scholarly journals Perceptions of HIV Risk Among Internet-Using, HIV-Negative Barebacking Men

2012 ◽  
Vol 6 (4) ◽  
pp. 280-293 ◽  
Author(s):  
Hugh Klein ◽  
David L. Tilley
Keyword(s):  
Hiv Risk ◽  
Perceived Risk ◽  
Risk Perceptions ◽  
Unprotected Sex ◽  
Hiv Knowledge ◽  
Self Identity ◽  
Younger Age ◽  
Risk Practices ◽  
Sex With Men ◽  
Hiv Negative

The current study examines the risk perceptions of HIV-negative men who have sex with men (MSM) who use the Internet to seek unprotected sex. The research questions include the following: How great do these men perceive their HIV risk to be? Are their perceptions based on HIV knowledge or related to their risk behaviors? What factors are associated with greater/lesser perceived risk? Results revealed that more than half of the men believed that they had no or only a slight chance of contracting HIV. Risk perceptions were not related to HIV knowledge or to involvement in HIV risk practices. Four factors were identified as being associated with greater perception of HIV risk: self-identity as a sexual “bottom,” having sex while high, greater use of bareback-focused websites, and younger age. Internet-using HIV-negative men who have sex with men tend to underestimate their risk for acquiring HIV, and interventions need to help them accurately assess their risk.

scholarly journals Condom Use Self-Efficacy and HIV Risk Practices Among Men Who Use the Internet to Find Male Partners for Unprotected Sex

2013 ◽  
Vol 8 (3) ◽  
pp. 190-204 ◽  
Author(s):  
Hugh Klein
Keyword(s):  
Condom Use ◽  
Hiv Risk ◽  
Self Efficacy ◽  
Structural Equation ◽  
Role Identity ◽  
Unprotected Sex ◽  
Equation Modeling ◽  
Risk Practices ◽  
Sex With Men ◽  
Drug Problems

This research examines the levels of condom use self-efficacy in a population of men who have sex with men who are at great risk for contracting/transmitting HIV. It focuses on the relationship between condom use self-efficacy and risk involvement, and examines the factors associated with greater/lower levels of condom use self-efficacy. The data come from a national sample of men, randomly chosen, who used any of 16 websites specifically to identify other men with whom they could engage in unprotected sex. Data were collected between January 2008 and May 2009 from 332 men, via telephone interviews. Multivariate analyses and structural equation modeling were used to test a conceptual model based on syndemics theory. Overall levels of condom use self-efficacy were fairly high, and self-efficacy was related inversely to involvement in HIV risk practices. Six factors were found to be indicative of levels of condom use self-efficacy: the number of drug problems experienced, sexual role identity as a “bottom,” not caring about the HIV serostatus of potential sex partners, experiencing childhood maltreatment, having confidence in HIV-related information provided in other men’s online profiles, and level of HIV knowledge. Condom use self-efficacy plays an integral role in HIV risk practices among high-risk men who have sex with men. This is true despite the fact that, overall, condom use self-efficacy levels were fairly high in this population.

Frequency of alcohol use and its association with STD/HIV-related risk practices, attitudes and knowledge among an AfricanAmerican community-recruited sample

1998 ◽  
Vol 9 (10) ◽  
pp. 608-612 ◽  
Author(s):  
Theodore C Morrison ◽  
Ralph J Diclemente ◽  
Gina M Wingood ◽  
Charles Collins
Keyword(s):  
Alcohol Use ◽  
Hiv Prevention ◽  
Hiv Risk ◽  
Perceived Risk ◽  
Risk Behaviours ◽  
Hiv Knowledge ◽  
The Past ◽  
Polysubstance Use ◽  
Related Risk ◽  
Risk Practices

The aim was to determine the association between frequency of alcohol use in the past 30 days and HIV-related risk behaviours among adults in an AfricanAmerican community. Data were collected by trained street outreach workers, from 522 persons in 4 areas selected on the basis of 7 health and criminal justice indicators of high risk for HIV, STD and substance abuse, and drug-related arrests. A survey assessed demographics, substance use, sexual behaviour, HIV knowledge, attitudes and depression. Subjects reporting using drugs other than alcohol ( n =201) were excluded from analyses to avoid the confounding influence of polysubstance use. Of the remaining 321 subjects (mean age=37.1; 58.5% were male), 43.6% reported no alcohol use in the past 30 days, with 37.4% and 19.0%, respectively, having used alcohol < =15 days and >= 16 days in the past 30 days. Alcohol use frequency (no alcohol, 1-15 days, 16-30 days in past month) was significantly associated with being male, STD history, non-use of condoms, higher perceived risk of HIV, lower condom use selfefficacy, multiple sex partners in the past 30 days, and lower HIV-related knowledge. Frequent alcohol use, in the absence of other drugs, is associated with higher levels of HIV risk behaviours. Though an underserved population with respect to HIV prevention and, given the prevalence of alcohol use, the findings suggest that programmes need to target frequent alcohol users to reduce their HIV-associated risk behaviours and enhance HIV risk-reduction knowledge and attitudes associated with the adoption of HIV prevention practices.

