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.
CitationRestar, 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
- Social capital
- Transgender women
- Cisgender MSM