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Published in: Journal of Urban Health 5/2020

01-10-2020 | Human Immunodeficiency Virus

Individual and Social Network Factors Associated with High Self-efficacy of Communicating about Men’s Health Issues with Peers among Black MSM in an Urban Setting

Authors: Jordan J. White, Cui Yang, Karin E. Tobin, Chris Beyrer, Carl A. Latkin

Published in: Journal of Urban Health | Issue 5/2020

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Abstract

Black men who have sex with men (BMSM) bear a disproportionate burden of HIV in the USA. BMSM face stigma, discrimination and barriers to health care access, and utilization. Peers (male or female) may assist BMSM in navigating their health issues by engaging in communication to support in their health care needs. Individuals with high self-efficacy of communicating about men’s health issues with peers can be trained as community popular opinion leaders (CPOLs) to change peer behaviors by promoting risk reduction communication. We examined the characteristics associated with high self-efficacy of communicating with peers about men’s health issues among 256 BMSM from a behavioral HIV intervention conducted in Baltimore, Maryland. In the multivariate logistic model, gay identity (AOR: 2.10, 95% CI: 1.15,3.83), involvement in the house and ballroom community (AOR: 2.50, 95% CI: 1.14,5.49), larger number of network members who are living with HIV (AOR: 6.34, 95% CI: 1.48,27.11), and larger number of network members who would loan them money (AOR: 1.46, 95% CI: 1.05,2.03) were statistically significantly associated with high self-efficacy of communicating with peers about men’s health issues. We also found that having depressive symptoms (AOR: 0.43, 95% CI: 0.24, 0.77) was negatively associated with high self-efficacy of communicating with peers about men’s health issues. Findings from the current study can inform future studies to identify better CPOLs who are able to communicate effectively with peers about men’s health issues for BMSM.
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Metadata
Title
Individual and Social Network Factors Associated with High Self-efficacy of Communicating about Men’s Health Issues with Peers among Black MSM in an Urban Setting
Authors
Jordan J. White
Cui Yang
Karin E. Tobin
Chris Beyrer
Carl A. Latkin
Publication date
01-10-2020
Publisher
Springer US
Published in
Journal of Urban Health / Issue 5/2020
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-020-00458-2

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