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Abstract #147230

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Jacqueline L. Sears, MPH, Division of Biomedical and Health Sciences Research, AAMC, 2450 N. Street, N.W., Washington, DC 20037, 202.828.0444, jsears@aamc.org and Dr. Saba Masho, MD, MPH, DrPH, Epidemiology and Community Health, Virginia Commonwealth University, 1000 E. Clay Street, Richmond, VA 980212.

Objective: Male-to-male sexual contact is the most common mode of transmission for HIV among Latino men. Psychosocial factors such as machismo, homophobic discrimination, and internalized homophobia have been hypothesized to greatly impact sexual behaviors among Latinos. However, studies investigating the relationship between these psychosocial factors and risky sexual behaviors are limited. This study examined the impact of machismo on risky sexual behaviors among Latino men who have sex with men (MSM).

Methods: This study utilized data collected from 254 Latino MSM in 1999 from selected cities within Virginia. The analysis focused on respondent demographic characteristics, psychosocial factors, acculturation, and sexual risky behaviors. Composite measures for acculturation, machismo, internalized homophobia, and sexual discrimination were created by combining sets of relevant questions. Bivariate and multivariate analyses were used and odds ratio and 95% confidence intervals were calculated.

Results: The study found a statistically significant relationship between machismo and HIV/STD sexual risk behaviors. Latino MSM with high machismo values were over five times more likely to engage in HIV/STD sexual risk behaviors compared to those with low machismo values (OR=5.53, 95%CI =1.85-16.47). In contrast, HIV/STD sexual risk behaviors were not significantly associated with acculturation, discrimination, or homophobia.

Conclusions: High machismo values are a significant risk factor for HIV and STD sexual risk behaviors in Latino MSM. Culturally competent messaging and appropriate skill building opportunities addressing machismo values should be incorporated into HIV and STD prevention programs that target Latino MSM.

Learning Objectives:

• 1.Participants will gain a new perspective on HIV risk by considering that psychosocial factors may have an impact on sexual behavior and that sexual behaviors influence risk of acquiring HIV. Participants will appreciate the difference between individual risk factors and community risk factors.
• 2.Understand how psychosocial factors influence sexual risk behavior, and that machismo values influence the risk behaviors of Latino MSM
• 3.
• a. Describe what a psychosocial factor is, and list three psychosocial factors
• b. Describe ways that psychosocial factors might impact sexual behavior
• c. Articulate the major finding of the study, and interpret it’s meaning
• d. Explain how the finding of the study is useful to Public Health professionals

Keywords: Latino Health, HIV Risk Behavior

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

• Slides (pdf) or Handout