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Peer Social Support is Associated with Recent HIV Testing Among Young Black Men Who Have Sex with Men

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Scott, Hyman M., Pollack, Lance, Rebchook, Gregory M., Huebner, David M., Peterson, John, Kegeles, Susan M.·2014·AIDS and Behavior
DOI 10.1007/s10461-013-0608-8PMC PMC3965658
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Abstract

Resiliency factors such as social support have been associated with more frequent HIV testing among MSM. We examined the association between social support and delayed HIV testing in the context of structural discrimination and individual factors among young Black MSM. We combined two independent cross-sectional samples recruited 1 year apart from a venue-based, modified time-location sampling study of young Black MSM aged 18-29 years in the US South. Our subsample (N = 813) was men who self-reported not being HIV positive and who indicated they had one or more male sex partners in the past 2 months. Using a social epidemiology framework we estimated associations of structural (racism and homophobia), social (social support from other Black MSM friends) and individual factors with delayed HIV testing (>6 months ago) using logistic regression. Bivariate analyses demonstrated that individual level variables as well as experiences of racism (OR 1.20, 95% CI 1.02-1.41) and homophobia (OR 1.49, 95 % CI 1.02-2.17) were associated with higher risk of delayed HIV testing. Receiving social support from other Black MSM friends was associated with lower risk of delayed HIV testing (OR 0.80, 95 % CI 0.67-0.95). In multivariable models, social support remained significantly associated with lower risk of delayed HIV testing after inclusion of structural and individual level variables. Social support has a positive and robust association with HIV testing among young Black MSM. Whether community building and development of resiliency factors can overcome structural, social, and individual-level barriers to HIV prevention and care for young Black MSM warrants further study.

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Authors
Scott, H. M., Pollack, L., Rebchook, G. M., Huebner, D. M., Peterson, J., & Kegeles, S. M.
Affiliations
  • University of California, San Francisco (US)
  • University of Utah (US)
  • Georgia State University (US)
Corresponding author
Scott, Hyman M.
ORCID
Venue
AIDS and Behavior
Publisher
Springer Science and Business Media LLC
Published
2013-09-25
Volume
18
Issue
5
Pages
913-920
ISSN
  • 1090-7165 (ISSN-L)
  • 1573-3254
DOI
10.1007/s10461-013-0608-8
PMC
PMC3965658
OpenAlex
W2059712901
Cited by
122
References
1
Citations by year
2026: 4 · 2025: 3 · 2024: 8 · 2023: 7 · 2022: 13 · 2021: 8 · 2020: 13 · 2019: 15 · 2018: 18 · 2017: 11 · 2016: 11 · 2015: 8 · 2014: 3
FWCI
5.35
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • AIDS and Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • Centers for Disease Control and Prevention (UR6PS000334)
  • U.S. Public Health Service
  • National Institute of Mental Health (MH 19105-23, R01MH096690, T32MH019105, P30MH062246)
  • National Institute of Allergy and Infectious Diseases (P30AI027763)
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
Keywords
HIV testing, peer support, Black men who have sex with men, young men, racism, homophobia, structural discrimination, HIV prevention, resilience, community building, HIV care access
MeSH terms
Adolescent, Adult, Black or African American, Cross-Sectional Studies, Humans, Male, Mass Screening, Peer Group, Risk Factors, Sexual Partners, Social Support, Socioeconomic Factors, HIV Infections, Logistic Models, Homosexuality, Male, Resilience, Psychological, Young Adult, Racism, Social Discrimination, Homophobia

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