The Influence of Shared or Separate Partner Residence on HIV Testing Among Latino Immigrants in the United States
Journal of Racial and Ethnic Health Disparities(2020)
Abstract
Background The relationship context is influential in shaping HIV risk and preventive behaviors. Yet, there is little understanding about how shared or separate residence of partners shapes perceptions that affect HIV prevention. Methods We explored how shared or separate residence from one’s partner impacts HIV testing intentions among Latino immigrants in the USA. We analyzed data from 206 Latino immigrants residing in New York City, and examined three potential models to assess the relationships between partner residence, partner approval of HIV testing, and HIV testing behaviors. Results Results indicated that shared residence was associated with greater partner approval to test for HIV ( B = 0.48, 95% CI 0.01, 0.96, p = .04), and in turn, higher partner approval was associated with greater intention to test for HIV in the next 12 months ( B = 0.38, 95% CI 0.15, 0.62., p < .01). Conclusions Results suggest the need to consider partner residency as an important factor in shaping determinants of HIV testing behaviors. Conceptualization of couples as living separately, across national borders, is warranted for couple-based health interventions given the current socio-political climate in the USA. Future research focused on couple-based HIV prevention should examine strategies and policies to preserve or strengthen partner dynamics among couples living apart.
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Key words
HIV testing, HIV prevention, Partner residence, Relationship context, Immigrants
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