Date of Conferral





Health Education and Promotion


Cheri N. Langley


Men who have sex with men (MSM) and transgender women has been a focus of scholars since the early 1990s. Researchers have demonstrated that individuals in these communities are at greater risk for adverse health outcomes such as sexually transmitted infections (STIs) and Human Immunodeficiency Virus (HIV). This study examined the relationship between macrosocial structural factors (i.e., housing stability) and the acceptance of risky sexual behavior (RSB) (i.e., condom use) between Black and Latino MSM, and transgender women guided by the health belief model and intersectionality theory. Using a quantitative approach, primary data were collected from MSM and transgender women using an online survey (n=1591). Multiple regression and path coefficients for mediation analyses were estimated using Hayes’s PROCESS macro for SPSS 27, Version 3.5 to test research questions. The primary data collected from the research participants demonstrates that housing status is positively, and significantly associated with condom use behavior (b=.028, R2 =.016, p=.036 95%CI [.002, .055) and explains 1.6% of the variance in the behavioral outcome between Black and Latino MSM and transgender women. Health educators and public health professional will benefit from this research as it will contribute to positive social change in the lives of Black and Latino MSM and transgender women. Professionals in this field will better understand how to incorporate the unique life experiences using an intersectional lens in the development of health behavior programs and informational material for Black and Latino MSM and transgender women.