Condom use and social capital among Filipinx transgender women and cisgender men who have sex with men (Trans-WSM and Cis-MSM): A structural equation modeling

Arjee J. RESTAR, Adedotun OGUNBAJO, Alexander ADIA, Randolph Chun Ho CHAN, Jennifer NAZARENO, Laufred HERNANDEZ, Theo SANDFORT, Mark N. LURIE, Susan CU-UVIN, Don OPERARIO

Research output: Contribution to journalArticlespeer-review

Abstract

Introduction: The HIV crisis in the Philippines is driven largely due to condomless sex among communities of transgender women and cisgender men who have sex with men (trans-WSM and cis-MSM, respectively). Condom use could be promoted by increasing social capital in these communities because social capital might increase one’s condom use self-efficacy. 

Methods: We performed mediational analysis using a survey data (June 2018–May 2019) with 318 Filipinx trans-WSM and cis-MSM. 

Results: In our final standardized structural equational modeling adjusted for gender, age, location, and income, higher social capital was significantly associated with self-efficacy in condom initiation/negotiation (β = 0.47, p < 0.001), and self-efficacy in condom initiation/negotiation was strongly associated with condom use (β = 0.61, p < 0.001). Moreover, we found that self-efficacy in condom initiation/negotiation fully mediated the relationship between social capital and condom use (β_before mediation = 0.16, p < 0.05 vs. β_after mediation = 0.01, p > 0.05). 

Conclusion: Future HIV prevention interventions should consider promoting social capital among communities of trans-WSM and cis-MSM in the Philippines. Copyright © 2022 The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Original languageEnglish
JournalSexuality Research and Social Policy
Early online dateMar 2022
DOIs
Publication statusE-pub ahead of print - Mar 2022

Citation

Restar, A. J., Ogunbajo, A., Adia, A., Chan, R. C. H., Nazareno, J., Hernandez, L., . . . Operario, D. (2022). Condom use and social capital among Filipinx transgender women and cisgender men who have sex with men (Trans-WSM and Cis-MSM): A structural equation modeling. Sexuality Research and Social Policy. Advance online publication. doi: 10.1007/s13178-022-00703-0

Keywords

  • Social capital
  • Condoms
  • Philippines
  • Transgender women
  • Cisgender MSM

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