Faculty Collaboration Database

The Health and Sociocultural Correlates of AIDS Genocidal Beliefs and Medical Mistrust Among African American MSM. AIDS Behav 2018 Jun;22(6):1814-1825

Date

12/26/2016

Pubmed ID

28013400

Pubmed Central ID

PMC5483207

DOI

10.1007/s10461-016-1657-6

Scopus ID

2-s2.0-85007197257 (requires institutional sign-in at Scopus site)   32 Citations

Abstract

This study examined social and health-related correlates of AIDS conspiracy theories among 464 African American men who have sex with men (MSM). Exploratory factor analysis revealed two subscales within the AIDS conspiracy beliefs scale: medical mistrust and AIDS genocidal beliefs. Multiple regression analyses revealed medical mistrust and AIDS genocidal beliefs were both associated negative condom use attitudes and higher levels of internalized homonegativity. Medical mistrust was also associated with lower knowledge of HIV risk reduction strategies. Finally, we conducted bivariate regressions to examine the subsample of participants who reported being HIV-positive and currently taking HIV antiretroviral therapy (ART) to test associations between sexual behavior and HIV treatment and AIDS conspiracy theories. Among this subsample, medical mistrust was associated with having a detectable viral load and not disclosing HIV-status to all partners in the previous 3 months. Collectively, these findings have implications for HIV prevention and treatment for African American MSM.

Author List

Quinn KG, Kelly JA, DiFranceisco WJ, Tarima SS, Petroll AE, Sanders C, Lawrence JSS, Amirkhanian YA

Authors

Yuri A. Amirkhanian PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Wayne J. DiFranceisco Research Scientist II in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Jeffrey A. Kelly PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Andrew Petroll MD Professor in the Medicine department at Medical College of Wisconsin
Katherine Quinn PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Sergey S. Tarima PhD Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Anti-HIV Agents
Anti-Retroviral Agents
Attitude to Health
Condoms
Culture
HIV Infections
Health Knowledge, Attitudes, Practice
Homosexuality, Male
Humans
Male
Middle Aged
Risk-Taking
Sexual Behavior
Sexual Partners
Trust
United States