Predictors of Day-Level Sexual Risk for Young Gay and Bisexual Men.
Summary of "Predictors of Day-Level Sexual Risk for Young Gay and Bisexual Men."
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.
Affiliation
Center for HIV/AIDS Educational Studies and Training (CHEST), Hunter College of the City University of New York, 142 West 36th Street, 9th Floor, New York, NY, 10018, USA, jeffrey.parsons@hunter.cuny.edu.
Journal Details
This article was published in the following journal.
Name: AIDS and behavior
ISSN: 1573-3254
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22614745
- DOI: http://dx.doi.org/10.1007/s10461-012-0206-1
Medical and Biotech [MESH] Definitions
Unsafe Sex
Sexual behaviors which are high-risk for contracting SEXUALLY TRANSMITTED DISEASES or for producing PREGNANCY.
Sexual Dysfunctions, Psychological
Disturbances in sexual desire and the psychophysiologic changes that characterize the sexual response cycle and cause marked distress and interpersonal difficulty. (APA, DSM-IV, 1994)
Risk Reduction Behavior
Reduction of high-risk choices and adoption of low-risk quantity and frequency alternatives.
Pedophilia
A sexual disorder occurring in a person 16 years or older and that is recurrent with intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child (generally age 13 or younger). (from APA, DSM-IV, 1994).
Sexual Development
The processes of anatomical and physiological changes related to sexual or reproductive functions during the life span of a human or an animal, from FERTILIZATION to DEATH. These processes include SEX DIFFERENTIATION; SEXUAL MATURATION; and changes during AGING.
PubMed Articles
While rates of HIV infection among gay/bisexual male adolescents have been increasing in the U.S., there has not been a commensurate increase in the development of HIV prevention interventions targete...
Age-Concordant and Age-Discordant Sexual Behavior Among Gay and Bisexual Male Adolescents.
There is evidence that risks for HIV and sexually transmitted infections among adolescent females are higher for those with older male sexual partners. Yet, little empirical research has been conducte...
Sexual Behaviors and Experiences Among Behaviorally Bisexual Men in the Midwestern United States.
Research examining the sexual behaviors and experiences of behaviorally bisexual men is limited. Most studies focus primarily on highlighting sexual risk behaviors among groups of "men who have sex wi...
Factors associated with a drive for muscularity among gay and bisexual men.
Among gay and bisexual men, body dissatisfaction can manifest itself in the form of a desire for increased muscularity. Possibly in response to homophobia, the socio-sexual culture of gay and bisexual...
Patterns of Sexual Arousal in Homosexual, Bisexual, and Heterosexual Men.
The purpose of this study was to determine if self-identified bisexual, heterosexual, and homosexual men show differential genital and subjective arousal patterns to video presentations of bisexual, h...
Clinical Trials
Hepatitis B Virus (HBV) Prevention for Homeless at Risk for HBV/Hepatitis C Virus (HCV)/HIV
In this study, researchers from UCLA and Friends Community Center will work together in designing a program to assist young homeless stimulant-using gay and bisexual homeless men to comple...
Risk Reduction Intervention for Vulnerable Young Adult Males
The primary aim of this study is to test a brief 4-session risk reduction intervention, based on Motivational Enhancement Therapy (MET) to reduce the co-occurrence of club drug use and sex...
Promoting Safer Sex in HIV+ Homosexual and Bisexual Men Who Use Methamphetamine
This project studies the effectiveness of a sexual risk reduction intervention among HIV+ Men who have Sex with Men (MSM) and who use methamphetamine.
Effects of a Worksite Parenting Program
Many adolescents in the U.S., even very young adolescents, are engaging in sexual risk behaviors that put them at risk for sexually transmitted diseases (STDs) and unintended pregnancy. S...
This study will evaluate the effectiveness of a community-level HIV prevention program in promoting safer sexual behaviors and reducing the transmission of HIV/sexually transmitted disease...
