Psychosocial characteristics and sexual behaviors of people in care for HIV infection: an examination of men who have sex with men, heterosexual men and women.
Few studies have examined the psychosocial factors associated with sexual transmission behaviors among HIV-positive men who have sex with men (MSM), heterosexual men (MSW) and women. We enrolled 1,050 sexually active HIV-positive patients at seven HIV clinics in six US cities as part of a clinic-based behavioral intervention. We describe the sexual transmission behaviors and examine demographic, clinical, psychosocial, and clinic prevention variables associated with unprotected anal or vaginal intercourse (UAVI). Twenty-three percent of MSM, 12.3% of MSW and 27.8% of women engaged in UAVI with partners perceived to be HIV-negative or of unknown serostatus. Among MSM and MSW, having multiple partners and lower self-efficacy were associated with increased odds of UAVI. Self-rating one's health status as excellent/very good was a risk factor for UAVI among MSM. Among women, binge drinking and stressful life events were associated with UAVI. These findings identify variables that warrant attention in targeted interventions.
Golin
Carol
C
Department of Medicine, UNC School of Medicine, Chapel Hill, NC, USA. Carol_Golin@unc.edu
Marks
Gary
G
Wright
Julie
J
Gerkovich
Mary
M
Tien
Hsiao-Chuan
HC
Patel
Shilpa N
SN
Gardner
Lytt
L
O'Daniels
Christine
C
Wilson
Tracey E
TE
Thrun
Mark
M
Thompson
Melanie
M
Raffanti
Stephen
S
Quinlivan
E Byrd
EB
D000328:Adult; D003710:Demography; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D020010:Heterosexuality / Q000523:psychology* / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012747:Sexual Partners / Q000523:psychology; D012944:Social Support; D011795:Surveys and Questionnaires; D014481:United States