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<title xml:lang="en">Attitudes, perceptions, and behaviors toward HIV testing among African American and East African immigrant women in Washington, D.C.: Implications for targeted HIV testing promotion and communication strategies</title>
<author>
<name sortKey="De Jesus, Maria" sort="De Jesus, Maria" uniqKey="De Jesus M" first="Maria" last="De Jesus">Maria De Jesus</name>
<affiliation>
<nlm:aff id="A1">School of International Service, American University, Washington DC, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Center on Health, Risk, and Society, American University, Washington DC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Carrete, Claudia" sort="Carrete, Claudia" uniqKey="Carrete C" first="Claudia" last="Carrete">Claudia Carrete</name>
<affiliation>
<nlm:aff id="A1">School of International Service, American University, Washington DC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Maine, Cathleen" sort="Maine, Cathleen" uniqKey="Maine C" first="Cathleen" last="Maine">Cathleen Maine</name>
<affiliation>
<nlm:aff id="A3">The Women’s Collective, Washington DC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nalls, Patricia" sort="Nalls, Patricia" uniqKey="Nalls P" first="Patricia" last="Nalls">Patricia Nalls</name>
<affiliation>
<nlm:aff id="A3">The Women’s Collective, Washington DC, USA</nlm:aff>
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<idno type="pmid">25897146</idno>
<idno type="pmc">4654652</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4654652</idno>
<idno type="RBID">PMC:4654652</idno>
<idno type="doi">10.1136/sextrans-2014-051876</idno>
<date when="2015">2015</date>
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<title xml:lang="en" level="a" type="main">Attitudes, perceptions, and behaviors toward HIV testing among African American and East African immigrant women in Washington, D.C.: Implications for targeted HIV testing promotion and communication strategies</title>
<author>
<name sortKey="De Jesus, Maria" sort="De Jesus, Maria" uniqKey="De Jesus M" first="Maria" last="De Jesus">Maria De Jesus</name>
<affiliation>
<nlm:aff id="A1">School of International Service, American University, Washington DC, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Center on Health, Risk, and Society, American University, Washington DC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Carrete, Claudia" sort="Carrete, Claudia" uniqKey="Carrete C" first="Claudia" last="Carrete">Claudia Carrete</name>
<affiliation>
<nlm:aff id="A1">School of International Service, American University, Washington DC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Maine, Cathleen" sort="Maine, Cathleen" uniqKey="Maine C" first="Cathleen" last="Maine">Cathleen Maine</name>
<affiliation>
<nlm:aff id="A3">The Women’s Collective, Washington DC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Nalls, Patricia" sort="Nalls, Patricia" uniqKey="Nalls P" first="Patricia" last="Nalls">Patricia Nalls</name>
<affiliation>
<nlm:aff id="A3">The Women’s Collective, Washington DC, USA</nlm:aff>
</affiliation>
</author>
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<series>
<title level="j">Sexually transmitted infections</title>
<idno type="ISSN">1368-4973</idno>
<idno type="eISSN">1472-3263</idno>
<imprint>
<date when="2015">2015</date>
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<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Objectives</title>
<p id="P1">The objective of the study was to examine and compare the HIV testing attitudes, perceptions, and behaviors between African American and East African immigrant women in the Washington, D.C. Metropolitan area.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Adopting an inductive, qualitative methodological approach, we conducted a total of 40 in-depth, semi-structured interviews between October 2012 and March 2013. Qualitative thematic analysis was used to analyze the data.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Overall, African American women held more favorable views toward HIV testing than East African immigrant women. Very few East African immigrant women sought HIV testing intentionally. The majority of East African participants were tested inadvertently, while others tested for immigration- or employment-related purposes. There were many barriers that impede women from seeking an HIV test including: negative assumptions (e.g.,
<italic>‘Getting an HIV test implies that I am HIV positive’</italic>
); negative emotions (e.g.,
<italic>‘Fear of being diagnosed with HIV and what this will mean for me’</italic>
); and potential negative reactions from partner or others (e.g.,
<italic>‘Getting an HIV test can signal distrust, disrespect, or infidelity’</italic>
). There were nuances in how each group articulated some of these barriers and East African women expressed unique concerns that originated from experiences in their home countries.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">The study shed light into the complexity of factors that constrain women from presenting themselves voluntarily for an HIV test and highlighted the nuances between African American and East African perceptions. Implications of findings for effective targeted HIV screening promotion and communication strategies among these groups of women are discussed.</p>
