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Lardier DT, Opara I, Asabor EN, Bell F, Garcia-Reid P, Reid RJ. HIV knowledge and protective factors among racial-ethnic minority youth: Moderation by Ethnic identity and LGBQ+ identity. JOURNAL OF LGBT YOUTH 2023; 21:526-548. [PMID: 39131490 PMCID: PMC11313272 DOI: 10.1080/19361653.2023.2200425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 04/01/2023] [Indexed: 08/13/2024]
Abstract
Due to systemic racism and homophobia, Lesbian, Gay, Bisexual, and Queer (LGBQ+) youth of color are disproportionately affected by HIV (human immunodeficiency virus) / AIDS (acquired immunodeficiency syndrome) and viral hepatitis (VH). Innovative approaches that acknowledge strengths such as ethnic identity need to be examined to understand specific protective factors that can support LGBQ+ youth of color. This study aimed to examine the moderating effects of ethnic identity and LGBQ+ identity on indicators of HIV knowledge (i.e., VH knowledge, sexual negotiation skills, and perception of sexual risk). Youth who identified as Hispanic/Latinx, African American/Black, and mixed racial-identity (N = 564) were included in the delimited sample. Using linear regression modeling, results showed that there was a positive association between sexual negotiation skill, sexual risk perception, ethnic identity and HIV knowledge. Ethnic identity displayed a positive and significant moderating effect between predictors and HIV knowledge. Three-way interactions between predictors by ethnic identity x LGBQ+ interaction showed equally interesting associations with HIV knowledge. Study implications include the need for strengthening ethnic identity and pride among LGBQ+ youth of color within HIV prevention programming.
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Affiliation(s)
- David T Lardier
- The University of New Mexico School of Medicine, Department of Psychiatry and Behavioral Sciences, Division of Community Behavioral Health, The University of New Mexico Health Sciences Center
| | | | | | - Felicity Bell
- The University of New Mexico, Department of Psychology
| | - Pauline Garcia-Reid
- Montclair State University, College of Education and Human Services, Department of Family Science and Human Development
| | - Robert J Reid
- Montclair State University, College of Education and Human Services, Department of Family Science and Human Development
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Boyd DT, Ramos SR, Whitfield DL, Threats M, Adebayo OW, Nelson LE. A Longitudinal Study on the Influence of Sibling Support and HIV Testing Among Black Youth. J Racial Ethn Health Disparities 2023; 10:110-117. [PMID: 34993916 DOI: 10.1007/s40615-021-01201-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Revised: 11/29/2021] [Accepted: 11/30/2021] [Indexed: 02/03/2023]
Abstract
BACKGROUND Healthy familial relationships have been noted as protective against HIV infection among the Black youth. Previous studies have indicated that sibling relationships are important over the life course and may have a significant influence on health behaviors and health promotion. However, the specific interaction between sibling relationships, HIV prevention, and HIV testing is underexplored. This longitudinal study aims to examine the role of sibling relationships, healthcare providers, and other contextual factors on HIV testing. METHODS This study was conducted via the secondary analysis of data from the National Longitudinal Study of Adolescent to Adult Health evaluating the health of adolescents. The analysis included Black youth from Wave 1 and 3 (N = 509) with a mean age of 16 years. A multinomial analysis evaluated the association of sibling relationships on HIV testing. RESULTS In Wave 1, youth who reported having love for their sibling were 1.90 (p < .001) times more likely to test for HIV infection than those who reported no love for their sibling. In Wave 1 and 3, the youth who reported no sibling support was 89% (p < .001) less likely to get tested for HIV more than once. CONCLUSION This study's findings show that sibling relationships have a significant positive influence on HIV testing among Black youth, and they are a protective factor against HIV transmission. These findings are essential in structuring HIV testing programs and interventions tailored to Black youth.
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Affiliation(s)
- Donte T Boyd
- College of Social Work, The Ohio State University, Columbus, 1947 College Rd N, Columbus, OH, 43210, USA. .,Center for Interdisciplinary Research On AIDS, Yale University, New Haven, CT, USA.
| | - S Raquel Ramos
- Center for Interdisciplinary Research On AIDS, Yale University, New Haven, CT, USA.,School of Nursing, Yale University, New Haven, CT, USA
| | - Darren L Whitfield
- School of Social Work, University of Maryland, Baltimore, MD, USA.,School of Communication and Information, Rutgers University, New Brunswick, NJ, USA
| | - Megan Threats
- Center for Interdisciplinary Research On AIDS, Yale University, New Haven, CT, USA.,College of Nursing, Penn State University, University Park, USA
| | | | - LaRon E Nelson
- Center for Interdisciplinary Research On AIDS, Yale University, New Haven, CT, USA.,School of Nursing, Yale University, New Haven, CT, USA.,St. Michael's Hospital, Li Ka Shing Knowledge Institute, MAP Centre for Urban Health Solutions, Toronto, ON, Canada
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Lardier DT, Opara I, Roach E. A latent profile analysis of psychological sense of community and ethnic identity among racial-ethnic minority young adults from the southwestern United States. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:857-875. [PMID: 34402065 PMCID: PMC8831427 DOI: 10.1002/jcop.22686] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 06/10/2021] [Accepted: 07/12/2021] [Indexed: 06/13/2023]
Abstract
Among young adults fof color, both sense of community and ethnic identity, as developmental processes, have been associated with wellness, empowerment, and civic action. Additional research is needed that provides empirical support for the connection between psychological sense of community and ethnic identity on outcomes that relate to human development such as intrapersonal psychological empowerment, civic engagement, and depression symptoms. The current study of young adults of color (N = 243; 70% Hispanic/Chicano(a)/Spanish and 10% American Indian/Native American; 70% female) investigates heterogeneity according to dimensions of psychological sense of community and the ethnic identity construct. Latent profile analyses (LPA) were conducted. Using LPA, five profile groups emerged. Profile group differences were present on reported levels of intrapersonal psychological empowerment, civic engagement, and depression symptoms. Majority of sample participants were classified with moderate to high psychological sense of community and ethnic identity. Findings provide insights for efforts on developing community belongingness based on ethnic group identity and engaging young adults in civic life.
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Affiliation(s)
- David T. Lardier
- Correspondence David T. Lardier Jr., PhD, Department of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, Albuquerque, NM 87131.
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