title: Sexual Risk-Taking in HIV-Negative Gay and Bisexual Men Increases with Depression: Results from a U.S. National Study.
abstract: The link between depression and sexual risk-taking has received mixed findings in the literature. The current study analyzed the links between depression and recent condomless anal sex (CAS) with casual partners among 1033 HIV-negative, non-PrEP-using, gay and bisexual men. When CAS was dichotomized as either none or some, depression was not associated with the odds of CAS (with receptive and insertive combined) or insertive CAS only, but was positively associated with the odds of receptive CAS. When CAS was tallied as a count variable of events, depression was positively associated with total CAS, receptive CAS, and insertive CAS. With the addition of a quadratic term for depression, a positive quadratic effect was only found for total CAS and receptive CAS, but not for insertive CAS. These findings highlight the utility of using count data for CAS events and treating CAS separately with regard to receptive and insertive positioning when considering the role of depression among gay and bisexual men.
authors.affiliation: Center for HIV/AIDS Educational Studies & Training (CHEST), Hunter College of the City University of New York (CUNY), New York, NY, USA.|Health Psychology and Clinical Science Doctoral Program, The Graduate Center (CUNY), New York, NY, USA.
authors.forename: Brett M
authors.initials: BM
authors.lastname: Millar
authors.affiliation: Center for HIV/AIDS Educational Studies & Training (CHEST), Hunter College of the City University of New York (CUNY), New York, NY, USA.|Health Psychology and Clinical Science Doctoral Program, The Graduate Center (CUNY), New York, NY, USA.|Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Ave., New York, NY, 10065, USA.
authors.forename: Tyrel J
authors.initials: TJ
authors.lastname: Starks
authors.affiliation: Center for HIV/AIDS Educational Studies & Training (CHEST), Hunter College of the City University of New York (CUNY), New York, NY, USA.|CUNY Graduate School of Public Health and Health Policy, New York, NY, USA.
authors.forename: Christian
authors.initials: C
authors.lastname: Grov
authors.affiliation: Center for HIV/AIDS Educational Studies & Training (CHEST), Hunter College of the City University of New York (CUNY), New York, NY, USA. Jeffrey.Parsons@hunter.cuny.edu.|Health Psychology and Clinical Science Doctoral Program, The Graduate Center (CUNY), New York, NY, USA. Jeffrey.Parsons@hunter.cuny.edu.|Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Ave., New York, NY, 10065, USA. Jeffrey.Parsons@hunter.cuny.edu.
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Parsons
mesh_terms: D000293:Adolescent; D000328:Adult; D001727:Bisexuality / Q000523:psychology / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D003866:Depressive Disorder / Q000523:psychology; D015658:HIV Infections / Q000517:prevention & control*; D018023:HIV Seronegativity; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D012309:Risk-Taking; D012747:Sexual Partners; D014481:United States; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data*
keywords: Casual sex; Condom use; Men who have sex with men (MSM); Positioning; Sexual minority