</sec>
</div>
</front>
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<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
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<journal-meta>
<journal-id journal-id-type="nlm-journal-id">9805554</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21009</journal-id>
<journal-id journal-id-type="nlm-ta">Sex Transm Infect</journal-id>
<journal-id journal-id-type="iso-abbrev">Sex Transm Infect</journal-id>
<journal-title-group>
<journal-title>Sexually transmitted infections</journal-title>
</journal-title-group>
<issn pub-type="ppub">1368-4973</issn>
<issn pub-type="epub">1472-3263</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25897146</article-id>
<article-id pub-id-type="pmc">4654652</article-id>
<article-id pub-id-type="doi">10.1136/sextrans-2014-051876</article-id>
<article-id pub-id-type="manuscript">NIHMS729764</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Attitudes, perceptions, and behaviors toward HIV testing among African American and East African immigrant women in Washington, D.C.: Implications for targeted HIV testing promotion and communication strategies</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>De Jesus</surname>
<given-names>Maria</given-names>
</name>
<email>dejesus@american.edu</email>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Carrete</surname>
<given-names>Claudia</given-names>
</name>
<email>claudia.carrete@american.edu</email>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Maine</surname>
<given-names>Cathleen</given-names>
</name>
<email>cathleen@womenscollective.org</email>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nalls</surname>
<given-names>Patricia</given-names>
</name>
<email>pat@womenscollective.org</email>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
School of International Service, American University, Washington DC, USA</aff>
<aff id="A2">
<label>2</label>
Center on Health, Risk, and Society, American University, Washington DC, USA</aff>
<aff id="A3">
<label>3</label>
The Women’s Collective, Washington DC, USA</aff>
<author-notes>
<corresp id="cor1">
<label>§</label>
Corresponding Author: Maria De Jesus, Ph.D., School of International Service, Center on Health, Risk, and Society, American University, 4400 Massachusetts Ave., NW, Washington, DC, 20016, Phone number: 202-885-6392,
<email>dejesus@american.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>3</day>
<month>11</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>20</day>
<month>4</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub">
<month>12</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>91</volume>
<issue>8</issue>
<fpage>569</fpage>
<lpage>575</lpage>
<pmc-comment>elocation-id from pubmed: 10.1136/sextrans-2014-051876</pmc-comment>
<abstract>
<sec id="S1">
<title>Objectives</title>
<p id="P1">The objective of the study was to examine and compare the HIV testing attitudes, perceptions, and behaviors between African American and East African immigrant women in the Washington, D.C. Metropolitan area.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Adopting an inductive, qualitative methodological approach, we conducted a total of 40 in-depth, semi-structured interviews between October 2012 and March 2013. Qualitative thematic analysis was used to analyze the data.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Overall, African American women held more favorable views toward HIV testing than East African immigrant women. Very few East African immigrant women sought HIV testing intentionally. The majority of East African participants were tested inadvertently, while others tested for immigration- or employment-related purposes. There were many barriers that impede women from seeking an HIV test including: negative assumptions (e.g.,
<italic>‘Getting an HIV test implies that I am HIV positive’</italic>
); negative emotions (e.g.,
<italic>‘Fear of being diagnosed with HIV and what this will mean for me’</italic>
); and potential negative reactions from partner or others (e.g.,
<italic>‘Getting an HIV test can signal distrust, disrespect, or infidelity’</italic>
). There were nuances in how each group articulated some of these barriers and East African women expressed unique concerns that originated from experiences in their home countries.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">The study shed light into the complexity of factors that constrain women from presenting themselves voluntarily for an HIV test and highlighted the nuances between African American and East African perceptions. Implications of findings for effective targeted HIV screening promotion and communication strategies among these groups of women are discussed.</p>
</sec>
</abstract>
<kwd-group>
<kwd>HIV Testing</kwd>
<kwd>African Americans</kwd>
<kwd>East Africans</kwd>
<kwd>Immigrants</kwd>
<kwd>Washington</kwd>
<kwd>Attitudes</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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