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The Effects of Three Types of Sexual Orientation Victimization on HIV Sexual Risk Behavior Among Black South African Men Who Have Sex With Men (MSM).

Authors
  • Icard, Larry D1, 2
  • Zhang, Jingwen3
  • Jemmott, John B4
  • Sandfort, Theo G M5
  • Rutledge, Scott E1
  • Van Greunen, Darelle2
  • Martinez, Omar1
  • 1 College of Public Health, School of Social Work, Temple University, Philadelphia, Pennsylvania, USA.
  • 2 Center for Community Technologies, Department of Information and Communication Technology, Nelson Mandela University, Port Elizabeth, South Africa. , (South Africa)
  • 3 Department of Communication, University of California at Davis, Davis, California, USA.
  • 4 Annenberg School for Communication, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • 5 Mailman School of Public Health, Columbia University, New York, New York, USA.
Type
Published Article
Journal
Journal of homosexuality
Publication Date
Jan 01, 2020
Volume
67
Issue
4
Pages
513–527
Identifiers
DOI: 10.1080/00918369.2018.1547561
PMID: 30582734
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The goal of this study is to examine the relations between histories of three types of sexual orientation victimization (childhood, personal, and institutional) and HIV sexual risk behavior among Black South African men who have sex with men (MSM). Secondarily, this study examines whether marijuana use and problem drinking mediate the relations. Participants were 125 Black MSM recruited from neighborhoods in Eastern Cape Province, South Africa. Questionnaires administered through audio computerized self-interviewing assessed sexual orientation victimizations, problem drinking and marijuana use, and unprotected anal sex with casual partners. Data were analyzed using multiple regression and multiple mediation modeling.Personal and institutional sexual victimizations were associated with condomless anal sex. Childhood sexual orientation victimization was positively associated with problem drinking. Neither problem drinking nor marijuana use mediated the relations between sexual orientation victimizations and having condomless anal sex with casual partners.

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