Characterizing Socioecological Markers of Differentiated HIV Risk Among Men Who Have Sex with Men in Indonesia.
HIV prevention programs typically focus on changing individuals' risk behaviors, often without considering the socioecological factors that can moderate this risk. We characterized HIV risk among men who have sex with men (MSM) in Indonesia (n = 1314) using latent class analysis and used multinomial...
| Publicado en: | AIDS & Behavior Vol. 28; no. 2; pp. 657 - 669 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175529076&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175529076 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Feb2024 vid: 28 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 175529076 175529076 175529076 10.1007/s10461-023-04253-3 175529076 ppf: 657 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Characterizing Socioecological Markers of Differentiated HIV Risk Among Men Who Have Sex with Men in Indonesia. aug: au: Nevendorff, Laura Pedrana, Alisa Bourne, Adam Traeger, Michael Sindunata, Eric Reswana, Wawa A. Alharbi, Rosidin M. Stoové, Mark affil: https://ror.org/05ktbsm52 Disease Elimination Program, Burnet Institute, 85 Commercial Rd, 3004, Melbourne, Australia sug: subj: HIV Infections Epidemiology HIV Infections Prevention and Control HIV Infections Risk Factors Men Who Have Sex With Men Risk Taking Behavior Socioeconomic Factors HIV-Positive Persons Risk Assessment Human Male Female Surveys Indonesia Structural Equation Modeling Multiple Logistic Regression Social Networks Social Media Homosexuality Sexual and Gender Minorities Unsafe Sex Sexual Behavior Support, Social Health Promotion Descriptive Statistics Odds Ratio Confidence Intervals Funding Source Male Female ab: HIV prevention programs typically focus on changing individuals' risk behaviors, often without considering the socioecological factors that can moderate this risk. We characterized HIV risk among men who have sex with men (MSM) in Indonesia (n = 1314) using latent class analysis and used multinomial logistic regression to identify latent class relationships with demographics, social/sexual networks, and community-level socioecological indicators of HIV risk. Three HIV risk latent classes were identified—"Sexually Moderate" (n = 333), "Sexual Explorative" (n = 575), and "Navigating Complexities" (n = 406). Using "Sexually Moderate" (lowest risk) as the reference group, MSM in the "Sexual Explorative" class had additional social/sexual network-level risks (meeting partner(s) using both online and offline methods [RR = 3.8; 95%CI 1.7–8.6] or general social media and gay-specific online platforms [RR = 2.6; 95%CI 1.9–3.6] to meet partners, group sex [RR = 10.9; 95%CI 4.5–25.4], transactional sex [RR = 1.6; 95%CI 1.2–2.2]), and community-level risks (experiencing homosexual-related assaults [RR = 1.4; 95%CI 1.1–1.9]). MSM in the "Navigating Complexities" class had additional social/sexual network-level risks (low social support [RR = 1.6; 95%CI 1.1–2.5], less disclosure of their sexuality [RR = 1.4; 95%CI 1.0–1.9]) and community-level risks (higher internalized homonegativity scores [RR = 1.2; 95%CI 1.1–1.4], ever experiencing homosexual-related assaults [RR = 1.4:95%CI 1.1–1.9], less exposure to HIV/STI health promotion [RR = 0.7; 95%CI 0.5–0.9], attending STI-related services in the past 6 months [RR = 0.6; 95%CI 0.4–0.8]). Co-occurring individual and socioecological risk recommend holistic HIV prevention strategies tailored to consider the social and structural conditions of MSM in Indonesia are needed. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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