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- Title
A Person-Centered Approach to HIV-Related Protective and Risk Factors for Young Black Men Who Have Sex with Men: Implications for Pre-exposure Prophylaxis and HIV Treatment as Prevention.
- Authors
Vincent, Wilson; Peterson, John L.; Storholm, Erik D.; Huebner, David M.; Neilands, Torsten B.; Calabrese, Sarah K.; Rebchook, Gregory M.; Tan, Judy Y.; Pollack, Lance; Kegeles, Susan M.
- Abstract
Although young Black men who have sex with men (YBMSM) are disproportionately affected by HIV, they may be more heterogeneous as a group than is typically appreciated. Thus, the present study used a person-centered data-analytic approach to determine profiles of HIV-related risk among YBMSM and whether these profiles could be distinguished by age, HIV status, and socioeconomic risk (i.e., socioeconomic distress). YBMSM (N = 1808) aged 18 to 29 years completed a survey of sociodemographic characteristics, HIV status, and HIV-related behavioral and attitudinal factors (i.e., safer-sex self-efficacy, negative condom attitudes, being in difficult sexual situations, being in difficult sexual relationships, HIV treatment optimism, perceived HIV stigma). Latent profile analysis was used to identify HIV risk profiles and whether age, HIV status, and socioeconomic distress were associated with these profiles. Four profiles emerged: low-, medium-, and high-risk profiles, respectively, and a mixed profile characterized by a tendency to be in difficult sexual situations and relationships while also reporting high safer-sex self-efficacy and low negative attitudes toward condom use. Difficult sexual situations emerged as the key defining indicator of whether a profile reflected higher or lower risk. Younger age, being HIV-positive, and socioeconomic distress were associated with having a higher-risk profile. Given that unique risk profiles emerged that were differentially predicted by sociodemographic characteristics and HIV status, these findings have implications for tailoring interventions to the needs of different subgroups of YBMSM. Also, disempowering or risky sexual situations and relationships among YBMSM must be addressed.
- Subjects
HIV prevention; HIV infection risk factors; AGE distribution; ATTITUDE (Psychology); CONDOMS; HEALTH attitudes; HEALTH status indicators; HIV infections; LATENT structure analysis; PREVENTIVE medicine; RISK-taking behavior; SELF-efficacy; SOCIAL stigma; THERAPEUTICS; PSYCHOLOGY of Black people; SAFE sex; SOCIOECONOMIC factors; PATIENT-centered care; MEN who have sex with men; ATTITUDES toward sex
- Publication
AIDS & Behavior, 2019, Vol 23, Issue 10, p2803
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-019-02630-5