HIV Testing Among Heterosexual Hispanic Women in South Florida.
Rosina Cianelli, Natalia Villegas, Lisette Irarrazabal and 5 others
PMID 30888099WHAT IT FOUND
A provider offering an HIV test, rather than a woman asking for it, was linked to testing among heterosexual Hispanic women.
Higher HIV knowledge also mattered. Offer testing, educate, and ask about self-harm risk.
Key findings
01After accounting for other factors, higher HIV knowledge (odds ratio 1.03, p = .015) and a provider-offered HIV test (odds ratio 1.99, p = .013) were significantly associated with HIV testing.
02Most women (87.5%) had tested for HIV before the study, and 15% said they would kill or hurt themselves if they tested positive.
03Among the 39 women who had never tested, the most common barrier was having no reason to believe they were infected (73.7%).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The data were self-reported, so recall bias is possible. The women were from South Florida and may not represent Hispanic women elsewhere. Only 39 women had never tested, so barrier findings rest on a small subgroup. The analysis used baseline data, so it cannot show that offering testing or improving knowledge caused testing. Beliefs, barriers, and facilitators may overlap.
Declared interests
The parent SEPA III trial was funded by NIH/NIMHD grant 2P60MD00226606. The provided text does not report an author conflict-of-interest declaration.
The easy way to misread this
Do not conclude that offering an HIV test or increasing knowledge causes more testing. The analysis used baseline self-report data and did not test the SEPA intervention.