2022
DOI: 10.1007/s10461-022-03718-1
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Structural Life Instability and Factors Related to Latino Sexual Minority Men’s Intention to Engage with Biomedical HIV-Prevention Services

Abstract: 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 structura… Show more

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Cited by 7 publications
(2 citation statements)
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“…As such, we used the findings from our prior qualitative study to group the items within each of our measures (in other words, the theoretical item groupings directly map onto our prior qualitative findings). The resulting theoretical groupings of items for both measures included: (1) knowledge, (2) perceived need and benefit, (3) mistrust and concerns, (4) stigma and normalization, (5) cultural competence, (6) navigation support, (7) provider demeanor, (8) clinic and medical system issues, (9) privacy concerns, (10) cost, and (11) language and immigration barriers. Therefore, we expected to derive scores within each of these theoretical groupings, not at the overall measure level.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…As such, we used the findings from our prior qualitative study to group the items within each of our measures (in other words, the theoretical item groupings directly map onto our prior qualitative findings). The resulting theoretical groupings of items for both measures included: (1) knowledge, (2) perceived need and benefit, (3) mistrust and concerns, (4) stigma and normalization, (5) cultural competence, (6) navigation support, (7) provider demeanor, (8) clinic and medical system issues, (9) privacy concerns, (10) cost, and (11) language and immigration barriers. Therefore, we expected to derive scores within each of these theoretical groupings, not at the overall measure level.…”
Section: Discussionmentioning
confidence: 99%
“…5 Additionally, structural factors associated with socioeconomic marginalization such as poverty, suboptimal access to health insurance, housing instability, and a history of incarceration are barriers to engaging in HIV prevention services among racial, ethnic, and sexual minorities. [6][7][8] These social determinants and syndemic factors limit access to HIV prevention and treatment tools such as HIV testing and pre-exposure prophylaxis (PrEP). 9 There is an urgent need for professionals in health promotion disciplines to support efforts to disseminate evidence-based HIV prevention tools to populations most impacted by HIV to achieve Ending the HIV Epidemic goals in the United States.…”
Section: Purposementioning
confidence: 99%