title: Prospective predictors of unprotected anal intercourse among HIV-seropositive men who have sex with men initiating antiretroviral therapy.
abstract: Contemporary HIV prevention efforts are increasingly focused on those already living with HIV/AIDS (i.e., "prevention with positives"). Key to these initiatives is research identifying the most risky behavioral targets. Using a longitudinal design, we examined socio-demographic and psychosocial factors that prospectively predicted unprotected anal intercourse (UAI) in a sample of 134 HIV-seropositive men who have sex with men (MSM) initiating, changing, or re-starting an antiretroviral therapy regimen as part of a behavioral intervention study. Computer-based questionnaires were given at baseline and 6 months. In a sequential logistic regression, baseline measures of UAI (step 1), socio-demographic factors such as Latino ethnicity (step 2), and psychosocial factors such as crystal methamphetamine use, greater life stress, and lower trait anxiety (step 3) were predictors of UAI at 6 months. Problem drinking was not a significant predictor. Prevention efforts among MSM living with HIV/AIDS might focus on multiple psychosocial targets, like decreasing their crystal methamphetamine use and teaching coping skills to deal with life stress.
authors: Department of Psychology, University of Massachusetts, 100 Morrissey Boulevard, Boston, MA, 02125, USA, david.pantalone@umb.edu.
authors: David W
authors: DW
authors: Pantalone
authors: David
authors: D
authors: Huh
authors: Kimberly M
authors: KM
authors: Nelson
authors: Cynthia R
authors: CR
authors: Pearson
authors: Jane M
authors: JM
authors: Simoni
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D004334:Drug Administration Schedule; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology* / Q000635:transmission; D006679:HIV Seropositivity / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000208:ethnology / Q000706:statistics & numerical data; D006801:Humans; D007407:Interviews as Topic; D007843:Latin America / Q000208:ethnology; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012725:Sexual Behavior; D012959:Socioeconomic Factors; D013315:Stress, Psychological; D019966:Substance-Related Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000523:psychology* / Q000706:statistics & numerical data; D035862:Vulnerable Populations; D014861:Washington / Q000453:epidemiology; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents
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