TY - JOUR
T1 - Ethnic Identity Commitment as a Moderator for Perceived Access to Health Care Among Latinx Sexual Minority Men
AU - Sasa, Steven M.
AU - Dillon, Frank R.
AU - Lobos, Jennifer
AU - Eklund, Austin C.
AU - Ebersole, Ryan
N1 - Publisher Copyright:
© 2023 American Psychological Association
PY - 2023
Y1 - 2023
N2 - Objective: Gay, bisexual, and other sexual minority men (SMM) face more barriers to accessing health care compared to other men. In comparison to otherSMMpopulations, LatinxSMM(LSMM) report having less access to health care. The purpose of the present study is to elucidate how theorized environmental–societal-level (i.e., immigration status, education level, and income level), community–interpersonal-level (i.e., social support and neighborhood collective efficacy [NCE]), and social–cognitive–behavioral-level factors (i.e., age, heterosexual self-presentation [HSP], sexual identity commitment, sexual identity exploration [SIE], and ethnic identity commitment [EIC]) may relate with perceived access to health care (PATHC) in a sample of 478 LSMM. Method: We conducted a hierarchical regression analysis examining the hypothesized predictors of PATHC, as well as EIC as a moderator of the direct association between predictors and PATHC. We hypothesized that Latinx EIC would moderate relations between the aforementioned multilevel factors and PATHC. Results: LSMM perceived greater access to care when indicating the following: higher education level, more NCE, more HSP, more SIE, and more EIC. Latinx EIC acted as a moderator of four predictors of PATHC, including education, NCE, HSP, and SIE. Conclusions: Findings inform outreach interventions of researchers and health care providers about psychosocial and cultural barriers and facilitators of health care access.
AB - Objective: Gay, bisexual, and other sexual minority men (SMM) face more barriers to accessing health care compared to other men. In comparison to otherSMMpopulations, LatinxSMM(LSMM) report having less access to health care. The purpose of the present study is to elucidate how theorized environmental–societal-level (i.e., immigration status, education level, and income level), community–interpersonal-level (i.e., social support and neighborhood collective efficacy [NCE]), and social–cognitive–behavioral-level factors (i.e., age, heterosexual self-presentation [HSP], sexual identity commitment, sexual identity exploration [SIE], and ethnic identity commitment [EIC]) may relate with perceived access to health care (PATHC) in a sample of 478 LSMM. Method: We conducted a hierarchical regression analysis examining the hypothesized predictors of PATHC, as well as EIC as a moderator of the direct association between predictors and PATHC. We hypothesized that Latinx EIC would moderate relations between the aforementioned multilevel factors and PATHC. Results: LSMM perceived greater access to care when indicating the following: higher education level, more NCE, more HSP, more SIE, and more EIC. Latinx EIC acted as a moderator of four predictors of PATHC, including education, NCE, HSP, and SIE. Conclusions: Findings inform outreach interventions of researchers and health care providers about psychosocial and cultural barriers and facilitators of health care access.
KW - Latinx
KW - ethnic identity
KW - health care access
KW - intersectional minority stress
KW - sexual minority men of color
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U2 - 10.1037/cdp0000597
DO - 10.1037/cdp0000597
M3 - Article
C2 - 37326530
AN - SCOPUS:85170293003
SN - 1099-9809
JO - Cultural Diversity and Ethnic Minority Psychology
JF - Cultural Diversity and Ethnic Minority Psychology
ER -