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.
引用
收藏
页码:1465 / 1477
页数:12
相关论文
共 332 条
  • [61] Nanín JE(2010)Preexposure prophylaxis and predicted condom use among high-risk men who have sex with men JAIDS 54 548-undefined
  • [62] Parsons JT(2010)An integrated theoretical approach to substance use and risky sexual behavior among men who have sex with men AIDS Behav 15 509-undefined
  • [63] Patterson TL(2009)Recruiting hard-to-reach drug-using men who have sex with men into an intervention study: lessons learned and implications for applied research Subst Use Misuse 44 1855-undefined
  • [64] Semple SJ(2000)The timeline followback reports of psychoactive substance use by drug-abusing patients: psychometric properties J Consult Clin Psychol 68 134-undefined
  • [65] Zians JK(1998)Reliability of the timeline follow-back sexual behavior interview Ann Behav Med 20 25-undefined
  • [66] Strathdee SA(2001)Assessing sexual risk behaviour with the Timeline Followback (TLFB) approach: continued development and psychometric evaluation with psychiatric outpatients Int J STD AIDS 12 365-undefined
  • [67] Fernandez MI(2009)Reducing sexual risk behaviors and alcohol use among HIV-positive men who have sex with men: a randomized clinical trial J Consult Clin Psychol 77 657-undefined
  • [68] Perrino T(2006)Alcohol and sexual HIV risk behavior among problem drinking men who have sex with men: an event level analysis of timeline followback data AIDS Behav 10 299-undefined
  • [69] Bowen GS(1983)The Brief Symptom Inventory: an introductory report Psychol Med 13 595-undefined
  • [70] Hernandez N(2000)Perceptions of the benefits and costs associated with condom use and unprotected sex among late adolescent college students J Adolesc 23 377-undefined