From 2010 to 2014, HIV diagnoses among Latino men who have sex with other men (LMSM) have increased by 14%, while diagnoses declined by 11% among white, non-Latino 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, 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.

中文翻译：

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男男性行为拉丁裔男性中的异性恋自我表现以及其他基于个人和社区的艾滋病毒检测相关性。

从 2010 年到 2014 年，与其他男性发生性关系的拉丁裔男性 (LMSM) 的艾滋病毒诊断增加了 14%，而白人、非拉丁裔 MSM 的艾滋病毒诊断率下降了 11%。这种健康差异的部分原因是接触其他未确诊 HIV 感染的 LMSM。为了有效地吸引不知道自己血清状况的 LMSM，必须考虑在 HIV 检测的理论决定因素方面存在差异的男性概况。在这项回顾性研究中，我们检查了来自 546 名 LMSM 的数据，以调查假设的个人（传统男性性别角色一致性、性身份发展状况、酒精和非法药物使用、性危险行为、感知的 HIV 易感性和 HIV 耻辱）和社区是否 -基于（艾滋病毒预防规划、获得医疗保健、社会支持、社区集体效能）的因素与艾滋病毒检测的差异相关。潜在概况分析用于识别男性概况，随后的分析检查概况是否表现出艾滋病毒检测比例的差异。观察到四个潜在特征。在 HIV 检测中，一项资料（50.3% 的测试者）与所有其他资料（5.1% 至 11% 的测试者）显着不同。与所有其他概况相比，这一独特概况的参与者的特征包括报告的异性恋自我呈现水平、性身份不确定性（以及高水平的性身份承诺）、安全套使用、艾滋病毒耻辱、教育和感知艾滋病毒易感性水平较低。研究结果可以通过具体说明针对因血清状态未知而最有可能传播艾滋病毒的男性制定公共卫生广告/活动和基于社区的检测外展工作，从而提高 LMSM 中的艾滋病毒检测率。