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AIDS and Behavior
Published in: AIDS and Behavior 3/2012

01-04-2012 | Original Paper

Predictors of HIV Transmission Risk Behavior and Seroconversion Among Latino Men Who have Sex with Men in Project EXPLORE

Authors: C. Andres Bedoya, Mathew J. Mimiaga, Geetha Beauchamp, Deborah Donnell, Kenneth H. Mayer, Steven A. Safren

Published in: AIDS and Behavior | Issue 3/2012

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Abstract

In the US, Latino MSM are disproportionately affected by HIV, yet there is a paucity of data for this risk group. To this end, we examined data on Latino and non-Latino white MSM who participated across six cities in a 2-year randomized behavioral intervention study—Project EXPLORE. At baseline, Latinos reported significantly more serodiscordant unprotected anal intercourse (SDUA) than non-Latinos. Longitudinal predictors of SDUA included marijuana, poppers, amphetamines and heavy drinking, as well as lower self-efficacy, poorer communication skills, weaker safe-sex norms and more enjoyment of risky sex. For HIV infection, Latinos had significantly higher seroconversion rate over follow-up than non-Latinos. Longitudinal predictors of seroconversion among Latinos included poppers and SDUA. Intervention effects did not significantly differ between Latino and non-Latinos. Findings support HIV intervention work with Latino MSM that includes skills training/counseling to address attitudes about safe sex and impact of substance use on HIV-risk behavior and acquisition.
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Metadata
Title
Predictors of HIV Transmission Risk Behavior and Seroconversion Among Latino Men Who have Sex with Men in Project EXPLORE
Authors
C. Andres Bedoya
Mathew J. Mimiaga
Geetha Beauchamp
Deborah Donnell
Kenneth H. Mayer
Steven A. Safren
Publication date
01-04-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-9911-4

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