction Strategies in Gay Male Couples
- The Importance of Discreet Use of the Diaphragm to Zimbabwean Women and their Partners
- Opt-Out HIV Testing of Inmates in North Carolina Prisons: Factors Associated with not Wanting a Test and not Knowing They Were Tested
- The Disproportionate High Risk of HIV Infection Among the Urban Poor in Sub-Saharan Africa
- Identifying Resilience Resources for HIV Prevention Among Sexual Minority Men: A Systematic Review
- Efficacy of a Social Self-Value Empowerment Intervention to Improve Quality of Life of HIV Infected People Receiving Antiretroviral Treatment in Nepal: A Randomized Controlled Trial
- Development of the Perceived Risk of HIV Scale
- Community-Level HIV/STI Interventions and Their Impact on Alcohol Use in Urban Poor Populations in India
- Recruitment of Urban US Women at Risk for HIV Infection and Willingness to Participate in Future HIV Vaccine Trials
- Acceptability and Feasibility of Using Established Geosocial and Sexual Networking Mobile Applications to Promote HIV and STD Testing Among Men Who Have Sex with Men
- Adapting the VOICES HIV Behavioral Intervention for Latino Men Who Have Sex with Men
- Comparing Study Populations of Men Who Have Sex with Men: Evaluating Consistency Within Repeat Studies and Across Studies in the Seattle Area Using Different Recruitment Methodologies
- Self-Esteem in HIV-Positive and HIV-Negative Gay and Bisexual Men: Implications for Risk-Taking Behaviors with Casual Sex Partners
- Which Clinician Questions Elicit Accurate Disclosure of Antiretroviral Non-adherence When Talking to Patients?
- Effects of PREPARE, a Multi-component, School-Based HIV and Intimate Partner Violence (IPV) Prevention Programme on Adolescent Sexual Risk Behaviour and IPV: Cluster Randomised Controlled Trial
- Knowledge, Attitudes and Motivations Among Blood Donors in São Paulo, Brazil
- Orphan Status and Time to First Sex Among Adolescents in Northern Malawi
- Evidence of the Negative Effect of Sexual Minority Stigma on HIV Testing Among MSM and Transgender Women in San Salvador, El Salvador
- Risk Practices Among Aboriginal People Who Inject Drugs in New South Wales, Australia
- Neurocognitive Aspects of Medication Adherence in HIV-Positive Injecting Drug Users
- Effectiveness of Sport-Based HIV Prevention Interventions: A Systematic Review of the Evidence
- HIV Illness Representation as a Predictor of Self-care Management and Health Outcomes: A Multi-site, Cross-cultural Study
- Gay and Bisexual Men’s Views on Rapid Self-Testing for HIV
- Sexual Partnership Types as Determinant of HIV Risk in South African MSM: An Event-Level Cluster Analysis
- Adherence to Antiretroviral Therapy and Acceptability of Planned Treatment Interruptions in HIV-Infected Children
|