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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

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  • 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
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    References listed on IDEAS

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