Date of Award

Spring 2023

Degree Type

Restricted to Claremont Colleges Dissertation

Degree Name

Public Health, DPH

Program

School of Community and Global Health

Advisor/Supervisor/Committee Chair

Bin Xie

Dissertation or Thesis Committee Member

Alan Stacy

Dissertation or Thesis Committee Member

Paula H. Palmer

Dissertation or Thesis Committee Member

Paula H. Palmer

Terms of Use & License Information

Terms of Use for work posted in Scholarship@Claremont.

Rights Information

© 2023 Devin Arias

Keywords

Prevention behaviors, HIV, MMSM research, Homonegativity, Depression

Abstract

Many individuals living with HIV continue to face stigma and discrimination that may limit the receipt of support, negatively influence self-care behavior, and increase disease transmission risk (Parker & Aggleton, 2003). The CDC has long recognized minority men who have sex with men (MMSM) as an important group for which tailored interventions are required (CDC, 2020). This study sought to provide an understanding of the effect of outness, homonegativity, and depression on the odds of engaging in treatment as prevention (TaSP) overtime using generalized linear mixed effect models. In addition, the linear mixed effect model was employed to determine if there were significant effects on depression over time for outness and homonegativity. Data was obtained from the longitudinal cohort parent study The Men who have sex with Men and Substance Use Cohort at UCLA Linking Infections, Noting Effects (mSTUDY). Missing data was addressed with a multiple imputation approach with Markov Chain Monte Carlo method. A sensitivity analysis was employed to evaluate the robustness of the findings by comparing results analyzed with complete cases and results analyzed with data of multiple imputations. Significant or borderline significant main effects were observed in generalized linear effect models for homonegativity (AOR of 1.06 with 95% CI of 1.03-1.09, p

ISBN

9798379900465

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