The effects of HIV-related thought suppression on risk behavior: Cognitive escape in men who have sex with men.

In the United States, gay, bisexual men, and men who have sex with men (MSM) represent 86% of new HIV infections among males. Approximately 1 in 7 men with HIV are unaware of their HIV status (CDC, 2017, 2019a, 2020a). To explore influences on MSM HIV risk behavior, the authors performed a systematic review of quantitative studies conducted in the U.S. assessing what is purported as masculinity. From 30 identified studies, significant findings were framed within the Social Ecological Model (SEM) levels (e.g., Individual, Relationship, Community). SEM level themes were applied to create the Masculinity 10, a preliminary 10-item assessment to explore the influence of masculinity on MSM HIV risk behavior. To increase MSM engagement in HIV prevention and treatment, the influences of masculinity (e.g., attitude toward sexual minorities, appearance, emotion, temperament, substance use, sexual activity, social support, intimate relationships, health care) on HIV risk behavior should be further explored.

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Sexual Risk Behavior and Drug Use in Two Chicago Samples of Men Who Have Sex with Men: 1997 vs. 2002

Journal of Urban Health ◽

10.1007/s11524-009-9432-x ◽

2010 ◽

Vol 87 (3) ◽

pp. 452-466 ◽

Cited By ~ 16

Author(s):

Michael Fendrich ◽

Mary Ellen Mackesy-Amiti ◽

Timothy P. Johnson ◽

Lance M. Pollack

Keyword(s):

Drug Use ◽

Risk Behavior ◽

Sexual Risk ◽

Sexual Risk Behavior ◽

Sex With Men

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Trends in HIV Prevalence and Risk Behavior Among Men Who Have Sex With Men in New York City, 2004–2011

AIDS Education and Prevention ◽

10.1521/aeap.2014.26.2.134 ◽

2014 ◽

Vol 26 (2) ◽

pp. 134-143 ◽

Cited By ~ 12

Author(s):

Kathleen H. Reilly ◽

Alan Neaigus ◽

Samuel M. Jenness ◽

Travis Wendel ◽

Holly Hagan ◽

...

Keyword(s):

New York ◽

New York City ◽

Risk Behavior ◽

York City ◽

Hiv Prevalence ◽

Sex With Men

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HIV-Related Attitudes and Intentions for High-Risk, Substance-Using Men Who Have Sex With Men: Associations and Clinical Implications for HIV-Positive and HIV-Negative MSM

Journal of Cognitive Psychotherapy ◽

10.1891/0889-8391.24.4.281 ◽

2010 ◽

Vol 24 (4) ◽

pp. 281-293 ◽

Cited By ~ 6

Author(s):

Gordon Mansergh ◽

David J. McKirnan ◽

Stephen A. Flores ◽

Sharon M. Hudson ◽

Beryl A. Koblin ◽

...

Keyword(s):

Substance Use ◽

Risk Behavior ◽

Self Efficacy ◽

Safer Sex ◽

Hiv Positive ◽

Hiv Status ◽

Anal Sex ◽

Sex With Men ◽

Hiv Negative ◽

Hiv Positive Men

This study compared HIV-related attitudes and intentions by respondent HIV-status in a large sample of substance-using men who have sex with men (MSM) in the United States. Attitudes and intentions included self-efficacy for safer sex; difficulty communicating with sex partners about safer sex; intent to use condoms consistently and to not use substances before sex in the next 3 months; and less concern for HIV given effective antiviral treatments. Differences were found for behavior during the most recent anal sex encounter by HIV-status, including (a) insertive and (b) receptive anal sex risk behavior, and (c) substance use before or during the encounter. Self-efficacy for safer sex was associated with less risk behavior among HIV-negative men but not among HIV-positive men, suggesting that self-efficacy for safer sex continues to be a relevant issue to address in counseling uninfected MSM. HIV-positive men who reported less concern for HIV given treatments were more likely to report receptive risk behavior, as were HIV-negative men who reported difficulty communicating about safer sex. Implications are discussed for potentially heightened client desire and therapeutic opportunity to reduce future substance use during sex for clients who report recent substance use during sex.

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