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16-05-2021

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

Auteurs: Audrey Harkness, Sierra A. Bainter, Noelle A. Mendez, Daniel Hernandez Altamirano, Conall O’Cleirigh, Matthew J. Mimiaga, Kenneth H. Mayer, Steven A. Safren

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2021

Abstract

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 < 0.001), discomfort discussing sex with provider (p < 0.001) and lower education (p = 0.007) were associated with less HIV-prevention engagement. Findings suggest the importance of training providers in culturally competent care to mitigate observed barriers.

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We refer to gay, bisexual, and other men who have sex with men collectively as “sexual minority men,” however, when referencing sources that specifically refer to men who have sex with men (MSM) we use the matching terminology.

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Titel: Factors associated with barriers to engagement in HIV-prevention care among sexual minority men
Auteurs: Audrey Harkness
Sierra A. Bainter
Noelle A. Mendez
Daniel Hernandez Altamirano
Conall O’Cleirigh
Matthew J. Mimiaga
Kenneth H. Mayer
Steven A. Safren
Publicatiedatum: 16-05-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 6/2021
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-021-00230-0

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