Cited by 64HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskLGBTQ Health, Identity, and Policy

HIV/AIDS-related institutional mistrust among multiethnic men who have sex with men: Effects on HIV testing and risk behaviors

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Hoyt, Michael A., Rubin, Lisa R., Nemeroff, Carol J., Lee, Joyce, Huebner, David M., Proeschold-Bell, Rae Jean·2012·Health Psychology

Abstract

OBJECTIVE: To investigate relationships between institutional mistrust (systematic discrimination, organizational suspicion, and conspiracy beliefs), HIV risk behaviors, and HIV testing in a multiethnic sample of men who have sex with men (MSM), and to test whether perceived susceptibility to HIV mediates these relationships for White and ethnic minority MSM. METHOD: Participants were 394 MSM residing in Central Arizona (M age = 37 years). Three dimensions of mistrust were examined, including organizational suspicion, conspiracy beliefs, and systematic discrimination. Assessments of sexual risk behavior, HIV testing, and perceived susceptibility to HIV were made at study entry (T1) and again 6 months later (T2). RESULTS: There were no main effects of institutional mistrust dimensions or ethnic minority status on T2 risk behavior, but the interaction of systematic discrimination and conspiracy beliefs with minority status was significant such that higher levels of systematic discrimination and more conspiracy beliefs were associated with increased risk only among ethnic minority MSM. Higher levels of systematic discrimination were significantly related to lower likelihood for HIV testing, and the interaction of organizational suspicion with minority status was significant such that greater levels of organizational suspicion were related to less likelihood of having been tested for HIV among ethnic minority MSM. Perceived susceptibility did not mediate these relationships. CONCLUSION: Findings suggest that it is important to look further into the differential effects of institutional mistrust across marginalized groups, including sexual and ethnic minorities. Aspects of mistrust should be addressed in HIV prevention and counseling efforts.

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Registry

Crossref · 10.1037/a0025953

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  • Endorsement of conspiracy theories about birth control and HIV/AIDS amongst African Americans is associated with negative attitudes towards contraceptive behaviors.

    “Endorsement of these conspiracy theories amongst African Americans has been found to be associated with negative attitudes towards contraceptive behaviors, which may potentially expose people to the risk of unwanted pregnancies and sexually transmitted illnesses [23], [24], [25].”

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Authors
Hoyt, M. A., Rubin, L. R., Nemeroff, C. J., Lee, J., Huebner, D. M., & Proeschold-Bell, R. J.
Affiliations
  • University of California, Merced (US)
  • The New School (US)
  • University of Southern Maine (US)
  • University of Minnesota (US)
  • University of Utah (US)
Venue
Health Psychology
Published
2012
Volume
31
Issue
3
Pages
269-277
ISSN
  • 0278-6133 (ISSN-L)
  • 1930-7810
OpenAlex
W2148200671
Cited by
64
References
54
Citations by year
2026: 3 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 9 · 2021: 9 · 2020: 4 · 2019: 11 · 2018: 2 · 2017: 4 · 2016: 3 · 2015: 5 · 2014: 2 · 2013: 2
FWCI
0.86
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Health Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • DukeSpace (Duke University) (submittedVersion, cc-by-nc-nd)
Funders
Centers for Disease Control and Prevention (Cooperative Agreement 99004)
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
institutional distrust, men who have sex with men, HIV testing, HIV risk behavior, conspiracy beliefs, HIV prevention
MeSH terms
Adult, Arizona, Attitude to Health, Coitus, Delivery of Health Care, Ethnicity, HIV Seropositivity, Humans, Institutional Practice, Male, Minority Groups, Patient Compliance, Prejudice, Risk, Risk-Taking, Sexual Behavior, HIV Infections, Homosexuality, Male, Trust, Unsafe Sex

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