Document Detail

The relationship of internalized homonegativity to unsafe sexual behavior in HIV-seropositive men who have sex with men.
MedLine Citation:
PMID:  19072529     Owner:  NLM     Status:  MEDLINE    
We studied internalized homonegativity (IH) in 675 HIV-positive men who have sex with men (MSM) from six epicenters across the United States who attended an HIV prevention workshop. Participants included 300 African American and over 150 Hispanic White and White non-Hispanic men. Higher IH was significantly associated with African American race. Compulsive sexual behavior, openness as MSM, sexual comfort, depression, education level, and importance of religion also were associated with IH and independently predicted a third of this outcome's variance. For those with higher IH, two significant paths led to unsafe sexual behavior: first, to serodiscordant unprotected anal intercourse (SDUAI) through being less "out"--thus disclosing serostatus to secondary partners less frequently, and second, to lower condom self-efficacy and SDUAI through lower sexual comfort. These data provide information on the demographic, sexual and mental health variables associated with IH. They offer an indication of the paths through which IH is associated with serodiscordant risk behavior in HIV-positive MSM.
Michael W Ross; B R Simon Rosser; Eric R Neumaier;
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  AIDS education and prevention : official publication of the International Society for AIDS Education     Volume:  20     ISSN:  1943-2755     ISO Abbreviation:  AIDS Educ Prev     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-16     Completed Date:  2009-01-26     Revised Date:  2014-09-19    
Medline Journal Info:
Nlm Unique ID:  9002873     Medline TA:  AIDS Educ Prev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  547-57     Citation Subset:  IM; X    
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MeSH Terms
Analysis of Variance
Chi-Square Distribution
HIV Seropositivity / epidemiology,  psychology*
Homosexuality, Male / psychology*
Linear Models
Middle Aged
Sexual Partners
United States / epidemiology
Unsafe Sex / psychology*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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