HIV/AIDS-Related Institutional Mistrust Among Multiethnic Men Who Have Sex With Men: Effects on HIV Testing and Risk Behaviors
HIV/AIDS-Related Institutional Mistrust Among Multiethnic Men Who Have Sex With Men: Effects on HIV Testing and Risk Behaviors
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DOI：
10.1037/a0025953
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发表时间：
2012-05-01
影响因子：
4.2
通讯作者：
Proeschold-Bell, Rae Jean
中科院分区：
文献类型：
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作者：
Hoyt, Michael A.;Rubin, Lisa R.;Proeschold-Bell, Rae Jean
目的：在男男性行为者（MSM）的多种族样本中，调查制度性不信任（系统性歧视、组织性怀疑和阴谋信念）、HIV风险行为和HIV检测之间的关系，并测试白色和少数民族MSM对HIV易感性的感知是否介导了这些关系。方法：参与者是394位居住在亚利桑那州中部的MSM（M年龄= 37岁）。三个方面的不信任进行了审查，包括组织的怀疑，阴谋的信念，和系统的歧视。在研究开始时（T1）和6个月后（T2）再次评估性风险行为、HIV检测和对HIV的易感性。结果如下：有没有主要影响的制度不信任维度或少数民族地位的T2风险行为，但系统性歧视和阴谋信念与少数民族地位的相互作用是显着的，更高水平的系统性歧视和更多的阴谋信念与风险增加，只有少数民族男男性接触者。更高层次的系统性歧视显着相关的艾滋病毒检测的可能性较低，和组织的怀疑与少数民族地位的相互作用是显着的，这样，更大程度的组织怀疑与已被检测艾滋病毒的可能性较低的少数民族男男性行为者。感知的易感性没有调解这些关系。结论：研究结果表明，重要的是要进一步研究机构的不信任对边缘化群体，包括性少数和少数民族的不同影响。在艾滋病毒预防和咨询工作中应解决不信任问题。
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.