title: Body mass index, body esteem, and unprotected receptive anal intercourse among young men who have sex with men who seek partners online.
abstract: Research examining the relationship between body mass index (BMI) and sexual risk outcomes among men who have sex with men (MSM) has yielded inconsistent results. Using a web-based survey, single-identified (e.g., not in a relationship) young MSM (N = 431) between the ages of 18 and 24 years who sought romantic partners online were asked to respond to items regarding their BMI, body image (e.g., attribution, dissatisfaction, and pride), and sexual risk behaviors. We used Poisson regressions to examine the relationships between BMI, body image, and the number of unprotected receptive anal intercourse (URAI) occasions and partners in the past 2 months. We found a curvilinear relationship between BMI and URAI occasions, and a linear relationship between BMI and URAI partners. These relationships persisted after accounting for body image. Further, we found that body attribution served as a protective factor whereas body pride served as a risk factor. We discuss the implications of our findings for sexual health education and HIV prevention.
authors: Center for Sexuality and Health Disparities, University of Michigan School of Public Health, 300 North Ingalls St., 9th Floor, Wing D, Ann Arbor, MI, 48109, USA.
authors: Steven
authors: S
authors: Meanley
authors: Andrew
authors: A
authors: Hickok
authors: Michelle Marie
authors: MM
authors: Johns
authors: Emily S
authors: ES
authors: Pingel
authors: José A
authors: JA
authors: Bauermeister
mesh_terms: D000293:Adolescent; D001828:Body Image; D015992:Body Mass Index; D018451:Homosexuality, Male / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D020407:Internet; D008297:Male; D012307:Risk Factors; D012309:Risk-Taking; D012649:Self Concept; D012725:Sexual Behavior / Q000523:psychology; D012747:Sexual Partners; D055815:Young Adult
references: Eat Behav. 2005 Jun;6(3):179-87
references: 15854864
references: Arch Sex Behav. 2010 Jun;39(3):761-5
references: 19234778
references: Health Soc Work. 1997 Nov;22(4):264-73
references: 9408776
references: J Homosex. 2005;50(1):53-70
references: 16368664
references: Health Educ Res. 2002 Feb;17(1):43-57
references: 11890176
references: AIDS Behav. 2011 Feb;15(2):261-72
references: 20953689
references: J Homosex. 2004;47(3-4):45-58
references: 15451703
references: AIDS. 2010 Mar 27;24(6):907-13
references: 20139750
references: Pers Soc Psychol Bull. 2007 May;33(5):634-47
references: 17440202
references: Field methods. 2012 Aug 1;24(3):272-291
references: 23180978
references: AIDS. 2010 Aug 24;24(13):2099-107
references: 20601853
references: J Couns Psychol. 2010 Apr;57(2):154-166
references: 21133567
references: Arch Sex Behav. 2006 Oct;35(5):587-95
references: 17031588
references: J Sex Res. 2011 Mar;48(2-3):218-53
references: 21409715
references: Am J Mens Health. 2012 Nov;6(6):505-18
references: 22843811
references: Obesity (Silver Spring). 2007 Jan;15(1):188-96
references: 17228047
references: Cult Health Sex. 2012;14(1):1-15
references: 22077494
references: Psychosom Med. 2008 Jun;70(5):598-605
references: 18541908
references: J Sex Res. 2008 Jan-Mar;45(1):49-56
references: 18321030
references: Am J Epidemiol. 1999 Nov 1;150(9):969-77
references: 10547143
references: Obes Rev. 2007 Jul;8(4):307-26
references: 17578381
references: PLoS One. 2011;6(8):e17502
references: 21826193
references: Arch Sex Behav. 2012 Apr;41(2):385-9
references: 22038410
references: J Gerontol. 1983 Nov;38(6):673-7
references: 6630900
references: Body Image. 2012 Jan;9(1):57-67
references: 22036192
references: AIDS. 2005 Jun 10;19(9):961-8
references: 15905678
references: Arch Sex Behav. 2009 Oct;38(5):713-25
references: 18712469
references: AIDS Care. 2001 Apr;13(2):163-9
references: 11304421
references: Body Image. 2004 May;1(2):127-38
references: 18089146
references: AIDS Behav. 2012 Aug;16(6):1373-81
references: 22252476
references: Am J Mens Health. 2012 Jul;6(4):280-93
references: 22398990
references: AIDS Care. 2004 Nov;16(8):993-1001
references: 15511731