We investigated the psychosocial mechanisms linking personal and contextual risk factors to HIV-related behavior among 498 rural Black men. We characterized HIV-related behavior in terms of profile groups and hypothesized that contextual and personal risk factors (childhood adversity, community disadvantage, incarceration, and racial discrimination) would predict HIV-related behavior indirectly via two psychosocial mechanisms: impulsivity and negative relational schemas.
Study results documented three HIV-related behavior profile groups.
- The Safer group reported low levels of risky behavior.
- The Risk-Taking group reported inconsistent condom use and elevated substance use.
- The Multiple Partners group reported the highest numbers of partners and relatively consistent condom use.
Specificity in pathways suggests the need for targeted interventions based on multidimensional characterizations of risk behavior.
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By: Steven M. Kogan,, Junhan Cho, Stacey Barnum, Allen Barton, Megan R. Hicks, Geoffrey L. Brown
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