142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

303454
Psychological Factors and Decisional Balance to Use Condoms among Young Gay and Bisexual Men: Differences across Race and Ethnicity

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 9:00 AM - 9:15 AM

Ryan Wade , Health Behavior and Health Education, University of Michigan, Ann Arbor, MI
Jose A. Bauermeister, MPH, PhD , Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI
Gary W. Harper, PhD, MPH , Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI
Background: Young gay and bisexual men (YGBM; ages 18–24) are experiencing an increase in rates of HIV infection, with Black and Latino YGBM experiencing higher infection rates than White YGBM. Psychological factors are often implicated in YGBM’s HIV/AIDS risk behaviors. However, YGBM’s decision to forego condoms with a partner (i.e., decisional balance to use condoms; DBC) across racial/ethnic groups is inconclusive in the literature.

Methods: Using data from a cross-sectional web-survey of single YGBM across the United States (N=1380; ages 18-24; 9.9% Black; 18.6% Latino; 71.5% White), we performed three race-specific multivariate regression models to explore the association between psychological factors (i.e., depression, anxiety) and DBC, after adjusting for YGBM’s age and their perceived difficulty to implement safer-sex strategies.

Results: Latino participants were significantly more likely to have higher depressive symptoms in the last week than Black participants, and more likely to have higher anxiety symptoms than White and Black participants. In our race-specific regression analyses, we found that greater symptoms of depression were associated with lower DBC to use condoms among Black participants (b =-.268). Greater anxiety symptoms was associated with greater DBC to use condoms among Latinos (b =.207).  We found no association between psychological variables and DBC among White participants.

Conclusions: Psychological factors may be differentially associated with decisional balance to use condoms across racial and ethnic group categories. Health promotion initiatives around condom use may benefit from culturally-tailored interventions that address psychosocial functioning and its role in YMSM's condom use decision-making.

Learning Areas:

Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe recent demographic trends in HIV incidence among young men who have sex with men (YMSM). Examine the relationship between psychological factors and YMSMís attitudes about foregoing condoms with a partner (i.e., decisional balance). Discuss the ways in which psychological factors may be differentially associated with DBC across racial/ethnic group categories

Keyword(s): Mental Health, HIV Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted the proposed work under the supervision of my faculty mentors.
Any relevant financial relationships? No

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.

Back to: 3045.0: HIV/AIDS and Mental Health