Table 3.

Final model results (N = 290)

Models	β	b	SE(b)	b/SE	p value
Structural life instability on
Housing instability	0.94	1.00	–	–	–
Employment status	0.28	0.82	0.45	1.80	0.07
Insurance status	0.30	0.91	0.46	1.95	0.05
Psychological distress
Depression	0.94	1.00	–	–	–
Anxiety	0.88	0.85	0.09	9.53	< 0.01
HIV-prevention engagement
Intention to use PrEP	0.22	1.00	–	–	–
PrEP self-efficacy	0.80	0.54	0.22	2.53	0.01
Community norms for PrEP	0.45	0.51	0.21	2.39	0.02
Intention to engage with HIV-testing	0.19	0.86	0.38	2.25	0.03
HIV-testing self-efficacy	0.55	0.48	0.20	2.41	0.02
Community norms for HIV-testing	0.41	0.46	0.19	2.38	0.02
Direct effects
Structural life instability → Psychological distress	0.38	1.89	0.32	5.95	< 0.01
Structural life instability → HIV-prevention engagement	− 0.14	− 0.09	0.06	− 1.57	0.12
Psychological distress → HIV-prevention engagement	− 0.35	− 0.05	0.02	− 2.18	0.03
Indirect effect
Structural life instability → Psychological distress → HIV-prevention engagement	− 0.13	− 0.09	0.04	− 2.19	0.03
Covariances
Intention to use PrEP with intention to HIV-test	0.51	7.91	2.26	3.50	< 0.01
Intention to use PrEP with community norms for PrEP	0.28	1.06	0.33	3.17	< 0.01
Intention to use PrEP with community norms for HIV-testing	0.28	1.03	0.33	3.10	< 0.01
Intention to use PrEP with insurance status	− 0.20	− 0.35	0.12	− 3.02	< 0.01
Intention to use PrEP with housing instability	0.15	0.72	0.33	2.17	0.03
Community norms for PrEP with community norms for HIV-testing	0.67	0.58	0.08	7.73	< 0.01
Community norms for PrEP with housing instability	0.31	0.35	0.11	3.25	< 0.01
Community norms for HIV-testing with intention to HIV-test	0.20	0.71	0.33	2.17	0.03
Insurance status with intention to HIV-test	− 0.16	− 0.25	0.12	− 2.07	0.04
Insurance status with employment status	− 0.14	− 0.03	0.01	− 2.61	0.01

χ²(30) = 37.73, p = 0.16; CFI = 0.98; RMSEA = 0.03; SRMR = 0.04