@article{a5476e1020ff4907919ae165e5d5d9ca,
title = "ORIGINAL PAPER predictors of HIV transmission risk behavior and seroconversion among Latino men who have sex with men in project explore",
abstract = "In the US, Latino MSM are disproportionately affected by HIV, yet there is a paucity of data for this risk group. To this end, we examined data on Latino and non- Latino white MSM who participated across six cities in a 2-year randomized behavioral intervention study-Project EXPLORE. At baseline, Latinos reported significantly more serodiscordant unprotected anal intercourse (SDUA) than non-Latinos. Longitudinal predictors of SDUA included marijuana, poppers, amphetamines and heavy drinking, as well as lower self-efficacy, poorer communication skills, weaker safe-sex norms and more enjoyment of risky sex. For HIV infection, Latinos had significantly higher seroconversion rate over follow-up than non-Latinos. Longitudinal predictors of seroconversion among Latinos included poppers and SDUA. Intervention effects did not significantly differ between Latino and non-Latinos. Findings support HIV intervention work with Latino MSM that includes skills training/counseling to address attitudes about safe sex and impact of substance use on HIV-risk behavior and acquisition.",
keywords = "AIDS/HIV, HIV prevention, High-risk sexual behavior, Hispanic/Latino, MSM, Substance use",
author = "Bedoya, {C. Andres} and Mimiaga, {Mathew J.} and Geetha Beauchamp and Deborah Donnell and Mayer, {Kenneth H.} and Safren, {Steven A.}",
note = "Funding Information: Acknowledgments We gratefully acknowledge the contributions of the EXPLORE study participants and the entire EXPLORE Study Team. Protocol Co-Chairs, Sites and Principal Investigators are listed below. For a full listing of members of the EXPLORE study team please see The EXPLORE Study Team 2004. Protocol co-chairs: Beryl Koblin, Margaret Chesney and Thomas Coates. Boston{\textquoteright}s Fen-way Community Health Center and the Latin American Health Institute: Kenneth Mayer (Site Principal Investigator) and Team. Chicago{\textquoteright}s Howard Brown Community Health Center: David McKirnan (Site Principal Investigator) and Team. Denver Public Health: Franklyn Judson (Site Principal Investigator) and Team. New York Blood Center: Beryl Koblin (Site Principal Investigator) and Team. San Francisco Department of Public Health: Susan Buchbinder (Site Principal Investigator), Grant Colfax (Site Co-Principal Investigator), and Team. Seattle{\textquoteright}s University of Washington: Connie Ce-lum (Site Principal Investigator) and Team. We are also grateful for the support we received from Abt Associates, Inc., Center for AIDS Prevention Studies, Statistical Center for HIV/AIDS Research and Prevention and the Central Laboratory. This work was supported by the HIV Network for Prevention Trials and sponsored by the US National Institute of Allergy and Infectious Diseases and the National Institute on Alcohol Abuse and Alcoholism, of the National Institutes of Health, Department of Health and Human Services, through contract N01 AI35176 with Abt Associates Inc; contract N01 AI45200 with the Fred Hutchinson Cancer Research Center; and subcontracts with the Denver Public Health, the Fenway Community Health Center, the Howard Brown Health Center, the New York Blood Center, the Public Health Foundation Inc., and the University of Washington. In addition, this work was supported by the HIV Prevention Trials Network and sponsored by the National Institute of Allergy and Infectious Diseases, the National Institute of Child Health and Human Development, the National Institute on Drug Abuse, the National Institute of Mental Health, and the Office of AIDS Research, of the National Institutes of Health, US Dept of Health and Human Services, through a cooperative agreement with Family Health International (cooperative agreement 5 U01 AI46749) with a subsequent subcontract to Abt Associates Inc. with subcontracts to the Howard Brown Health Center and Denver Public Health; cooperative agreement U01 AI48040 to the Fenway Community Health Center, cooperative agreement U01 AI48016 to Columbia University (including a subagreement with the New York Blood Center); and cooperative agreement U01 AI47981 to the University of Washington; and cooperative agreement U01 AI47995 to the University of California, San Francisco. Finally, funding for Andres Bedoya{\textquoteright}s work on this manuscript was supported by Grant Number R01DA018603 from the National Institute on Drug Abuse.",
year = "2012",
month = apr,
doi = "10.1007/s10461-011-9911-4",
language = "English (US)",
volume = "16",
pages = "608--617",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "3",
}
