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. 2009 Nov;20(4):996-1011.
doi: 10.1353/hpu.0.0204.

The impact of acculturation on utilization of HIV prevention services and access to care among an at-risk Hispanic population

Janni J Kinsler  1 , Sung-Jae Lee, Jennifer N Sayles, Peter A Newman, Allison Diamant, William Cunningham
Affiliations

The impact of acculturation on utilization of HIV prevention services and access to care among an at-risk Hispanic population

Janni J Kinsler et al. J Health Care Poor Underserved. 2009 Nov.

Abstract

Introduction: HIV/AIDS disproportionately affects Hispanics in the United States, a diverse and heterogeneous population. The purpose of this study was to evaluate the relationship of acculturation with HIV and hepatitis C testing, and access to care among Hispanics at risk for HIV.

Methods: We recruited 600 Hispanics from STD clinics, community-based organizations, and needle exchange programs in Los Angeles County.

Results: Low levels of acculturation were significantly associated with having fewer HIV tests (OR 1.98, 95% CI 1.24, 3.15), no hepatitis C tests (OR 2.61, 95% CI 1.77, 3.84), testing positive for HIV (OR 2.67, 95% CI 1.04, 6.83), and low levels of access to care (beta=0.06; p<.05).

Conclusions: Low levels of acculturation are an important barrier to the use of HIV-related health care services. Our findings may inform the development of effective interventions that address the cultural and behavioral differences among Hispanic subgroups.

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