title: Correlates of Condom Use Among Substance Using Older Seropositive MSM: Implications for Mental Health Practice.
abstract: The purpose of this study was to describe the correlates of condom use among a sample of N = 60 substance using seropositive men who have sex with (MSM). The mean age of the study participants was 52 ranging 50-75 years of age. Seventy-percent of study participants reporting smoking marijuana, 62% using cocaine, 25% heroin, 37% alcohol, and 30% amphetamines. Among those reporting substance use, 75% reported it was a hassle to use condoms, 42% indicated pleasure decreased with condom use, 72% indicated safer sex is boring, 72% reported the idea of using condoms is unappealing, 78% reported condoms ruined sex, and 71% said condoms interfered with romance. A multiple logistic regression analysis revealed low self-esteem, relationship status, attitudes towards condom use, and depression predicted condom use χ2= 20.79, df = 6, ρ =.002. The study findings have implications for mental health nursing practice with seropositive African American MSM.
authors.affiliation: a School of Nursing , University of Pennsylvania , Philadelphia , Pennsylvania.
authors.forename: Christopher Lance
authors.initials: CL
authors.lastname: Coleman
mesh_terms: D000368:Aged; D017280:Condoms; D015658:HIV Infections / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D021841:Safe Sex; D012649:Self Concept; D019966:Substance-Related Disorders / Q000523:psychology*