title: Anxiety Specific Pathways to HIV Sexual Transmission Risk Behavior among Young Gay and Bisexual Men.
abstract: This study evaluated whether specific anxiety disorders increased the likelihood of sexual transmission risk behavior (TRB) in younger (ages 20-29) versus older (ages 30+) HIV positive gay and bisexual men. Participants completed screening measures for Posttraumatic Stress Disorder (PTSD), Social Phobia, and Panic Disorder, and an assessment of recent TRB Moderated regression analyses indicated that PTSD was associated with greater risk of TRB in younger but not older men, independent of HIV disease stage or treatment status. Efficacy of secondary HIV prevention efforts for younger men may be augmented by addressing the context of trauma history and consequent mental health issues.
authors.affiliation: Fenway Health, Boston, MA ; Massachusetts General Hospital and Harvard Medical School, Boston, MA.
authors.forename: Conall
authors.initials: C
authors.lastname: O'Cleirigh
authors.forename: Lara
authors.initials: L
authors.lastname: Traeger
authors.forename: Kenneth H
authors.initials: KH
authors.lastname: Mayer
authors.forename: Jessica F
authors.initials: JF
authors.lastname: Magidson
authors.forename: Steven A
authors.initials: SA
authors.lastname: Safren
keywords: HIV; age; post-traumatic stress disorder; sexual transmission risk behavior