Transcript Contextual Influences on Sexual Risk Among Latino MSM

Disclosure of HIV-Positive Status
to Social Network among Latino
Gay and Bisexual Males
Maria Cecilia Zea
Paul J. Poppen
Carol A. Reisen
Fernanda T. Bianchi
John J. Echeverry
George Washington University
RO1-MH60545
[email protected]
202-994-6321
Conceptual Model of Antecedents and Consequences of Disclosure of HIV Status
Among Latino Gay and Bisexual Men
ANTECEDENTS
CONSEQUENCES
Mental Health
Sociocultural
Factors
DISCLOSURE OF HIV
STATUS
Psychosocial
Factors
 Mother
 Father
 Closest Friend
 Main Sex Partner
HIV-Related
Factors
Sexual RiskTaking
Adherence to
Medical Care
Contextual Influences on Sexual
Risk Among Latino MSM
Funding by:
The National Institutes of Health, National Institute of
Child Health and Development,
María Cecilia Zea, Principal Investigator
Paul J. Poppen & Carol A. Reisen, Co-Investigators
R01- HD046258
Model of Sexual Risk-Taking
SITUATION LEVEL
PERSON LEVEL
SOCIOCULTURAL FACTORS
DYADIC FACTORS
SEXUAL ENCOUNTER
Partner Relationship (intimacy,
commitment, communication,duration)
Knowledge of HIV status
Concordance (HIV, race, etc)
National/Ethnic Factors
Country of Origin
(Brazilian, Colombian, Dominican)
Cultural/Subcultural Factors
ALCOHOL & DRUG USE WITH SEX
Acculturation (to USA, gay culture)
Latino Beliefs, Contact Gay Groups
- Type of Behaviors
Discrimination Experiences
Ethnicity/Color/Appearance
Sexual Orientation/Behavior
Demographics (Age,SES)
PSYCHOSOCIAL FACTORS
- Protected or
Unprotected
Type and amount of substance
Motivation for Substance Use
SEXUAL FEELINGS
Level of sexual arousal
Communication of desire for safe sex
SETTING
Public vs. Private location of encounter
Depression
Coping Style
Self Efficacy for Protected Sex
Enjoyment of Unprotected Sex