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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Bibliographic Details
Published in:AIDS and behavior Vol. 15; no. 6; pp. 1180 - 1186
Main Authors: Bogart, Laura M., Galvan, Frank H., Wagner, Glenn J., Klein, David J.
Format: Journal Article
Language:English
Published: Boston Springer US 01.08.2011
Springer Nature B.V
Subjects:
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
Online Access:Get full text
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Summary: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.
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ISSN:1090-7165
1573-3254
1573-3254
DOI:10.1007/s10461-010-9796-7