scholarly journals Exploring Gender Differences in PrEP Interest Among Individuals Testing HIV Negative in an Urban Emergency Department

2018 ◽  
Vol 30 (5) ◽  
pp. 382-392 ◽  
Author(s):  
Jessica Ridgway ◽  
Ellen Almirol ◽  
Jessica Schmitt ◽  
Alvie Bender ◽  
Grace Anderson ◽  
...  
Keyword(s):  
At Risk ◽  
Emergency Department ◽  
Hiv Risk ◽  
Behavioral Risk ◽  
Self Perception ◽  
Subjective Risk ◽  
Sex With Men ◽  
Not At Risk ◽  
Urban Emergency Department ◽  
Hiv Negative

PrEP is greater than 90% effective at preventing HIV infection, but many people who are vulnerable to HIV choose not to take PrEP. Among women, men who have sex with women (MSW) and men who have sex with men (MSM) who tested HIV negative in our emergency department, we assessed behavioral risk factors, self-perception of HIV risk, and interest in PrEP linkage. Women had lower odds of perceiving any HIV risk versus no risk than MSM, while Whites had greater odds of perceiving themselves as high risk than Blacks. Age and self-perception of risk were not associated with PrEP interest, but patients who were objectively classified as “at risk” had greater odds of interest in PrEP than those not at risk (p < .01). Discordance between HIV risk self-perception and objective risk demonstrates the limitation of relying on patient self-referral for PrEP based on their own subjective risk perception.

Exploring the HIV-risk practices of men who have sex with men in Port Harcourt city, Nigeria

2017 ◽  
Vol 10 (3) ◽  
pp. 551 ◽  
Author(s):  
CharlesI Tobin-West ◽  
Stephen Nwajagu ◽  
Omosivie Maduka ◽  
Emmanuel Oranu ◽  
VictorNnanna Onyekwere ◽  
...  
Keyword(s):  
Hiv Risk ◽  
Port Harcourt ◽  
Risk Practices ◽  
Sex With Men

Race and HIV Risk: Exploring Race and HIV Risk Perceptions Among Young Men Who Have Sex With Men

2017 ◽  
Vol 60 (2) ◽  
pp. S9-S10
Author(s):  
Brandon J. Hill ◽  
Kris Rosentel ◽  
Trevor Bak ◽  
Luciana E. Hebert ◽  
Alida Bouris
Keyword(s):  
Hiv Risk ◽  
Risk Perceptions ◽  
Young Men ◽  
Sex With Men

scholarly journals 1630. Voluntary HIV Testing and Self-Realization of Risk of HIV Infection Among Young Men-Who-Have-Sex-with-Men in the Miami-Dade Area

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S595-S595
Author(s):  
Hampton Ocon ◽  
Samir Sabbag
Keyword(s):  
Public Health ◽  
High Risk ◽  
Hiv Infection ◽  
Hiv Testing ◽  
Hiv Risk ◽  
Perceived Risk ◽  
Health Initiatives ◽  
History Of ◽  
Sex With Men ◽  
Public Health Initiatives

