Factors associated with barriers to engagement in HIV-prevention care among sexual minority men

Engagement with HIV-prevention services varies among sexual minority men (SMM). 183 HIV-negative SMM completed a baseline assessment including sociodemographic, psychosocial, identity and stigma, and sexuality measures, as well as HIV-prevention behaviors: (1) date of most recent HIV test, (2) wheth...

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Bibliographic Details
Published in:Journal of behavioral medicine 2021-12, Vol.44 (6), p.784-793
Main Authors: Harkness, Audrey, Bainter, Sierra A., Mendez, Noelle A., Hernandez Altamirano, Daniel, O’Cleirigh, Conall, Mimiaga, Matthew J., Mayer, Kenneth H., Safren, Steven A.
Format: Article
Language:English
Subjects:
Anal intercourse
Anal sex
Behavior
Cultural competence
Discomfort
Factor analysis
Family Medicine
Female
Gays
General Practice
Health aspects
Health behavior
Health Psychology
HIV
HIV infection
HIV Infections - prevention & control
HIV Infections - psychology
Homosexuality, Male - psychology
Human immunodeficiency virus
Humans
Male
Medicine
Medicine & Public Health
Men
Prevention
Prevention programs
Preventive medicine
Psychosocial factors
Regression analysis
Sexual and Gender Minorities
Sexual behavior
Sexual Behavior - psychology
Sexual orientation
Sexuality
Sexually transmitted diseases
Social aspects
Social Stigma
Sociodemographics
Stigma
Stochasticity
Transgender people
Unsafe Sex
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Summary:Engagement with HIV-prevention services varies among sexual minority men (SMM). 183 HIV-negative SMM completed a baseline assessment including sociodemographic, psychosocial, identity and stigma, and sexuality measures, as well as HIV-prevention behaviors: (1) date of most recent HIV test, (2) whether they discussed HIV or (3) sexual behavior with their provider, and (4) disclosure to provider about engaging in condomless anal sex (CAS). Factor analysis of these four items yielded an HIV-prevention engagement factor score. Stochastic search variable selection (SSVS) followed by multiple linear regression identified variables associated with HIV-prevention engagement. SSVS identified three variables for inclusion in a multiple linear regression model. Not disclosing sexual orientation to one’s provider ( p  
ISSN:0160-7715
1573-3521
1573-3521
DOI:10.1007/s10865-021-00230-0