HIV Knowledge and Associated Factors between Black/African American and White/Caucasian Men Who Have Sex with Men in Atlanta Open Access

Zhao, Jing (2013)

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Objective: We evaluated HIV knowledge and associated factors between black/African American and white/Caucasian men who have sex with men in Atlanta. Design: A cross sectional study that derived from the baseline data from InvolveMENt which was a prospective cohort study in Atlanta Georgia, where several locations were arranged for enrolling work. Men who have sex with men (MSM) who reported their race to be black and white, from 18 to 40 years old was recruited in this study. Methods: MSM were interviewed and tested for HIV/STI infection. Demographic and behavioral information were collected of each participant. HIV KQ-18 was used to evaluate HIV knowledge of participants. The lowest quintile of the KQ-18 scoring was defined as the cut-point of the high and low knowledge (>14 of 18 correct and ≤ 14 correct, respectively). Bivariate analysis and multivariate analysis were conducted. For the multivariate analysis, logistic regression and backward selection procedures (α=0.05) were used to arrive at the final models. Results: From July 2010 to December 2012, 803 MSM were recruited in this study. After data cleaning, 400 (55%) black/African American and 327 (45%) white/Caucasian MSM were included in the analysis. The median scores for HIV knowledge were 16/18 correct; 16.5% black/African American participants and 27.2% white/Caucasian participants answered all 18 knowledge questions correctly. Compared to white/Caucasian participants, black/African participants were more likely to have low HIV knowledge score (aOR=1.84, 95%CI: 1.25-2.71). There were racial disparities of HIV knowledge. Among black/African participants, low education level and not having anal sex with male partners in last six months were factors associated with low HIV knowledge. Among white/Caucasian participants, 18-19 age group was associated with low HIV knowledge. Conclusion: Among black/African American MSM, future HIV education service might consider those who have not completed their high school degrees, by either engaging those who dropped out of school or by engaging students earlier, and not sexually active with male partners. Among white/Caucasian American MSM, knowledge interventions should focus on younger age group, and should consider before they are engaging in potentially risky sexual situations.

Table of Contents

Character I: Background/Literature Review 1 HIV/AIDS Worldwide 2 HIV/AIDS in the U.S. 2.1 By race/ethnicity 2.2 By Risk Group (MSM) 2.3 By Race/Ethnicity and Risk Group (MSM) 3 HIV Related Knowledge 3.1 The Importance of the HIV Related Knowledge 3.2 The Development of the HIV knowledge Questionnaire 3.3 HIV Knowledge Evaluation among MSM Chapter II: Manuscript 1. Title 2. Introduction 3. Methods 3.1 Study Design 3.2 Measures 3.3 Data Analysis 4. Results 4.1 Characteristics of the Study Population 4.2 HIV KQ-18 by Race Groups 4.3 Bivariate Analysis of Knowledge Level 4.4 Multivariable Analysis of Knowledge Level 5. Discussion Strengths and Limitations 6. Tables Chapter III: Public Health Implications and Possible Future Directions Reference Appendices Appendix A: The Content of HIV KQ-18 Appendix B: Cross-sectional studies of HIV knowledge in MSM

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