Predictors of Day-Level Sexual Risk for Young Gay and Bisexual Men

被引:0
作者
Jeffrey T. Parsons
Corina Lelutiu-Weinberger
Michael Botsko
Sarit A. Golub
机构
[1] Hunter College of the City University of New York,Center for HIV/AIDS Educational Studies and Training (CHEST)
[2] Hunter College of the City University of New York,Department of Psychology
[3] Graduate Center of the City University of New York,Department of Psychology
[4] City University School of Public Health at Hunter College,School of Public Health
来源
AIDS and Behavior | 2013年 / 17卷
关键词
Sexual risk; Substance use; Mental health; Attitudes towards condoms; Male couples; Gay and bisexual men;
D O I
暂无
中图分类号
学科分类号
摘要
As HIV infection rates remain high among young gay and bisexual men, investigations into determinants of sexual risk are paramount. This study examined independent and interactive effects of substance use, mental health, perceived benefits of unprotected sex, and type of sex partner on odds of not using condoms. Analyses included 188 high-risk substance using HIV-negative and unknown status young gay and bisexual men (ages 18–29). Substance use and endorsing favorable attitudes towards unprotected sex strongly predicted sexual risk. Mental health moderated the relationship between partner type (main vs. casual) and condom use such that increased anxiety and depression were associated with increased odds of using condoms with main partners and not using condoms with casual partners. Understanding how these determinants of HIV risk converge to predict unprotected anal sex can identify essential risk relationships for prevention, obtain effects sizes of greater magnitude and prolonged sustainability, and build robust couples-based interventions.
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页码:1465 / 1477
页数:12
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