Research Article

HIV Prevention Messages Targeting Young Latino Immigrant MSM

Table 1

Reframing negative HIV testing attitudes, beliefs, and norms with positive ones.

Messages in storyboard scriptRationale for reframing negative beliefs, attitudes, and norms with positive ones.Integrated model of behavior
domain addressed

Testing is beneficial for me. My life matters to me.Young MSM need help in prioritizing their health over the concerns of other people when contemplating HIV testing.Positive belief

I tested for HIV and my results are negative. This is the likely outcome for most young Latino MSM testing for HIV and knowing this may deter them from further delaying testing.Positive belief about behavior (testing)

HIV is a chronic illness that can be treated with medications.Many MSM are fatalistic and consider that a positive result means that they are going to die very soon. This statement contradicts that common belief.Countering negative beliefs

I did not think that I was at risk for HIV and therefore did not think that there was a need for testing; however, there were times when I had not used protection (condoms).Many Latino MSM are in denial about being at risk for HIV; however, they need to understand that if they did have unprotected sex, then they do need to get HIV screening.Countering negative beliefs

What will my family say? What will my friends say? My health is on the line and I need to know my status.
MSM need to know that they are better off knowing their HIV status. They fear that family members and friends will consider them promiscuous for seeking HIV testing.Self-efficacy

My friend, Carlos, helped me out. He
accompanied me to the HIV testing site.
He calmed me down while I awaited my results.
Men need peer social support when seeking HIV testing (i.e., to reduce stress and fear).Self-efficacy

HIV testing is available at many places, including medical clinics, emergency room, hospitals, community-based organizations, and HIV testing centers funded by public health. Latino MSM have confidentiality concerns about Latino staff at HIV testing centers (they fear that staff will spread rumors about them for seeking testing); thus, informing them of the multiple places one can go for testing may increase their likelihood of identifying a place where they may be more comfortable seeking testing. We plan to promote multiple HIV testing sites, including Entre Hermanos, Gay City, and other sites that offer free
HIV testing.
Negative beliefs

I test for HIV every 6 months.
The CDC recommends that everyone, man or woman, of age 13–64 years, receive an HIV test. Persons who remain at risk, including men who have sex with men, are advised to undergo HIV testing at least yearly.
This statement targets everyone but ends by focusing specifically on young Latino MSM. The MSM recommended that everyone be targeted for HIV testing; they do not want only MSM to be targeted, especially because they are not the only ones at risk.Normative beliefs

I recommend HIV testing to all of my friends. It is important to protect not just our own health but also that of our community. Latino MSM tend to express
fraternalism.
Positive beliefs