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

Publication ,  Journal Article
Hoyt, MA; Rubin, LR; Nemeroff, CJ; Lee, J; Huebner, DM; Proeschold-Bell, RJ
Published in: Health psychology : official journal of the Division of Health Psychology, American Psychological Association
May 2012

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.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).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.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.

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Published In

Health psychology : official journal of the Division of Health Psychology, American Psychological Association

DOI

EISSN

1930-7810

ISSN

0278-6133

Publication Date

May 2012

Volume

31

Issue

3

Start / End Page

269 / 277

Related Subject Headings

  • Unsafe Sex
  • Trust
  • Sexual Behavior
  • Risk-Taking
  • Risk
  • Public Health
  • Prejudice
  • Patient Compliance
  • Minority Groups
  • Male
 

Citation

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Chicago
ICMJE
MLA
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Hoyt, M. A., Rubin, L. R., Nemeroff, C. J., Lee, J., Huebner, D. M., & Proeschold-Bell, R. J. (2012). HIV/AIDS-related institutional mistrust among multiethnic men who have sex with men: effects on HIV testing and risk behaviors. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 31(3), 269–277. https://doi.org/10.1037/a0025953
Hoyt, Michael A., Lisa R. Rubin, Carol J. Nemeroff, Joyce Lee, David M. Huebner, and Rae Jean Proeschold-Bell. “HIV/AIDS-related institutional mistrust among multiethnic men who have sex with men: effects on HIV testing and risk behaviors.Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association 31, no. 3 (May 2012): 269–77. https://doi.org/10.1037/a0025953.
Hoyt MA, Rubin LR, Nemeroff CJ, Lee J, Huebner DM, Proeschold-Bell RJ. HIV/AIDS-related institutional mistrust among multiethnic men who have sex with men: effects on HIV testing and risk behaviors. Health psychology : official journal of the Division of Health Psychology, American Psychological Association. 2012 May;31(3):269–77.
Hoyt, Michael A., et al. “HIV/AIDS-related institutional mistrust among multiethnic men who have sex with men: effects on HIV testing and risk behaviors.Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, vol. 31, no. 3, May 2012, pp. 269–77. Epmc, doi:10.1037/a0025953.
Hoyt MA, Rubin LR, Nemeroff CJ, Lee J, Huebner DM, Proeschold-Bell RJ. HIV/AIDS-related institutional mistrust among multiethnic men who have sex with men: effects on HIV testing and risk behaviors. Health psychology : official journal of the Division of Health Psychology, American Psychological Association. 2012 May;31(3):269–277.

Published In

Health psychology : official journal of the Division of Health Psychology, American Psychological Association

DOI

EISSN

1930-7810

ISSN

0278-6133

Publication Date

May 2012

Volume

31

Issue

3

Start / End Page

269 / 277

Related Subject Headings

  • Unsafe Sex
  • Trust
  • Sexual Behavior
  • Risk-Taking
  • Risk
  • Public Health
  • Prejudice
  • Patient Compliance
  • Minority Groups
  • Male