Abstract Background According to the Centers for Disease Control and Prevention, Miami-Dade County has the highest rate of new HIV diagnoses in the Nation. So far, a large focus of public health initiatives has been spreading awareness of HIV testing locations, but this form of voluntary testing relies on individuals realizing that they are at risk of HIV infection in the first place. Consequently, a major obstacle to encouraging young men-who-have-sex-with-men (YMSM) to test themselves for HIV is their own self-perceived risk of having an undetected infection. Methods In an effort to better understand the discordance between high-risk sexual behavior and HIV testing among this high-risk population, YMSM (18–24) were surveyed through smartphone applications that facilitate sexual encounters in the Miami-Dade area (eg Grindr, Scruff). Users were asked about their history of condomless anal intercourse (CAI), their HIV testing habits, and whether or not they believe it possible that they are currently infected with HIV. An analysis of the relationship between CAI and self-perception of possible HIV infection was performed using Cochran-Mantel–Haenszel testing. Results Of the 843 eligible responses, 667 reported a history of voluntary HIV testing while 176 had never voluntarily tested. 726 respondents reported a history of CAI and 131 of these have never voluntarily tested. Of the 843 total participants, 1.6% were in the highest HIV risk group, which is those who have engaged in CAI with an exchange/casual partner, have never voluntarily tested for HIV, and have no self-perceived risk of being currently infected. According to data analysis, YMSM who have engaged in CAI but have never been tested for HIV were not more likely to have a self-perceived possibility of infection when compared with those who have voluntarily tested (P < 0.595). Conclusion This suggests that many high-risk YMSM are not voluntarily testing themselves for HIV not because they do not have access to testing, but rather because they do not perceive themselves as being possibly infected in the first place. Therefore, in addition to increasing access to HIV testing, new public health initiatives must be designed to facilitate YMSM understanding their own personal HIV risk. Disclosures All authors: No reported disclosures.

scholarly journals Actual sexual risk and perceived risk of HIV acquisition among HIV-negative men who have sex with men in Toronto, Canada

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Maya A. Kesler ◽  
Rupert Kaul ◽  
Juan Liu ◽  
Mona Loutfy ◽  
Dionne Gesink ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Perceived Risk ◽  
Sex With Men ◽  
Hiv Acquisition ◽  
Risk Of Hiv Acquisition ◽  
Hiv Negative

scholarly journals Unprotected Sex with Injecting Drug Users among Iranian Female Sex Workers: Unhide HIV Risk Study

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Khodabakhsh Ahmadi ◽  
Majid Rezazade ◽  
Mohammad Nafarie ◽  
Babak Moazen ◽  
Mosaieb Yarmohmmadi Vasel ◽  
...  
Keyword(s):  
Hiv Risk ◽  
Sex Workers ◽  
Drug Users ◽  
Female Sex Workers ◽  
Injecting Drug Users ◽  
Unprotected Sex ◽  
Perceived Behavioral Control ◽  
Hiv Knowledge ◽  
Cross Sectional ◽  
Female Sex

Purpose. To assess the prevalence and associated factors of unprotected sex with injecting drug users (IDUs) among a sample of female sex workers (FSWs) in Iran.Methods. This cross-sectional study included 144 FSWs who were interviewed as a part of Unhide HIV Risk Study, a national behavioral survey focusing on various high-risk populations, including IDUs, FSWs, and Men who have Sex with Men (MSMs) in 2009. The survey was conducted in eight provinces in Iran using respondent-driven sampling. Participants’ sociodemographic status, HIV knowledge, and HIV attitude were analyzed via logistic regression to determine the predictors of unprotected sex with IDU(s) during the past month.Results. Nineteen percent of FSWs reported at least one occasion of unprotected sex with IDU(s) in the month preceding the study. Higher educational level (OR=−0.653, 95%CI=-1.192to −0.115), perceived HIV risk (OR=−1.047, 95%CI=-2.076to −0.019), and perceived family intimacy during childhood (OR=−1.104, 95%CI=-1.957to −0.251) were all independently associated with lower odds of having unprotected sex with IDU(s) in the month preceding the study. Age, marital status, living condition, HIV knowledge, and perceived behavioral control did not affect the odds of FSWs having sex with IDUs.Conclusion. Perceived HIV risk, which is a modifiable factor, seems to be a promising target for harm reduction interventions amongst Iranian female sex workers. Data presented here may aid in reducing or eliminating the role of sex workers as a bridge for HIV transmission from IDUs to the general population in Iran.

scholarly journals Are HIV-Negative Men Who Have Sex with Men and Who Bareback Concerned About HIV Infection? Implications for HIV Risk Reduction Interventions

2012 ◽  
Vol 42 (2) ◽  
pp. 279-289 ◽  
Author(s):  
Iván C. Balán ◽  
Alex Carballo-Diéguez ◽  
Ana Ventuneac ◽  
Robert H. Remien ◽  
Curtis Dolezal ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Risk Reduction ◽  
Hiv Risk ◽  
Hiv Risk Reduction ◽  
Sex With Men ◽  
Hiv Risk Reduction Interventions ◽  
Hiv Negative
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