Individual and structural factors predicting HIV testing among Latinx MSM: substance use as a moderator.

The rate of HIV infection for Latinx men who have sex with men (LMSM) increased by 20% from 2008 to 2014 even as rates stabilized among MSM of other racial and ethnic backgrounds. We hypothesize that this disparity is partially attributable to individual and structural factors associated with HIV testing, including substance use practices, among LMSM. In this retrospective study, we examined data from 502 LMSM to determine whether (a) hypothesized relationships exist between individual factors (perceived HIV susceptibility, experiences with HIV prevention, condom use, sex under the influence, sexual identity development status, heterosexual self-presentation, and traditional Latinx gender norms) and structural factors (access to healthcare resources and social support) and HIV testing for LMSM.

A dyadic study of multicultural counseling competence.

Using the Kenny, Kashy, and Cook (2006) one-with-many method, we investigated client and counselor reports of counselors' level of multicultural counseling competence (MCC) across 4 therapy sessions at a university counseling center. Specifically, we analyzed the association between counselor MCC and client psychological well-being among 133 clients of color receiving psychotherapy from 24 counselors. We found that both client and counselor perspectives suggested that some counselors possessed generally higher MCC than others.

Development of the Lesbian, Gay, and Bisexual Affirmative Counseling Self-Efficacy Inventory - Short Form (LGB-CSI-SF).

The Lesbian, Gay, and Bisexual Affirmative Counseling Self-Efficacy Inventory - Short Form (LGB-CSI-SF) was developed to facilitate LGB-affirmative counseling training, as well as process and outcome research, by offering a brief psychometrically supported version of the original LGB-CSI measure to researchers and clinicians. Five hundred seventy-five participants (435 licensed mental health professionals and 140 graduate students/trainees) constituted the sample. Confirmatory factor analyses of the 32 items from the original LGB-CSI yielded a new 15-item version of the measure composed of 5 factors (consisting of 3 items each) that assess counselor self-efficacy to perform lesbian, gay, and bisexual (LGB) affirmative counseling behaviors (Application of Knowledge, Advocacy Skills, Self-Awareness, Relationship, and Assessment).