The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men (MSM)

Nicholas S. Perry, S. Wade Taylor, Steven Elsesser, Steven Safren, Conall O’Cleirigh

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

In some studies, situational factors have been shown to be stronger predictors of condomless sex than individual risk factors. Cross-sectional relationships between condomless anal sex (CAS) with HIV-serodiscordant partners and risk factors across ecological levels (individual, sexual environment) were examined using a sample (N = 60) of HIV-positive men who have sex with men (MSM) who reported multiple recent episodes of CAS. Negative binomial regressions were used to evaluate the association of contextual risk factors (e.g., substance use during sex, transactional sex, public sex, sex at a sex party) with recent condomless sex, controlling for demographics and mental health. Results demonstrated that sexual environment factors, particularly sex under the influence of drugs or alcohol (B = .019, p <.05), transactional sex (B = .035, p <.01), and public sex (B = .039, p <.01) explained a large proportion of the variance in CAS. Only sex at a sex party was not related to CAS (p = .39). For each additional sexual environment in which men engaged, their rates of CAS increased (B = .39, p <.01). Secondary prevention interventions that are tailored to the proximal sexual environment could be maximally effective, particularly if they address substance use and other challenging sexual situations.

Original languageEnglish (US)
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Sep 22 2015

Fingerprint

Sexual Behavior
HIV
Sex Factors
Secondary Prevention
Mental Health
Alcohols
Demography

Keywords

  • Condomless sex
  • Men who have sex with men (MSM)
  • Positive prevention
  • Sexual environment

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Cite this

The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men (MSM). / Perry, Nicholas S.; Wade Taylor, S.; Elsesser, Steven; Safren, Steven; O’Cleirigh, Conall.

In: AIDS and Behavior, 22.09.2015.

Research output: Contribution to journalArticle

@article{3ae98d42c48e456ca55a8e54828a4aa1,
title = "The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men (MSM)",
abstract = "In some studies, situational factors have been shown to be stronger predictors of condomless sex than individual risk factors. Cross-sectional relationships between condomless anal sex (CAS) with HIV-serodiscordant partners and risk factors across ecological levels (individual, sexual environment) were examined using a sample (N = 60) of HIV-positive men who have sex with men (MSM) who reported multiple recent episodes of CAS. Negative binomial regressions were used to evaluate the association of contextual risk factors (e.g., substance use during sex, transactional sex, public sex, sex at a sex party) with recent condomless sex, controlling for demographics and mental health. Results demonstrated that sexual environment factors, particularly sex under the influence of drugs or alcohol (B = .019, p <.05), transactional sex (B = .035, p <.01), and public sex (B = .039, p <.01) explained a large proportion of the variance in CAS. Only sex at a sex party was not related to CAS (p = .39). For each additional sexual environment in which men engaged, their rates of CAS increased (B = .39, p <.01). Secondary prevention interventions that are tailored to the proximal sexual environment could be maximally effective, particularly if they address substance use and other challenging sexual situations.",
keywords = "Condomless sex, Men who have sex with men (MSM), Positive prevention, Sexual environment",
author = "Perry, {Nicholas S.} and {Wade Taylor}, S. and Steven Elsesser and Steven Safren and Conall O’Cleirigh",
year = "2015",
month = "9",
day = "22",
doi = "10.1007/s10461-015-1202-z",
language = "English (US)",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",

}

TY - JOUR

T1 - The Predominant Relationship Between Sexual Environment Characteristics and HIV-Serodiscordant Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men (MSM)

AU - Perry, Nicholas S.

AU - Wade Taylor, S.

AU - Elsesser, Steven

AU - Safren, Steven

AU - O’Cleirigh, Conall

PY - 2015/9/22

Y1 - 2015/9/22

N2 - In some studies, situational factors have been shown to be stronger predictors of condomless sex than individual risk factors. Cross-sectional relationships between condomless anal sex (CAS) with HIV-serodiscordant partners and risk factors across ecological levels (individual, sexual environment) were examined using a sample (N = 60) of HIV-positive men who have sex with men (MSM) who reported multiple recent episodes of CAS. Negative binomial regressions were used to evaluate the association of contextual risk factors (e.g., substance use during sex, transactional sex, public sex, sex at a sex party) with recent condomless sex, controlling for demographics and mental health. Results demonstrated that sexual environment factors, particularly sex under the influence of drugs or alcohol (B = .019, p <.05), transactional sex (B = .035, p <.01), and public sex (B = .039, p <.01) explained a large proportion of the variance in CAS. Only sex at a sex party was not related to CAS (p = .39). For each additional sexual environment in which men engaged, their rates of CAS increased (B = .39, p <.01). Secondary prevention interventions that are tailored to the proximal sexual environment could be maximally effective, particularly if they address substance use and other challenging sexual situations.

AB - In some studies, situational factors have been shown to be stronger predictors of condomless sex than individual risk factors. Cross-sectional relationships between condomless anal sex (CAS) with HIV-serodiscordant partners and risk factors across ecological levels (individual, sexual environment) were examined using a sample (N = 60) of HIV-positive men who have sex with men (MSM) who reported multiple recent episodes of CAS. Negative binomial regressions were used to evaluate the association of contextual risk factors (e.g., substance use during sex, transactional sex, public sex, sex at a sex party) with recent condomless sex, controlling for demographics and mental health. Results demonstrated that sexual environment factors, particularly sex under the influence of drugs or alcohol (B = .019, p <.05), transactional sex (B = .035, p <.01), and public sex (B = .039, p <.01) explained a large proportion of the variance in CAS. Only sex at a sex party was not related to CAS (p = .39). For each additional sexual environment in which men engaged, their rates of CAS increased (B = .39, p <.01). Secondary prevention interventions that are tailored to the proximal sexual environment could be maximally effective, particularly if they address substance use and other challenging sexual situations.

KW - Condomless sex

KW - Men who have sex with men (MSM)

KW - Positive prevention

KW - Sexual environment

UR - http://www.scopus.com/inward/record.url?scp=84944577899&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84944577899&partnerID=8YFLogxK

U2 - 10.1007/s10461-015-1202-z

DO - 10.1007/s10461-015-1202-z

M3 - Article

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

ER -