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1.
AIDS Educ Prev ; 34(4): 325-332, 2022 08.
Article in English | MEDLINE | ID: mdl-35994581

ABSTRACT

The COVID-19 pandemic and resulting public health response has disrupted the lives of adolescents and their families worldwide. We evaluated the impact of the pandemic on attitudes, beliefs, and sexual risk behavior among adolescents in Botswana. Participants were recruited using household-based sampling across residential districts (blocks) in and around Gaborone, Botswana, and completed surveys on laptop computers at a private, central location. We compared baseline survey data from 380 adolescents who completed the survey pre-pandemic (n = 139) to those who completed the survey intra-pandemic (n = 241). Participants had a mean age of 15.2 years; 58.6% were girls and 41.4% were boys. Intra-pandemic, participants reported greater engagement in transactional sex (38.1% compared to 13.6% pre-pandemic, p <. 05), more favorable attitudes toward transactional sex with sugar daddies and sugar mommies (p <. 05), greater intentions to remain sexually active in the future (29.2% vs.13.6%, respectively, p <.05), and lower self-efficacy in handling risky sexual situations (p < .01). Public health interventions that lessen these concerning shifts in attitudes and behaviors will be key to protecting the sexual health of adolescents and to supporting their safe transition to adulthood.


Subject(s)
COVID-19 , HIV Infections , Adolescent , Adult , Botswana/epidemiology , COVID-19/epidemiology , Cross-Sectional Studies , Female , HIV Infections/prevention & control , Humans , Male , Pandemics , Risk-Taking , Sexual Behavior , Sugars
2.
AIDS Behav ; 22(6): 1814-1825, 2018 Jun.
Article in English | MEDLINE | ID: mdl-28013400

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.


Subject(s)
Black or African American/psychology , Culture , HIV Infections/ethnology , Health Knowledge, Attitudes, Practice , Homosexuality, Male/psychology , Trust , Adult , Black or African American/ethnology , Anti-HIV Agents/administration & dosage , Anti-Retroviral Agents/therapeutic use , Attitude to Health , Condoms/statistics & numerical data , HIV Infections/drug therapy , HIV Infections/psychology , Homosexuality, Male/ethnology , Humans , Male , Middle Aged , Risk-Taking , Sexual Behavior , Sexual Partners , United States
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