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The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men (MSM).
AIDS Behav. 2016 06; 20(6):1228-35.AB

Abstract

In some studies, situational factors have been shown to be stronger predictors of condomless sex than individual risk factors. Cross-sectional relationships between condomless anal sex (CAS) with HIV-serodiscordant partners and risk factors across ecological levels (individual, sexual environment) were examined using a sample (N = 60) of HIV-positive men who have sex with men (MSM) who reported multiple recent episodes of CAS. Negative binomial regressions were used to evaluate the association of contextual risk factors (e.g., substance use during sex, transactional sex, public sex, sex at a sex party) with recent condomless sex, controlling for demographics and mental health. Results demonstrated that sexual environment factors, particularly sex under the influence of drugs or alcohol (B = .019, p < .05), transactional sex (B = .035, p < .01), and public sex (B = .039, p < .01) explained a large proportion of the variance in CAS. Only sex at a sex party was not related to CAS (p = .39). For each additional sexual environment in which men engaged, their rates of CAS increased (B = .39, p < .01). Secondary prevention interventions that are tailored to the proximal sexual environment could be maximally effective, particularly if they address substance use and other challenging sexual situations.

Authors+Show Affiliations

Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital, 1 Bowdoin Square, 7th Floor, Boston, MA, 02114, USA. Department of Psychology, University of Utah, Salt Lake City, UT, 84112, USA.Department of Social Work, Wheelock College, Boston, MA, 02215, USA. Fenway Health, Boston, MA, 02215, USA.Fenway Health, Boston, MA, 02215, USA.Fenway Health, Boston, MA, 02215, USA. Department of Psychology, University of Miami, Coral Gables, FL, 33124, USA.Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital, 1 Bowdoin Square, 7th Floor, Boston, MA, 02114, USA. cocleirigh@mgh.harvard.edu. Fenway Health, Boston, MA, 02215, USA. cocleirigh@mgh.harvard.edu. Harvard Medical School, Boston, MA, 02115, USA. cocleirigh@mgh.harvard.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26395194

Citation

Perry, Nicholas S., et al. "The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex With Men (MSM)." AIDS and Behavior, vol. 20, no. 6, 2016, pp. 1228-35.
Perry NS, Wade Taylor S, Elsesser S, et al. The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men (MSM). AIDS Behav. 2016;20(6):1228-35.
Perry, N. S., Wade Taylor, S., Elsesser, S., Safren, S. A., & O'Cleirigh, C. (2016). The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men (MSM). AIDS and Behavior, 20(6), 1228-35. https://doi.org/10.1007/s10461-015-1202-z
Perry NS, et al. The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex With Men (MSM). AIDS Behav. 2016;20(6):1228-35. PubMed PMID: 26395194.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men (MSM). AU - Perry,Nicholas S, AU - Wade Taylor,S, AU - Elsesser,Steven, AU - Safren,Steven A, AU - O'Cleirigh,Conall, PY - 2015/9/24/entrez PY - 2015/9/24/pubmed PY - 2017/6/18/medline KW - Condomless sex KW - Men who have sex with men (MSM) KW - Positive prevention KW - Sexual environment SP - 1228 EP - 35 JF - AIDS and behavior JO - AIDS Behav VL - 20 IS - 6 N2 - In some studies, situational factors have been shown to be stronger predictors of condomless sex than individual risk factors. Cross-sectional relationships between condomless anal sex (CAS) with HIV-serodiscordant partners and risk factors across ecological levels (individual, sexual environment) were examined using a sample (N = 60) of HIV-positive men who have sex with men (MSM) who reported multiple recent episodes of CAS. Negative binomial regressions were used to evaluate the association of contextual risk factors (e.g., substance use during sex, transactional sex, public sex, sex at a sex party) with recent condomless sex, controlling for demographics and mental health. Results demonstrated that sexual environment factors, particularly sex under the influence of drugs or alcohol (B = .019, p < .05), transactional sex (B = .035, p < .01), and public sex (B = .039, p < .01) explained a large proportion of the variance in CAS. Only sex at a sex party was not related to CAS (p = .39). For each additional sexual environment in which men engaged, their rates of CAS increased (B = .39, p < .01). Secondary prevention interventions that are tailored to the proximal sexual environment could be maximally effective, particularly if they address substance use and other challenging sexual situations. SN - 1573-3254 UR - https://www.unboundmedicine.com/medline/citation/26395194/The_Predominant_Relationship_Between_Sexual_Environment_Characteristics_and_HIV_Serodiscordant_Condomless_Anal_Sex_Among_HIV_Positive_Men_Who_Have_Sex_with_Men__MSM__ L2 - https://doi.org/10.1007/s10461-015-1202-z DB - PRIME DP - Unbound Medicine ER -