242194 Development of Gender Specific Interventions to Enhance Salivary Rapid HIV Testing in African Americans

Tuesday, November 1, 2011: 8:30 AM

Joe Burrage Jr., PhD, RN, FAAN , Environments for Health, Indiana University School of Nursing, Indianapolis, IN
Dana D. Hines, MSN, RN , Pre-Doctoral Fellow: Training in Health Behaviors Research, Indiana University School of Nursing, Indianapolis, IN
Background: Annually, African Americans (AA) account for at least half of the approximately 40,000 individuals who test positive for HIV. The lifetime risk for being diagnosed with HIV is 1 in 16 and 1 in 30 for AA men and women respectively. Increasing initial and follow-up testing for early diagnosis and linkage to care are critical to alleviating HIV related disparities. Methods: Nyamathi's Comprehensive Health Seeking and Coping Paradigm framed this qualitative study and guided focus groups consisting of 22 AA men and 16 AA women who attended an STI clinic. Data were analyzed using thematic content analysis yielding eight themes. A subsequent gender sub analysis was performed. Results: Main themes of familiarity, stigma, fear, access, immediacy, ease, degree of responsibility, and trust were generated and the gender sub analysis resulted in themes of health maintenance for women and illness management for men. Sub themes were stoicism and anger in women and men respectively. Conclusions: The findings provided a basis for the development of a tailored intervention to enhance HIV testing rates and decrease HIV risk behaviors in AA men and women. Thus, a peer-led, technology-based intervention that incorporates gender specific persuasive messaging has been developed and will be discussed

Learning Areas:
Protection of the public in relation to communicable diseases including prevention or control

Learning Objectives:
1. Discuss the basis for gender specific interventions that can be used to enhance salivary rapid HIV testing in African Americans. 2. Explain how persuasive messaging can be used as a prevention strategy. 3. Describe how persuasive messaging can be used to increase HIV testing in African American men and women.

Keywords: Health Disparities, HIV Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am funded and published in the area of social and behavioral aspects of HIV disease and testing.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.