Factors Associated with Sexual Risk of HIV Transmission Among HIV-Positive Latino Men Who have Sex with Men on the U.S.-México Border.
We present results from a cross-sectional, clinic-based survey of border-region Latino men who have sex with men (MSM) and who also are living with HIV in the El Paso-Ciudad Juárez area. Among the 66 participants who reported serodiscordant anal or vaginal intercourse, we examined levels of psychological distress and substance use and the association of these variables with condomless sex. Bivariate analyses indicated that MSM who reported condomless sex with a serodiscordant partner were more likely to report higher scores on measures of anxiety, depression, and trauma. These men were also more likely to report more days of alcohol use to the point of intoxication. In multivariate logistic regression, no variables were independently associated with sexual risk behavior, but symptoms of anxiety trended toward statistical significance. Our study is one of few reports aimed at understanding the HIV epidemic among Latino MSM living with HIV in the El Paso-Ciudad Juárez border region. Although we found no evidence of a relation between our measures of psychological distress and substance use and sexual risk behavior in multivariate analyses, psychological distress and problematic alcohol use were common in the sample and are important targets for intervention in their own right.
Department of Psychology, University of Washington, 3909 W. Stevens Way NE, Campus Box 351525, Seattle, WA, 98195-1525, USA. bkutner@uw.edu.
Bryan A
BA
Kutner
Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA.|Centers for Behavioral and Preventative Medicine, The Miriam Hospital, Providence, RI, USA.
Kimberly M
KM
Nelson
Department of Psychology, University of Washington, 3909 W. Stevens Way NE, Campus Box 351525, Seattle, WA, 98195-1525, USA.
Jane M
JM
Simoni
Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA.
John A
JA
Sauceda
Department of Psychology, University of Texas at El Paso, El Paso, TX, USA.
John S
JS
Wiebe
D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology; D003075:Coitus; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology / Q000523:psychology; D015658:HIV Infections / Q000453:epidemiology / Q000635:transmission*; D006630:Hispanic or Latino / Q000523:psychology*; D018451:Homosexuality, Male / Q000208:ethnology* / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners; D019966:Substance-Related Disorders / Q000453:epidemiology; D055815:Young Adult
HIV positive; HIV prevention; Latino/Hispanic; Men who have sex with men (MSM); Risk factors