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A Hierarchical Generalized Linear Model of Condom Use among Latino MSM: Constructs for HIV Counseling Interventions Open Access

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There are approximately 1.2 million people in the United Stated living with HIV/AIDS. At the end of 2012, 75.3% of persons living with HIV/AIDS (PLWHA) were males, with the majority of those being men who have sex with men. The rate of new HIV diagnoses among males is more than four times greater than the rate among females. Of new HIV diagnoses in 2013, approximately 67% were among Black/African American and Hispanic/Latino individuals. Though the total number of Black males living with HIV is notably higher, a greater proportion of Latino men are infected through sexual activity with other men. Unprotected anal intercourse (UAI) is the riskiest sexual activity for contracting HIV. The present study utilized hierarchical generalized linear modeling, with secondary data, to assess the multi-level effects of Latino cultural sexual beliefs regarding condom use across sexual encounters. Results suggest that Latino male sexual beliefs associated with sexual acquiescence moderated the influence of arousal on the likelihood of unprotected insertive anal intercourse and moderated the influence of relationship closeness on the likelihood of unprotected receptive anal intercourse (URAI). The study findings suggest that beliefs associated with sexual acquiescence also had a direct effect on the likelihood of URAI. The application of the study findings for counseling professionals include: 1) the proposed creation of an HIV-prevention counseling intervention that prioritizes the holistic sexuality of clients and 2) judiciously incorporating sexuality coursework in the formal training of counselors.

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