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AIDS Behav. 2020 Mar 21. doi: 10.1007/s10461-020-02835-z. [Epub ahead of print]

Information and Motivation Predict HIV-Serostatus Among a Population of High-Risk Men and Transgender Women Who Have Sex with Men.

Author information

1
Department of Psychology, Syracuse University, Syracuse, NY, USA. azsheinf@syr.edu.
2
Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, USA.
3
Department of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy, New York, USA.
4
Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, USA.
5
Department of Medicine, Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA, USA.
6
Division of General Internal Medicine, Department of Medicine, Center for Vulnerable Populations At Zuckerberg San Francisco General Hospital and Trauma Center, School of Medicine, University of California San Francisco, San Francisco, CA, USA.
7
Bakar Computational Health Science Institute, University of California San Francisco, San Francisco, CA, USA.
8
Department of Pediatrics, University of Puerto Rico Medical Sciences Campus, San Juan, USA.

Abstract

Two constructs from the information-motivation-behavioral skills model were used to predict HIV-serostatus among a sample of men and transgender women who have sex with men. Hypotheses were that lower levels of HIV knowledge and lower levels of motivation to remain HIV-negative would be associated with an increased likelihood of receiving a positive HIV test result at a study eligibility-screening session. Results of a backwards stepwise logistic regression analysis demonstrated that lower levels of HIV knowledge, lower levels of motivation to remain HIV-negative, lower levels of education, and identifying as Hispanic/Latinx were associated with greater odds of receiving a positive HIV test result. These findings are consistent with the broader HIV-prevention literature that demonstrates that information and motivation are fundamental determinants of HIV preventive behavior. This work has implications for informing the development and improvement of HIV-prevention interventions.

KEYWORDS:

HIV self-test; HIV-serostatus; IMB model; Men who have sex with men; Transgender women

PMID:
32200447
DOI:
10.1007/s10461-020-02835-z

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