title: Self-esteem instability and its implications for HIV prevention among gay men.
abstract: This study, using a modified State Self-Esteem Scale (SSES), examined self-esteem instability and its association with risky sexual behavior among 455 gay and bisexual men. A self-administered questionnaire included the SSES and measures of intimacy, loneliness, social support, and ways of coping. Analysis of variance showed that the self-esteem of participants who recently engaged in unprotected anal intercourse with nonprimary partners was more unstable than the self-esteem of participants who did not engage in unprotected anal intercourse. Self-esteem instability was associated with higher avoidance coping, higher loneliness, and lower social support. Episodes of self-esteem injury might motivate some gay men to engage in risky sex. HIV prevention strategies with gay men should target the quality of their interpersonal relationships and community supports.
authors.affiliation: Ehrenkranz School of Social Work, New York University, NY 10003, USA. james.martin@nyu.edu
authors.forename: J I
authors.initials: JI
authors.lastname: Martin
authors.forename: J
authors.initials: J
authors.lastname: Knox
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D004522:Educational Status; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011581:Psychological Tests; D012649:Self Concept; D012725:Sexual Behavior / Q000523:psychology*; D011795:Surveys and Questionnaires