IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i9p4961-d549908.html
   My bibliography  Save this article

Profiles of HIV Risk, Sexual Power, and Decision-Making among Sexual Minority Men of Color Who Engage in Transactional Sex: A Latent Profile Analysis

Author

Listed:
  • S. Raquel Ramos

    (Rory Meyers College of Nursing, New York University, New York, NY 10016, USA)

  • David T. Lardier

    (Department of Individual, Family, and Community Studies, College of Education and Human Sciences, University of New Mexico, Albuquerque, NM 87131, USA
    Department of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, University of New Mexico, Albuquerque, NM 87131, USA)

  • Donte T. Boyd

    (College of Social Work, The Ohio State University, Columbus, OH 43210, USA)

  • José I. Gutierrez

    (National Clinician Scholar, Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA 94118, USA)

  • Eliana Carasso

    (Rory Meyers College of Nursing, New York University, New York, NY 10016, USA)

  • David Houng

    (Rory Meyers College of Nursing, New York University, New York, NY 10016, USA)

  • Trace Kershaw

    (School of Public Health, Yale University, New Haven, CT 06520, USA
    Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT 06520, USA)

Abstract

Though the transmission of HIV is preventable, there were still 37,968 new documented cases in the United States in 2018. HIV incidence is disproportionate in sexual minority men of color. The purpose of this study was to examine sexual relationship power risk profiles to identify distinct subgroups within the profiles who carry the highest HIV risk. Latent class profile analysis was used to identify subgroups of sexual minority men of color at the highest risk for contracting HIV based on their sexual power profiles. Among 322 sexual minority men, we identified four latent profiles. Profile 1: Low transactional sex and high power ( n = 133; 14.3%); Profile 2: Transactional sex, high decision-making in sexual relationships, and low control in sexual relationship ( n = 99; 30.7%); Profile 3: Low transactional sex, low decision-making, and moderate control ( n = 43; 13.4%); Profile 4: High transactional sex and low power ( n = 47; 14.6%). LPA was useful to identify distinct subgroups based on measures of sexual risk and relationship sexual power. Findings carry significant implications for developing tailored strategies to increase HIV knowledge and related HIV prevention and risk reduction services for sexual minority men of color who engage in transactional sex.

