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AIDS and Behavior
Published in: AIDS and Behavior 9/2015

01-09-2015 | Original Paper

Understanding Consistent Condom Use Among Homeless Men Who Have Sex with Women and Engage in Multiple Sexual Partnerships: A Path Analysis

Authors: Hsun-Ta Hsu, Suzanne Wenzel, Eric Rice, Tamika D. Gilreath, Seth Kurzban, Jennifer Unger

Published in: AIDS and Behavior | Issue 9/2015

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Abstract

Consistent condom use is the main strategy aimed at preventing individuals from acquiring HIV through sexual intercourse. The mechanism of consistent condom use among a high-risk homeless subpopulation—homeless men who have sex with women and also engage in multiple sexual partnerships—remains unclear. This study identified 182 homeless men who engaged in multiple sexual partnerships from a representative sample of homeless men, who self-identified as heterosexual, using meal line services in Downtown Los Angeles’ Skid Row area. Information such as participants’ condom use psychosocial correlates, sexual risk behaviors, and social network characteristics were collected. Results suggested that condom efficacy is a potential intervening mechanism through which condom attitudes (β = −0.199; p = 0.005) and depression (β = −0.156; p = 0.029) are associated with an individual’s consistent condom use. Having more network members with whom participants talked about HIV prevention (β = 0.051; p = 0.006) was also found to be associated with an individual’s consistent condom use. HIV prevention programs should focus on increasing their condom efficacy to help reduce HIV risks among this vulnerable homeless subpopulation.
Footnotes
1
Although in all three hypotheses, both direct and indirect paths from the major independent variables (e.g., condom attitudes, social network characteristics, and individual mental health status) to consistent condom use are proposed, paths modeled in the final path analysis were based on bivariate analysis results.
 
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Metadata
Title
Understanding Consistent Condom Use Among Homeless Men Who Have Sex with Women and Engage in Multiple Sexual Partnerships: A Path Analysis
Authors
Hsun-Ta Hsu
Suzanne Wenzel
Eric Rice
Tamika D. Gilreath
Seth Kurzban
Jennifer Unger
Publication date
01-09-2015
Publisher
Springer US
Published in
AIDS and Behavior / Issue 9/2015
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1051-9

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