Longitudinal Association of HIV Conspiracy Beliefs with Sexual Risk Among Black Males Living with HIV

Research is needed to identify culturally relevant factors that may contribute to sexual risk among African Americans. We investigated HIV-specific medical mistrust as one such cultural factor, often exhibited as conspiracy beliefs about HIV (e.g., “AIDS was produced in a government laboratory”), wh...

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Vydané v:	AIDS and behavior Ročník 15; číslo 6; s. 1180 - 1186
Hlavní autori:	Bogart, Laura M., Galvan, Frank H., Wagner, Glenn J., Klein, David J.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Boston Springer US 01.08.2011 Springer Nature B.V
Predmet:	Acquired Immune Deficiency Syndrome Adolescent Adult African Americans AIDS Beliefs Black or African American - psychology Black people California Condoms Conspiracy Cultural factors Health Knowledge, Attitudes, Practice Health Psychology HIV HIV Infections - ethnology HIV Infections - prevention & control HIV Infections - psychology Human immunodeficiency virus Humans Infectious Diseases Longitudinal Studies Male Males Medical treatment Medicine Medicine & Public Health Mens health Methodology (Data Collection) Middle Aged Minority & ethnic groups Original Paper Paranoid Behavior - psychology Prevention Prevention programs Preventive medicine Public Health Random effects Risk Risk behavior Risk factors Risk-Taking Secondary prevention Sexual behavior Sexual Behavior - ethnology Sexual Behavior - psychology Sexual Intercourse Sexual Partners Sexually transmitted diseases Socioeconomic Factors STD Trust Trust - psychology Young Adult California African American/Black HIV/AIDS Conspiracy Beliefs Sexual Behavior
ISSN:	1090-7165, 1573-3254, 1573-3254
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Popis
Shrnutí:	Research is needed to identify culturally relevant factors that may contribute to sexual risk among African Americans. We investigated HIV-specific medical mistrust as one such cultural factor, often exhibited as conspiracy beliefs about HIV (e.g., “AIDS was produced in a government laboratory”), which may be indicative of general suspicion of HIV treatment and prevention messages. Over a 6-month time-period, we measured endorsement of HIV conspiracy beliefs three times and frequency of condom use monthly among 181 HIV-positive African American males. A hierarchical multivariate repeated-measures logistic random effects model indicated that greater belief in HIV conspiracies was associated with a higher likelihood of reporting unprotected intercourse across all time-points. An average of 54% of participants who endorsed conspiracies reported unprotected intercourse, versus 39% who did not endorse conspiracies. Secondary prevention interventions may need to address medical mistrust as a contributor to sexual risk among African Americans living with HIV.
Bibliografia:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 14 ObjectType-Article-1 ObjectType-Feature-2 content type line 23
ISSN:	1090-7165 1573-3254 1573-3254
DOI:	10.1007/s10461-010-9796-7