Heterosexual self-presentation and other individual- and community-based correlates of HIV testing among Latino men who have sex with men

Frank R. Dillon, Austin Eklund, Ryan Ebersole, Melissa M. Ertl, Jessica L. Martin, Michael G. Verile, Sarai Rosas Gonzalez, September Johnson, Danielle Florentin, Lianna Wilson, Shane Roberts, Nancy Fisher

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


From 2010 to 2014, HIV diagnoses among Latino men who have sex with other men (LMSM) have increased by 14%, whereas diagnoses declined by 11% among White, non-Latino men who have sex with men (MSM). This health disparity is in part due to exposure to other LMSM with undiagnosed HIV infections. To effectively engage LMSM who are unaware of their serostatus, profiles of men differing in theorized determinants of HIV testing must be considered. In this retrospective study, we examined data from 546 LMSM to investigate whether hypothesized individual- (traditional masculine gender role conformity, sexual identity development status, alcohol and illicit drug use, sexual risk behaviors, perceived HIV susceptibility, and HIV stigma) and community-based (HIV prevention programming, access to health care, social support, and neighborhood collective efficacy) factors were associated with differences in HIV testing. Latent profile analysis was used to identify profiles of men, and subsequent analyses examined whether profiles exhibited differential proportions of HIV testing. Four latent profiles were observed. One profile (50.3% tested) differed markedly from all other profiles (5.1% to 11% tested) in HIV testing. Characteristics of participants in this unique profile included reporting lower levels of heterosexual self-presentation, sexual identity uncertainty (and high levels of sexual identity commitment), condom use, HIV stigma, education, and perceived HIV susceptibility than all other profiles. Findings could improve HIV testing rates among LMSM by specifying ways in which public health advertisements/campaigns and community-based testing outreach efforts could be tailored to men most at risk for transmitting HIV due to unknown serostatus.

Original languageEnglish (US)
Pages (from-to)238-251
Number of pages14
JournalPsychology of Men and Masculinity
Issue number2
StatePublished - Apr 2019
Externally publishedYes

Bibliographical note

Funding Information:
This study was supported by National Institute on Minority Health & Health Disparities (NIMHD) Award R15MD010193. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Minority Health and Health Disparities or the National Institutes of Health. We are grateful to Amber Schaefer and Roberto Rentería for editorial assistance in preparing this article.

Publisher Copyright:
© 2019 American Psychological Association.


  • HIV testing
  • Latinx
  • Men who have sex with men


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