Barebacking identity among HIV-positive gay and bisexual men: demographic, psychological, and behavioral correlates

被引:53
作者
Halkitis, PN
Wilton, L
Wolitski, RJ
Parsons, JT
Hoff, CC
Bimbi, DS
机构
[1] NYU, Dept Appl Psychol, Ctr Hlth Identity Behav & Prevent Studies, New York, NY 10003 USA
[2] SUNY Binghamton, Dept Human Dev, New York, NY USA
[3] SUNY Binghamton, Dept Africana Studies, New York, NY USA
[4] Ctr Dis Control & Prevent, Div HIV, Atlanta, GA USA
[5] Ctr Dis Control & Prevent, Div AIDS Prevent, Prevent Res Branch, Natl Ctr HIV STD & TB Prevent, Atlanta, GA USA
[6] Univ Calif San Francisco, Ctr AIDS Prevent Studies, San Francisco, CA USA
关键词
barebacking; drug use; gay and bisexual men; health risk; HIV seropositivity; sex behavior;
D O I
10.1097/01.aids.0000167349.23374.a3
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Objectives: To determine the correlates associated with barebacking identity among HIV-positive gay and bisexual men. Design: An analysis of data from the baseline quantitative assessment of a randomized controlled intervention study of 1168 HIV-positive gay and bisexual men from New York City and San Francisco. Methods: Participants were actively and passively recruited from mainstream gay venues, AIDS service organizations, and public and commercial sex environments. Participants completed a computerized quantitative questionnaire assessing their identity as a barebacker, sexual behavior, demographic factors, psychosocial states, perceptions of health risks, and substance use. Results: Men of color were less likely to identify themselves as barebackers. Men who did identify themselves as barebackers were slightly younger. They were more likely to miss a dose of medication; report drug use (non-injection and injection); exhibit higher levels of sexual compulsivity and lower personal responsibility for safer sex; and report higher rates of unprotected insertive anal intercourse, unprotected receptive anal intercourse, and unprotected insertive oral intercourse with all partners, regardless of their HIV serostatus. Conclusion: Barebacking and its corresponding behaviors pose immediate public health risks for HIV-positive gay and bisexual men. Further work is needed to understand this phenomenon more fully in relation to the psychological, sociological, biomedical, and cultural realities. (c) 2005 Lippincott Williams & Wilkins.
引用
收藏
页码:S27 / S35
页数:9
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