Factors associated with individual and couple participation in online sexual health research with Latinx sexual minority men.

Abstract

Latinx sexual minority men (LSMM) have higher rates of human immunodeficiency virus (HIV) incidence than most other ethnic and racial groups. Given that transmission risk is higher among primary partners, it is critical to identify factors that would facilitate partner recruitment into couples-based sexual health research studies. The present study utilizes a sample of index participants (n = 625), which includes 530 LSMM who did not recruit their partners and 95 LSMM who successfully did so (N = 625). Participants completed measures of communication styles and cultural values of masculinity. Findings suggest that caballerismo (chivalry/nurturing) and constructive communication were significantly and positively associated with the odds of recruiting one's partner in an interaction model. Consideration of cultural factors and communication style may enhance the efficiency of recruitment of LSMM and facilitate partner engagement. Public Significance StatementWhen developing culturally sensitive research programs for Latinx sexual minority men, recruitment efforts should also be tailored. Integrating the Latinx cultural value of caballerismo while considering communication style may help increase the recruitment of same-gender sexual minority couples into couples-based research studies.

Feasibility and Acceptability Pilot Test of Connecting Latinos en Parejas: A Couples-Based HIV Prevention Intervention for Latino Male Couples

“…Discrimination, structural stigma, social isolation, migration experiences, and cultural factors contribute to an elevated risk for many LMSM (Andriano et al, 2022; Hoebbel & Fals-Stewart, 2003; Rodriguez-Diaz et al, 2021; Shorrock et al, 2022; Stappenbeck et al, 2004; Watson et al, 2022). For instance, “machismo” norms prescribe that men must avoid feminine behaviors (e.g., being penetrated), be perceived as powerful and prove their manhood by having multiple partners and unprotected sex (Noyola et al, 2020; Rhodes et al, 2009; Robles et al, 2022; Royster et al, 2006). LMSM may feel further compelled to engage in risk behaviors to compensate for real or perceived negative perceptions about their sexual orientation as well as internalized heterosexism (Rhodes et al, 2006; Sandfort et al, 2007).…”