- By FYH News Team
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doi: 10.1007/s10461-022-03718-1.
Online ahead of print.
Affiliations
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AIDS Behav.
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Latino sexual minority men (LSMM) experience high rates of HIV and co-occurring health inequities. Structural and psychosocial factors may lead to mental health problems and decreased engagement with biomedical HIV-prevention behaviors. This cross-sectional study assessed the extent to which structural life instability is related to biomedical HIV-prevention services engagement (HIV-testing and PrEP uptake) indirectly through psychological distress among 290 LSMM living in Greater Miami. Using hybrid structural equation modeling, significant direct effects from structural life instability to psychological distress emerged, as did effects from psychological distress (i.e., depression and anxiety) to HIV-prevention engagement. Structural life instability had a significant indirect effect to HIV-prevention engagement via psychological distress. Findings show a possible mechanism explaining the relationship between structural life instability and biomedical HIV-prevention engagement among a group of LSMM, a subpopulation at increased susceptibility for HIV acquisition in an U.S. HIV epicenter.
Los hombres latinos de minorías sexuales (LHLMS) experimentan altos índices de VIH y disparidades de salud concurrentes. Los factores estructurales y psicosociales pueden provocar problemas de salud mental y, a su vez, reducir la participación con los comportamientos biomédicas de prevención del VIH. Este estudio transversal evaluó el grado en qué la inestabilidad estructural de la vida (IEV) está relacionada con la participación de los servicios de prevención del VIH (pruebas del VIH y uso de PrEP) indirectamente a través de la angustia psicológica entre 290 LHLMS que viven en el Gran Miami, un epicentro del VIH. Utilizando modelos de ecuaciones estructurales híbridas, surgieron efectos directos significativos de SLI a la angustia psicológica, al igual que los efectos de la angustia psicológica a la participación en la prevención del VIH. El SLI tuvo un efecto indirecto significativo en la participación en la prevención del VIH a través de la angustia psicológica. Los resultados muestran un posible mecanismo que explica la relación entre el SLI y la participación en la biomédica prevención del VIH.
Keywords:
HIV-prevention services; Latino/a/x; Life instability; Sexual minority men.
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
References
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CDC. HIV and Gay and Bisexual Men [Internet]. Centers for Disease Control and Prevention. 2020 [cited 2020 Oct 7]. Available from: https://www.cdc.gov/hiv/group/msm/index.html
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Center for Disease Control and Prevention. Latinos | Race/Ethnicity | HIV by Group | HIV/AIDS | CDC [Internet]. 2019 [cited 2019 Nov 5]. Available from: https://www.cdc.gov/hiv/group/racialethnic/hispaniclatinos/index.html
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