In a cohort of gay men responding to the threat of acquired immunodeficiency syndrome (AIDS), dispositional optimism was associated with less distress, less avoidant coping, positive attitudes as a coping strategy, and fewer AIDS-related concerns. Men who knew they were seropositive for human immunodeficiency virus (HIV) were significantly more optimistic about not developing AIDS than men who knew they were seronegative for HIV. This AIDS-specific optimism was related to higher perceived control over AIDS and to active coping among seropositive men only and to health behaviors in both serostatus groups. There was no relation of optimism to risk-related sexual behavior. It is concluded that optimism is psychologically adaptive without necessarily compromising health behavior. It is also concluded that it is useful to distinguish between event-based optimistic expectations and dispositional optimism.
This study examined four types of predictors of sexual risk within a sample of 110 predominantly English-speaking Latino gay/bisexual men residing in the city of San Francisco. More than one fourth of the sample reported at least one instance of unprotected anal intercourse in the last 30 days; one fifth of the sample reported unprotected anal intercourse with a nonmonogamous sexual partner within the same time period. Findings suggest that weak personal intentions for safer sex and low levels of perceived selfefficacy are associated with risky sexual practices. In addition, a history of sexual abuse in childhood, drug use during sexual activity, and frequency of sex in public cruising environments emerged as significant predictors of sexual risk. Multivariate analyses indicated that a four-predictor model (including a young age, low levels of intention/self-efficacy, a high frequency of sex under the influence of drugs, and a high frequency of sex with nonmonogamous partners) is the most parsimonious model to predict sexual risk in this population. A history of childhood sexual abuse correlated positively with all predictors of risk in the model, except age.In five different studies of gay/bisexual men in the United States, Latinos have reported the highest rates of sexual risk behavior, even when compared
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