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Gousse Y, Wilson TE, McFarlane D, Browne RC, Fraser M, Yusim D, Stewart M, Salifu MO, Joseph MA. HIV Testing Correlates: U.S. and Foreign Born High-Risk Black Heterosexual Men. J Immigr Minor Health 2021; 23:1145-1151. [PMID: 33507520 PMCID: PMC9796172 DOI: 10.1007/s10903-021-01140-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/08/2021] [Indexed: 12/30/2022]
Abstract
In the U.S., Black men are disproportionately affected by HIV, with some of the highest HIV incidence rates and lowest rates of HIV testing. We examined correlates of HIV testing and knowledge among participants of the Barbershop Talk with Brothers (BTWB) project, an HIV prevention program targeting high-risk sexual behaviors among Black heterosexual men in Brooklyn, New York. Specifically, we examined differences between U.S. vs. foreign-born status and HIV testing rates, HIV knowledge, and socio-demographic factors. Of the 855 men included, the mean age was 33 years and 35.0% were foreign-born. Lifetime HIV testing was reported at 84%, with greater proportion of U.S. vs foreign-born men reporting lifetime (88.6% vs. 75.0%) and recent testing (68.6% vs. 51.0%), p < 0.001. Among foreign-born men, recent HIV testing was associated with lower stigma and greater HIV transmission knowledge than those un-tested. The authors recommend tailored approaches to increasing HIV testing in Black communities, based on nativity and social factors.
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Affiliation(s)
- Yolene Gousse
- Department of Pharmacy Administration and Public Health, St. John’s University, Queens, NY, USA,Brooklyn Health Disparities Center, Brooklyn, NY, USA,Department of Pharmacy Administration and Public Health, Dr. Andrew J. Bartilucci Center, St. John’s University, 8000 Utopia Parkway, New York, NY 11439, USA
| | - Tracey E. Wilson
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,Department of Community Health Sciences, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
| | - Davin McFarlane
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,Special Treatment and Research Program, College of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
| | | | - Marilyn Fraser
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,Arthur Ashe Institute for Urban Health, Brooklyn, NY, USA
| | - Diana Yusim
- Baystate Medical Center, Springield, MA, USA
| | - Mark Stewart
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,School of Graduate Studies, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
| | - Moro O. Salifu
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,Division of Nephrology, Department of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
| | - Michael A. Joseph
- Brooklyn Health Disparities Center, Brooklyn, NY, USA,Department of Epidemiology and Biostatistics, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
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Lee J, Hong J, Zhou Y, Robles G. The Relationships between Loneliness, Social Support, and Resilience among Latinx Immigrants in the United States. CLINICAL SOCIAL WORK JOURNAL 2020; 48:99-109. [PMID: 33583968 PMCID: PMC7880232 DOI: 10.1007/s10615-019-00728-w] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Globally, international migrants are at elevated risk for experiencing loneliness due to separation from social networks in their countries of origin. In the United States, the political rhetoric has been particularly exclusionary against Latinx immigrants, exposing them to discrimination and fear of deportation. Such environments may result in heightened levels of social isolation, which may contribute to greater risk of poor mental and physical health outcomes. Latinx immigrants, however, may access social support in their destination communities that buffers against these negative outcomes. This study sought to examine how social support and loneliness shape Latinx immigrants' abilities to address the challenges related to migration. Multivariate linear regression analyses were conducted with survey data collected from Latinx immigrants in New York City (n=306). Results revealed that Latinx immigrants with greater social support and less feelings of loneliness were more resilient. Specifically, findings suggest that social support may partially protect against the negative impact of isolation on Latinx immigrants' capacity to thrive. Clinical social workers who work with immigrant groups may consider how migration during the life course affects immigrants' social supports and experiences of loneliness. Social work interventions that integrate strategies to increase social support may provide opportunities to address social isolation and other obstacles associated with migration. Such approaches acknowledge loneliness not only as a psychological symptom, but also as a consequence of unfavorable social environments towards immigrant populations. Future research may develop and assess culturally relevant strategies to promote social support and reduce loneliness among marginalized immigrants.
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Affiliation(s)
- Jane Lee
- School of Social Work, University of Washington, Seattle, WA, USA
| | - Jeeyeon Hong
- School of Social Work, University of Washington, Seattle, WA, USA
| | - Yuanjin Zhou
- School of Social Work, University of Washington, Seattle, WA, USA
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