Sexual empowerment is a key strategy in HIV prevention intervention design, yet its measurement has been conceptualized as homogeneous. To date, no studies have examined whether young Black men who have sex with men (YBMSM) exhibit heterogeneity across sexual empowerment. Using baseline data from a randomized controlled trial (N = 275, HIV-negative YBMSM), we classified YBMSM into sexual empowerment profiles based on five indicators using a latent profile analysis and assessed the associations between the sexual empowerment profiles and stigma-related experiences using multinomial logistic regression. Three profiles were identified: psychologically empowered with safer sex intentions (profile 1); psychologically disempowered with safer sex intentions (profile 2); and psychologically disempowered without safer sex intentions (profile 3). YBMSM reporting fewer stigma-related experiences were more likely to be profile 1 than profile 2 and profile 3. To empower YBMSM, interventions based on sexual empowerment profile targeting the psychological/behavioral aspects of empowerment and addressing stigma are needed.

性赋权是 HIV 预防干预设计中的一项关键策略，但其测量被概念化为同质化。迄今为止，还没有研究检查过男男性行为者 (YBMSM) 是否在性赋权方面表现出异质性。使用来自随机对照试验（N = 275，HIV 阴性 YBMSM）的基线数据，我们使用潜在概况分析根据五个指标将 YBMSM 分类为性赋权概况，并使用多项逻辑回归。确定了三个配置文件： 心理上具有更安全的性行为意图（配置文件 1）；心理上被剥夺了安全性行为的意愿（概况 2）；并且在没有更安全的性意图的情况下在心理上被剥夺了（资料 3）。