scholarly journals Influence of Internalised Homonegativity on Sexual Risk Behaviour of Men Who Have Sex with Men in Spain

2021 ◽  
Author(s):  
İbrahim Sönmez ◽  
Cinta Folch ◽  
Nicolas Lorente ◽  
Rigmor C. Berg ◽  
Natalie Thurlby ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Risk ◽  
Structural Equation ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Mediating Effects ◽  
Equation Modelling ◽  
Direct Association ◽  
Sex With Men ◽  
The Relationship

AbstractIn a sample of men who have sex with men (MSM) (N = 3436) in Spain who bear intrinsic HIV risk, we investigated how internalised homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse (as a proxy of sexual risk behaviour). Using structural equation modelling (SEM), we examined the relationship between IH and sexual risk behaviour, and mediating effects of HIV/PrEP knowledge and substance use during sex on this relationship. We found no direct association between IH and sexual risk behaviour, nor did IH influence substance use during sex. In line with our hypothesis, association between IH and sexual risk behaviour was significant when mediated by HIV/PrEP knowledge. We found that as IH increased, sexual risk behaviour decreased, because higher IH was associated with lower HIV/PrEP knowledge while higher HIV/PrEP knowledge was associated with increased non-condom use with non-steady partners. Substance use during sex was significantly associated with sexual risk behaviour. Our results emphasize the continuing importance of prevention strategies focused on behavioural changes and community level interventions, especially targeting substance use.

scholarly journals O02.5 Narrating risk: new and traditional methods to understand sexual risk behaviour among hiv-uninfected men who have sex with men in lima, peru

2017 ◽  
Author(s):  
Jesse L Clark ◽  
Ximena Salazar ◽  
Williams Gonzales ◽  
Amaya Perez-Brumer ◽  
Francisco Nanclares ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Traditional Methods ◽  
Sex With Men

scholarly journals The Context of Sexual Risk Behaviour Among Men Who Have Sex with Men Seeking PrEP, and the Impact of PrEP on Sexual Behaviour

2018 ◽  
Vol 23 (7) ◽  
pp. 1708-1720 ◽  
Author(s):  
Mitzy Gafos ◽  
Rob Horne ◽  
Will Nutland ◽  
Gill Bell ◽  
Caroline Rae ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Sexual Behaviour ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Sex With Men ◽  
The Impact

scholarly journals Investigating Conceptual Models for the Relationship Between Depression and Condomless Sex Among Gay, Bisexual, and Other Men Who have Sex with Men: Using Structural Equation Modelling to Assess Mediation

2019 ◽  
Vol 24 (6) ◽  
pp. 1793-1806
Author(s):  
A. R. Miltz ◽  
◽  
A. J. Rodger ◽  
A. Cozzi Lepri ◽  
J. Sewell ◽  
...  
Keyword(s):  
Drug Use ◽  
Structural Equation Modelling ◽  
Self Efficacy ◽  
Structural Equation ◽  
Recreational Drug ◽  
Condomless Sex ◽  
Equation Modelling ◽  
Recreational Drug Use ◽  
Sex With Men ◽  
The Relationship

AbstractThe aim of this study is to investigate five hypothesized mechanisms of causation between depression and condomless sex with ≥ 2 partners (CLS2+) among gay, bisexual, and other men who have sex with men (GBMSM), involving alternative roles of self-efficacy for sexual safety and recreational drug use. Data were from the AURAH cross-sectional study of 1340 GBMSM attending genitourinary medicine clinics in England (2013–2014). Structural equation modelling (SEM) was used to investigate which conceptual model was more consistent with the data. Twelve percent of men reported depression (PHQ-9 ≥ 10) and 32% reported CLS2+ in the past 3 months. AURAH data were more consistent with the model in which depression was considered to lead to CLS2+ indirectly via low self-efficacy for sexual safety (indirect Beta = 0.158; p < 0.001) as well as indirectly via higher levels of recreational drug use (indirect Beta = 0.158; p < 0.001). SEM assists in understanding the relationship between depression and CLS among GBMSM.

scholarly journals Safer sex intentions modify the relationship between substance use and sexual risk behavior among black South African men who have sex with men

2019 ◽  
Vol 30 (8) ◽  
pp. 786-794 ◽  
Author(s):  
Justin Knox ◽  
Vasu Reddy ◽  
Tim Lane ◽  
Gina S Lovasi ◽  
Deborah Hasin ◽  
...  
Keyword(s):  
Substance Use ◽  
South African ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Sexual Risk Behavior ◽  
Risky Sexual Behavior ◽  
Safer Sex ◽  
Black South African ◽  
Sex With Men ◽  
The Relationship

Due to the global burden of HIV, a better understanding of the relationship between substance use and HIV risk behavior is a public health priority, particularly among populations with high rates of HIV infection. The current study explored the moderating effects of psychosocial factors on the relationship between substance use and sexual risk behavior. Among 480 black South African men who have sex with men recruited using respondent-driven sampling, a cross-sectional survey was conducted that included questions about their last sexual event that involved anal sex. Substance use was not associated with unprotected anal intercourse (UAI) ( P = 0.97). The effect of substance use on UAI was modified by safer sex intentions ( P = 0.001). Among those with higher safer sex intentions, substance use was positively associated with UAI (aOR = 5.8, 95%CI = 1.6–21.3, P < 0.01). This study found that among men who have sex with men with high intentions to engage in safer sex, substance use was associated with increased risky sexual behavior.

Hepatitis B vaccination and changes in sexual risk behaviour among men who have sex with men in Amsterdam

2008 ◽  
Vol 137 (4) ◽  
pp. 504-512 ◽  
Author(s):  
M. XIRIDOU ◽  
J. WALLINGA ◽  
N. DUKERS-MUIJERS ◽  
R. COUTINHO
Keyword(s):  
High Risk ◽  
Hepatitis B ◽  
Sexual Risk ◽  
Vaccination Campaign ◽  
Risk Behaviour ◽  
Hepatitis B Vaccination ◽  
Sexual Risk Behaviour ◽  
Increased Risk ◽  
Sex With Men ◽  
The Impact

SUMMARYThe impact of hepatitis B vaccination in men having sex with men in Amsterdam has been marginal until now, possibly because of increases in sexual risk behaviour counterbalancing the effect of vaccination. A mathematical model is used to describe the hepatitis B epidemic. The model shows that, with the current vaccination coverage, the decrease in incidence is small in the beginning. However, the number of infections prevented per vaccine administered rises over time. Nevertheless, increased risk behaviour reduces the benefit of vaccination. Targeting high-risk men is more successful in reducing and containing the epidemic than targeting low-risk men. In conclusion, the vaccination campaign is effective and should be intensified. High-risk men should be targeted for vaccination and for risk reduction.

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