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dc.contributor.authorPerry, Nicholas S.en_US
dc.contributor.authorTaylor, S. Wadeen_US
dc.contributor.authorElsesser, Stevenen_US
dc.contributor.authorSafren, Steven A.en_US
dc.contributor.authorO'Cleirigh, Conallen_US
dc.date.accessioned2020-04-24T15:56:45Z
dc.date.available2020-04-24T15:56:45Z
dc.date.issued2016-06-01
dc.identifierhttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000376300700008&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=6e74115fe3da270499c3d65c9b17d654
dc.identifier.citationNicholas S Perry, S Wade Taylor, Steven Elsesser, Steven A Safren, Conall O'Cleirigh. 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, Volume 20, Issue 6, pp. 1228 - 1235 (8). https://doi.org/10.1007/s10461-015-1202-z
dc.identifier.issn1090-7165
dc.identifier.issn1573-3254
dc.identifier.urihttps://hdl.handle.net/2144/40341
dc.description.abstractIn 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.en_US
dc.description.sponsorshipWe are very grateful to the participants for their time and efforts in the study. Support for the current study came from a feasibility grant (PI: Conall O'Cleirigh) from the Harvard University Center for AIDS Research (Parent Grant: P30AI060354, PI: Bruce Walker, MD) awarded to Dr. Conall O'Cleirigh. Investigator support for Dr. Steven Safren also came from NIH Grant K24MH094214. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. (P30AI060354 - Harvard University Center for AIDS Research; K24MH094214 - NIH)en_US
dc.format.extentp. 1228 - 1235en_US
dc.languageEnglish
dc.language.isoen_US
dc.publisherSPRINGER/PLENUM PUBLISHERSen_US
dc.relation.ispartofAIDS AND BEHAVIOR
dc.subjectScience & technologyen_US
dc.subjectSocial sciencesen_US
dc.subjectLife sciences & biomedicineen_US
dc.subjectPublic, environmental & occupational healthen_US
dc.subjectSocial sciences, biomedicalen_US
dc.subjectBiomedical social sciencesen_US
dc.subjectCondomless sexen_US
dc.subjectSexual environmenten_US
dc.subjectPositive preventionen_US
dc.subjectMen who have sex with men (MSM)en_US
dc.subjectRisk behavioren_US
dc.subjectUnited Statesen_US
dc.subjectAntiretroviral therapyen_US
dc.subjectViral suppressionen_US
dc.subjectInfected adultsen_US
dc.subjectBisexual menen_US
dc.subjectDaily diaryen_US
dc.subjectVulnerabilityen_US
dc.subjectIntercourseen_US
dc.subjectAdherenceen_US
dc.subjectAdulten_US
dc.subjectAlcohol drinkingen_US
dc.subjectCondomsen_US
dc.subjectCross-sectional studiesen_US
dc.subjectDepressionen_US
dc.subjectHIV infectionsen_US
dc.subjectHIV seronegativityen_US
dc.subjectHomosexuality, maleen_US
dc.subjectHumansen_US
dc.subjectMaleen_US
dc.subjectMiddle ageden_US
dc.subjectRisk factorsen_US
dc.subjectRisk-takingen_US
dc.subjectSexual behavioren_US
dc.subjectSexual partnersen_US
dc.subjectSubstance-related disordersen_US
dc.subjectSurveys and questionnairesen_US
dc.subjectUnsafe sexen_US
dc.subjectPublic healthen_US
dc.subjectPublic health and health servicesen_US
dc.titleThe predominant relationship between sexual environment characteristics and HIV-serodiscordant condomless anal sex among HIV-positive men who have sex with men (MSM)en_US
dc.typeArticleen_US
dc.description.versionAccepted manuscripten_US
dc.identifier.doi10.1007/s10461-015-1202-z
pubs.elements-sourceweb-of-scienceen_US
pubs.notesEmbargo: Not knownen_US
pubs.organisational-groupBoston Universityen_US
pubs.organisational-groupBoston University, School of Social Worken_US
pubs.publication-statusPublisheden_US
dc.identifier.mycv404793


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