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HIV/AIDS-related institutional mistrust among multiethnic men who have sex with men: effects on HIV testing and risk behaviors.

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Date
2012-05
Authors
Hoyt, Michael A
Rubin, Lisa R
Nemeroff, Carol J
Lee, Joyce
Huebner, David M
Proeschold-Bell, Rae Jean
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518
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Abstract
OBJECTIVE: To investigate relationships between institutional mistrust (systematic discrimination, organizational suspicion, and conspiracy beliefs), HIV risk behaviors, and HIV testing in a multiethnic sample of men who have sex with men (MSM), and to test whether perceived susceptibility to HIV mediates these relationships for White and ethnic minority MSM. METHOD: Participants were 394 MSM residing in Central Arizona (M age = 37 years). Three dimensions of mistrust were examined, including organizational suspicion, conspiracy beliefs, and systematic discrimination. Assessments of sexual risk behavior, HIV testing, and perceived susceptibility to HIV were made at study entry (T1) and again 6 months later (T2). RESULTS: There were no main effects of institutional mistrust dimensions or ethnic minority status on T2 risk behavior, but the interaction of systematic discrimination and conspiracy beliefs with minority status was significant such that higher levels of systematic discrimination and more conspiracy beliefs were associated with increased risk only among ethnic minority MSM. Higher levels of systematic discrimination were significantly related to lower likelihood for HIV testing, and the interaction of organizational suspicion with minority status was significant such that greater levels of organizational suspicion were related to less likelihood of having been tested for HIV among ethnic minority MSM. Perceived susceptibility did not mediate these relationships. CONCLUSION: Findings suggest that it is important to look further into the differential effects of institutional mistrust across marginalized groups, including sexual and ethnic minorities. Aspects of mistrust should be addressed in HIV prevention and counseling efforts.
Type
Journal article
Subject
Adult
Arizona
Attitude to Health
Coitus
Delivery of Health Care
Ethnic Groups
HIV Infections
HIV Seropositivity
Homosexuality, Male
Humans
Institutional Practice
Male
Minority Groups
Patient Compliance
Prejudice
Risk
Risk-Taking
Sexual Behavior
Trust
Unsafe Sex
Permalink
https://hdl.handle.net/10161/6214
Published Version (Please cite this version)
10.1037/a0025953
Publication Info
Hoyt, Michael A; Rubin, Lisa R; Nemeroff, Carol J; Lee, Joyce; Huebner, David M; & Proeschold-Bell, Rae Jean (2012). HIV/AIDS-related institutional mistrust among multiethnic men who have sex with men: effects on HIV testing and risk behaviors. Health Psychol, 31(3). pp. 269-277. 10.1037/a0025953. Retrieved from https://hdl.handle.net/10161/6214.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Proeschold-Bell

Rae Jean Proeschold-Bell

Research Professor of Global Health
Rae Jean Proeschold-Bell is interested in the interplay between mental and physical well-being and has designed and tested interventions that integrate care for people with obesity and depression; HIV/AIDS and substance use; and hepatitis C and alcohol use. Most recently, Rae Jean has been studying positive mental health as a way to prevent depression and promote caring for one's physical health. Her work currently focuses on caregivers, including clergy in North Carolina and ca
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