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Longitudinal Determinants Associated with Latino Sexual Minority Men's Recent HIV Testing
Alyssa Lozano1, Nequiel Reyes2, Manuel A Ocasio3
1School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA.
Journal of Acquired Immune Deficiency Syndromes (1999)
|July 24, 2026
Summary
Knowing others who tested for HIV and having HIV knowledge significantly increases HIV testing among Latino sexual minority men. Peer influence and education are key to improving testing rates in Miami.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- Miami-Dade County has the highest HIV incidence in the US.
- Latino sexual minority men (LSMM) are disproportionately affected by HIV.
- Maximizing HIV testing reach among LSMM is crucial for prevention and treatment.
Purpose of the Study:
- To identify longitudinal determinants of recent HIV testing among LSMM in Miami, FL.
- To understand factors influencing HIV testing uptake in a high-incidence population.
Main Methods:
- 234 LSMM completed self-report assessments at baseline, 4, and 8 months.
- Stochastic search variable selection (SSVS) and hierarchical linear modeling were used.
- Predictors of recent HIV testing were identified.
Main Results:
- Participants were more likely to have recent HIV tests over time.
- Key predictors included knowing others who tested recently, HIV knowledge, and sexual behavior indicating PrEP eligibility.
- Three significant variables were identified by SSVS.
Conclusions:
- Multilevel factors influence HIV testing in LSMM.
- Individual factors: sexual behavior and HIV knowledge.
- Interpersonal factors: peer influence (knowing others tested).
- Interventions should enhance HIV knowledge and leverage peer networks to improve testing.
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