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Journal of urban health : bulletin of the New York Academy of Medicine
10, 2020;97 (5): 668-678.

Individual and Social Network Factors Associated with High Self-efficacy of Communicating about Men's Health Issues with Peers among Black MSM in an Urban Setting.

Jordan J White, Cui Yang, Karin E Tobin, Chris Beyrer, Carl A Latkin
Author Information
  1. Jordan J White: Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. jjwhite@jhu.edu. ORCID
  2. Cui Yang: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  3. Karin E Tobin: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  4. Chris Beyrer: Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  5. Carl A Latkin: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
PMID: 32740700 DOI: 10.1007/s11524-020-00458-2

Abstract

Black men who have sex with men (BMSM) bear a disproportionate burden of HIV in the USA. BMSM face stigma, discrimination and barriers to health care access, and utilization. Peers (male or female) may assist BMSM in navigating their health issues by engaging in communication to support in their health care needs. Individuals with high self-efficacy of communicating about men's health issues with peers can be trained as community popular opinion leaders (CPOLs) to change peer behaviors by promoting risk reduction communication. We examined the characteristics associated with high self-efficacy of communicating with peers about men's health issues among 256 BMSM from a behavioral HIV intervention conducted in Baltimore, Maryland. In the multivariate logistic model, gay identity (AOR: 2.10, 95% CI: 1.15,3.83), involvement in the house and ballroom community (AOR: 2.50, 95% CI: 1.14,5.49), larger number of network members who are living with HIV (AOR: 6.34, 95% CI: 1.48,27.11), and larger number of network members who would loan them money (AOR: 1.46, 95% CI: 1.05,2.03) were statistically significantly associated with high self-efficacy of communicating with peers about men's health issues. We also found that having depressive symptoms (AOR: 0.43, 95% CI: 0.24, 0.77) was negatively associated with high self-efficacy of communicating with peers about men's health issues. Findings from the current study can inform future studies to identify better CPOLs who are able to communicate effectively with peers about men's health issues for BMSM.

Keywords

Black men who have sex with men Communication HIV Self-efficacy Social networks Urban health

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Grants

  1. R34 MH116725/NIMH NIH HHS
  2. R01 DA031030/NIDA NIH HHS
  3. R01 MD013495/NIMHD NIH HHS

MeSH Term

Adolescent
Adult
Black or African American
Aged
Baltimore
Communication
Health Promotion
Health Services Accessibility
Homosexuality, Male
Humans
Interpersonal Relations
Male
Middle Aged
Peer Group
Self Efficacy
Social Networking
Young Adult
Journal Article Research Support, N.I.H., Extramural

Word Cloud

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