Influence of families and other adult support on HIV prevention outcomes among black men who have sex with men.

Autor: Boyd DT; College of Social Work, The Ohio State University, 1047 College RD, #325K, Columbus, OH, 43215, USA. Boyd.465@osu.edu.; Center for Interdisciplinary Research on AIDS (CIRA), Yale University School of Public Health, New Haven, CT, USA. Boyd.465@osu.edu.; University of California Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA. Boyd.465@osu.edu., Ramos SR; Center for Interdisciplinary Research on AIDS (CIRA), Yale University School of Public Health, New Haven, CT, USA.; School of Nursing, Yale University, Orange, CT, USA., Maragh-Bass AC; University of California Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA.; FHI 360, Durham, NC, USA.; Duke Global Health Institute, Duke University, Durham, NC, USA., Dyer TV; University of California Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA.; Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD, USA., Zigah EY; Behavioral, Sexual, and Global Health Lab, Jama'a Action, West Legon, Accra, Ghana., Abu-Ba'are GR; Behavioral, Sexual, and Global Health Lab, Jama'a Action, West Legon, Accra, Ghana.; School of Nursing, University of Rochester, Rochester, NY, USA.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2024 Mar 15; Vol. 24 (1), pp. 822. Date of Electronic Publication: 2024 Mar 15.
DOI: 10.1186/s12889-024-18171-z
Abstrakt: Background: Prior research has consistently shown that the involvement of families plays a vital role in reducing risk behaviors, such as engaging in condomless sex, and promoting HIV prevention behaviors among young Black men who have sex with men (YBMSM). With the aim of expanding the existing knowledge, this study aimed to examine the specific influence of families and other supportive adults in facilitating casual condom use, partner condom use, HIV testing, and preexposure prophylaxis (PrEP) utilization among young Black MSM.
Methods: A sample of YBMSM aged 18-29 years (N = 400) was collected online. We used a path analysis to examine the influence of family factors on PrEP stigma and PrEP use. Respondents were recruited from December 1, 2021, to January 31, 2022. We used a path analysis to examine the direct and indirect effects of family factors on PrEP use through HIV testing and encouraging condom use.
Results: Among BMSM, other adult support was positive and directly associated with condom use by both casual partners (β = 0.04, p < .05) and partners (β = 0.17, p < .01). Condom use by casual partners was negative and was directly associated with HIV testing (β = - 0.15, p < .01).
Conclusion: The primary aim of this research was to examine the influence of family and adult support on HIV prevention behaviors among young Black MSM, including condom use, HIV testing, and PrEP use. Our findings highlight the significance of implementing interventions that incorporate families and other supportive adults to enhance the engagement of young Black MSM in HIV prevention behaviors.
(© 2024. The Author(s).)
Databáze: MEDLINE
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