Gay identity, interpersonal violence, and HIV risk behaviors: An empirical test of theoretical relationships among a probability-based sample of urban men who have sex with men

Michael V. Relf, Bu Huang, Jacquelyn Campbell, Joe Catania

Research output: Contribution to journalArticle

Abstract

The highest absolute number of new HIV infections and AIDS cases still occur among men who have sex with men (MSM). Numerous theoretical approaches have been used to understand HIV risk behaviors among MSM; however, no theoretical model examines sexual risk behaviors in the context of gay identity and interpersonal violence. Using a model testing predictive correlational design, the theoretical relationships between childhood sexual abuse, adverse early life experiences, gay identity, substance use, battering, aversive emotions, HIV alienation, cue-to-action triggers, and HIV risk behaviors were empirically tested using confirmatory factor analysis and structural equation modeling. The relationships between these constructs are complex, yet childhood sexual abuse and gay identity were found to be theoretically associated with HIV risk behaviors. Also of importance, battering victimization was identified as a key mediating variable between childhood sexual abuse, gay identity, and adverse early life experiences and HIV risk behaviors among urban MSM.

Original languageEnglish (US)
Pages (from-to)14-26
Number of pages13
JournalJournal of the Association of Nurses in AIDS Care
Volume15
Issue number2
DOIs
StatePublished - Jan 1 2004

Keywords

  • Battering
  • Childhood sexual abuse
  • Gay identity
  • Gay/bisexual men
  • Structural equation modeling

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

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