title: Unprotected anal intercourse among immigrant Latino MSM: the role of characteristics of the person and the sexual encounter.
abstract: Theoretical models of sexual risk-taking have traditionally focused on personal characteristics, but conceptual approaches emphasizing the social and situational context have also been proposed. This study examined the impact of characteristics of the person and of the sexual encounter on unprotected anal intercourse (UAI) among 482 immigrant Latino MSM. Analyses included logistic regression and hierarchical linear modeling. The personal characteristic of self-efficacy for safer sex was negatively associated with UAI over the previous three months, at the most recent encounter, and over multiple encounters reported by each participant. In addition, a cross-level interaction of self-efficacy at the person-level and sexual desire at the encounter-level showed that increased sexual desire was associated with greater likelihood of UAI for those with low self-efficacy, but not those with high self-efficacy. Likelihood of UAI was also linked to the situational characteristics of closeness to the partner, seroconcordance, and concern about STIs in the encounter.
authors.affiliation: Department of Psychology, George Washington University, 2125 G. St., NW, Washington, DC 20052, USA. zea@gwu.edu
authors.forename: Maria Cecilia
authors.initials: MC
authors.lastname: Zea
authors.forename: Carol A
authors.initials: CA
authors.lastname: Reisen
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Poppen
authors.forename: Fernanda T
authors.initials: FT
authors.lastname: Bianchi
mesh_terms: D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D006679:HIV Seropositivity / Q000523:psychology / Q000635:transmission; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D007398:Interpersonal Relations; D016015:Logistic Models; D008297:Male; D009769:Object Attachment; D012309:Risk-Taking; D020377:Self Efficacy; D012725:Sexual Behavior / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data; D012747:Sexual Partners / Q000523:psychology*; D011795:Surveys and Questionnaires; D047568:Unsafe Sex