TY - JOUR
T1 - Gay identity, interpersonal violence, and HIV risk behaviors
T2 - An empirical test of theoretical relationships among a probability-based sample of urban men who have sex with men
AU - Relf, Michael V.
AU - Huang, Bu
AU - Campbell, Jacquelyn
AU - Catania, Joe
N1 - Funding Information:
The parent Urban Men's Health Study was conducted under the direction of Joe Catania and Ron Stall, and was funded by the National Institutes of Mental Health (Grant No. MH54320). This study was funded by Sigma Theta Tau International and by the American Nurses Foundation through grants awarded to Michael A. Relf.
PY - 2004
Y1 - 2004
N2 - 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.
AB - 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.
KW - Battering
KW - Childhood sexual abuse
KW - Gay identity
KW - Gay/bisexual men
KW - Structural equation modeling
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U2 - 10.1177/1055329003261965
DO - 10.1177/1055329003261965
M3 - Article
C2 - 15090130
AN - SCOPUS:2142640223
SN - 1055-3290
VL - 15
SP - 14
EP - 26
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 2
ER -