In the USA, Black males are
disproportionately affected by community violence and HIV. The aim of this
study was to assess whether exposures to community violence are related to
psychological distress, drug use, sexual risk behaviors, and medication
adherence among a sample of HIV-positive young Black men who had sex with men
(YBMSM). Data are from 98 YBMSM ages 18-29 years recruited from Chicago who
completed measures on demographics, exposures to community violence,
psychological distress, drug use, condomless anal intercourse, and medication
adherence.
Rates of exposure to community violence were high and youth reported
victimization and witnessing numerous types of violence in their lifetime. In
adjusted logistic regression analyses, models indicate that YBMSM reporting
higher levels of exposure to community violence had significantly higher rates
of condomless anal intercourse in the previous 6 months (AOR: 5.33, 95%CI:
1.38-20.55).
Additionally, exposure to community violence was positively
associated with psychological distress, hard drug use, and use of marijuana as
a sex drug. Adherence to HIV antiretroviral medication was negatively
associated with community violence (AOR: 0.36, 95%CI: 0.13-0.97). Rates of
exposure to community violence are especially high in urban communities.
Overall findings suggest that treatment, intervention, and programmatic
approaches that include initiatives to address exposure to community violence
might correlate with better health-related outcomes for HIV-positive YBMSM.
Purchase full article at: http://goo.gl/GEXEA6
By: Quinn K1, Voisin DR2,3, Bouris A2,3, Schneider J3,4,5.
- 1 Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine , Medical College of Wisconsin , Milwaukee , WI , USA.
- 2 School of Social Service Administration , University of Chicago , Chicago , IL , USA.
- 3 STI/HIV Intervention Network , University of Chicago , Chicago , IL , USA.
- 4 Department of Medicine , University of Chicago , Chicago , IL , USA.
- 5 Department of Public Health Sciences , University of Chicago , Chicago , IL , USA.
- AIDS Care. 2016 Feb 26:1-7.
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