Suggested Citation

  • S. Raquel Ramos & David T. Lardier & Donte T. Boyd & José I. Gutierrez & Eliana Carasso & David Houng & Trace Kershaw, 2021. "Profiles of HIV Risk, Sexual Power, and Decision-Making among Sexual Minority Men of Color Who Engage in Transactional Sex: A Latent Profile Analysis," IJERPH, MDPI, vol. 18(9), pages 1-17, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4961-:d:549908
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/9/4961/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/9/4961/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jorge M. Agüero & Prashant Bharadwaj, 2014. "Do the More Educated Know More about Health? Evidence from Schooling and HIV Knowledge in Zimbabwe," Economic Development and Cultural Change, University of Chicago Press, vol. 62(3), pages 489-517.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Annika Lindskog & Dick Durevall, 2021. "To educate a woman and to educate a man: Gender‐specific sexual behavior and human immunodeficiency virus responses to an education reform in Botswana," Health Economics, John Wiley & Sons, Ltd., vol. 30(3), pages 642-658, March.
    2. Bhandari, Aarushi & Burroway, Rebekah, 2023. "Hold the phone! A cross-national analysis of Women's education, mobile phones, and HIV infections in low- and middle-income countries, 1990–2018," Social Science & Medicine, Elsevier, vol. 334(C).
    3. Dursun, Bahadır & Cesur, Resul & Mocan, Naci, 2018. "The Impact of Education on Health Outcomes and Behaviors in a Middle-Income, Low-Education Country," Economics & Human Biology, Elsevier, vol. 31(C), pages 94-114.
    4. Miron Tequame & Nyasha Tirivayi, 2015. "Higher education and fertility: Evidence from a natural experiment in Ethiopia," CINCH Working Paper Series 1509, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Aug 2015.
    5. Shah,Manisha & Seager,Jennifer & Montalvao Machado,Joao H. C. & Goldstein,Markus P., 2022. "Two Sides of Gender : Sex, Power, and Adolescence," Policy Research Working Paper Series 10072, The World Bank.
    6. Marshall Makate & Chamunorwa Nyamuranga, 2023. "The long‐term impact of education on dietary diversity among women in Zimbabwe," Review of Development Economics, Wiley Blackwell, vol. 27(2), pages 897-923, May.
    7. Fenske, James, 2015. "African polygamy: Past and present," Journal of Development Economics, Elsevier, vol. 117(C), pages 58-73.
    8. Makate, Marshall & Makate, Clifton, 2016. "The causal effect of increased primary schooling on child mortality in Malawi: Universal primary education as a natural experiment," Social Science & Medicine, Elsevier, vol. 168(C), pages 72-83.
    9. Bahadır Dursun & Resul Cesur & Inas R. Kelly, 2022. "Mandatory Schooling of Girls Improved Their Children's Health: Evidence from Turkey's 1997 Education Reform," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 41(3), pages 824-858, June.
    10. Le, Kien & Nguyen, My, 2020. "Shedding light on maternal education and child health in developing countries," World Development, Elsevier, vol. 133(C).
    11. Samia Badji, 2016. "Mother's Education and Increased Child Survival in Madagascar: What Can We Say?," Working Papers 1635, Groupe d'Analyse et de Théorie Economique Lyon St-Étienne (GATE Lyon St-Étienne), Université de Lyon.
    12. Youjin Hahn & Asadul Islam & Kanti Nuzhat & Russell Smyth & Hee-Seung Yang, 2018. "Education, Marriage, and Fertility: Long-Term Evidence from a Female Stipend Program in Bangladesh," Economic Development and Cultural Change, University of Chicago Press, vol. 66(2), pages 383-415.
    13. David Mmopelwa & Oliver Morrissey & Trudy Owens, 2021. "HIV/AIDS and sexual behaviour in Botswana," Discussion Papers 2021-03, University of Nottingham, CREDIT.
    14. Bilge Erten & Luis Pinar Keskin, 2017. "Breaking the Cycle? Education and the Intergenerational Transmission of Violence," Boston University - Department of Economics - Working Papers Series dp-296, Boston University - Department of Economics.
    15. Chicoine, Luke, 2019. "Schooling with learning: The effect of free primary education and mother tongue instruction reforms in Ethiopia," Economics of Education Review, Elsevier, vol. 69(C), pages 94-107.
    16. Chicoine, Luke, 2016. "Identifying National Level Education Reforms in Developing Settings: An Application to Ethiopia," IZA Discussion Papers 9916, Institute of Labor Economics (IZA).
    17. Ross, Ian & Cumming, Oliver & Dreibelbis, Robert & Adriano, Zaida & Nala, Rassul & Greco, Giulia, 2021. "How does sanitation influence people's quality of life? Qualitative research in low-income areas of Maputo, Mozambique," Social Science & Medicine, Elsevier, vol. 272(C).
    18. Nava Ashraf & Natalie Bau & Nathan Nunn & Alessandra Voena, 2020. "Bride Price and Female Education," Journal of Political Economy, University of Chicago Press, vol. 128(2), pages 591-641.
    19. Jorge M. Agüero & Maithili Ramachandran, 2020. "The Intergenerational Transmission of Schooling among the Education-Rationed," Journal of Human Resources, University of Wisconsin Press, vol. 55(2), pages 504-538.
    20. Mustafa Özer & Jan Fidrmuc & Mehmet Ali Eryurt, 2023. "Education and domestic violence: Evidence from a natural experiment in Turkey," Kyklos, Wiley Blackwell, vol. 76(3), pages 436-460, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4961-:d:549908. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.