Depression is Associated with Sexual Risk Among Men Who Have Sex with Men, but is Mediated by Cognitive Escape and Self-Efficacy

Alvy, Lisa M.; McKirnan, David J.; Mansergh, Gordon; Koblin, Beryl A.; Colfax, Grant; Flores, Stephen A.; Hudson, Sharon

doi:10.1007/s10461-010-9678-z

Cited by 158 publications

(146 citation statements)

References 40 publications

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“…Poor mental health, including depressed mood and low self-esteem, has been linked to sexual risk behavior in prior studies of adult MSM. [45][46][47] Finally, negative father-son relationship dynamics increased situational risk for some participants by predisposing them to form partnerships where they had limited power to negotiate safe sex. At its extreme, paternal rejection led to homelessness and exchanging unsafe sex in return for housing, a phenomenon that has been previously described in other gay youth.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Analysis of Father–Son Relationships among HIV-Positive Young Black Men Who Have Sex with Men

et al. 2014

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Young black men who have sex with men (YBMSM) are experiencing high and rising rates of HIV infection, more than any other age-risk group category in the USA. Contributors to HIV risk in this group remain incompletely elucidated. We conducted exploratory qualitative interviews with 20 HIV-positive YBMSM aged 17-24 and found that father-son relationships were perceived to be important sociocontextual influences in participants' lives. Participants discussed the degree of their fathers' involvement in their lives, emotional qualities of the father-son relationship, communication about sex, and masculine socialization. Participants also described pathways linking father-son relationships to HIV risk, which were mediated by psychological and situational risk scenarios. Our thematic analysis suggests that father-son relationships are important to the psychosocial development of YBMSM, with the potential to either exacerbate or attenuate sexual risk for HIV. Interventions designed to strengthen father-son relationships may provide a promising direction for future health promotion efforts in this population.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Analysis of Father–Son Relationships among HIV-Positive Young Black Men Who Have Sex with Men

et al. 2014

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“…In the relationship between perceived self-efficacy and health, the former, along with other components of SCT, such as outcome expectancies, has emerged as one of the most important predictors of a number of health-related behaviors in a diverse range of studies 12,13,14 . Perceived selfefficacy is directly related to the adoption and the promotion of healthy behaviors, e.g., prevention of unsafe sexual behavior 15,16 , getting regular physical exercise 17 , proper nutrition and weight control 18 , and smoking cessation 19 . It is also related to the positive and negative affects and strategies for coping with stress 14,20 .…”

Section: Perceived Self-efficacymentioning

confidence: 99%

Self-efficacy as a mediator of the relationship between subjective well-being and general health of military cadets

et al. 2014

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The objective of this study is to investigate the role of self-efficacy beliefs as a mediator of the relationship between the subjective well-being and general health of military cadets (police and firefighters). For this study, 228 cadets participated, the majority being Military Police officer candidates (65%), male (79%), between 17 and 34 years of age (99%), and unmarried (74%). They responded to questionnaires on general health (GHQ-12), perceived general self-efficacy, to the multiple scales that cover subjective well-being, and demographic questions. Initial regression analyses indicate the predictive power of subject well-being regarding general health. Subsequently, the mediation analyses provide satisfactory evidence for the role of perceived self-efficacy as a mediator of the relationship between the subjective well-being variables and the overall health of military cadets. The implications of these results for the professional training of the cadets are discussed.

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“…24 Disclosure self-efficacy is a strong predictor of disclosure, 9 such that those with lower disclosure self-efficacy are more likely to avoid disclosure or inconsistently disclose to sexual partners. 25 The negative impact of depression on self-efficacy for safer sex has been demonstrated for MSM, 26,27 but it is not known how depression influences self-efficacy for disclosure.…”

mentioning

confidence: 99%

Depression and HIV Serostatus Disclosure to Sexual Partners Among Newly HIV-Diagnosed Men Who Have Sex with Men

Abler

Sikkema

Watt

et al. 2015

AIDS Patient Care and STDs

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HIV disclosure to sexual partners facilitates joint decision-making and risk reduction strategies for safer sex behaviors, but disclosure may be impacted by depression symptoms. Disclosure is also associated with disclosure self-efficacy, which in turn may also be influenced by depressive symptoms. This study examined the relationship between depression and HIV disclosure to partners following diagnosis among men who have sex with men (MSM), mediated by disclosure self-efficacy. Newly HIV-diagnosed MSM (n = 92) who reported sexual activity after diagnosis completed an assessment soon after diagnosis which measured depressive symptoms, and another assessment within 3 months of diagnosis that measured disclosure self-efficacy and disclosure. Over one-third of the sample reported elevated depressive symptoms soon after diagnosis and equal proportions (one-third each) disclosed to none, some, or all partners in the 3 months after diagnosis. Depressive symptoms were negatively associated with disclosure self-efficacy and disclosure to partners, while disclosure self-efficacy was positively associated with disclosure. Disclosure self-efficacy partially mediated the relationship between depression and disclosure, accounting for 33% of the total effect. These findings highlight the importance of addressing depression that follows diagnosis to enhance subsequent disclosure to sexual partners.

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Depression is Associated with Sexual Risk Among Men Who Have Sex with Men, but is Mediated by Cognitive Escape and Self-Efficacy

Cited by 158 publications

References 40 publications

A Qualitative Analysis of Father–Son Relationships among HIV-Positive Young Black Men Who Have Sex with Men

A Qualitative Analysis of Father–Son Relationships among HIV-Positive Young Black Men Who Have Sex with Men

Self-efficacy as a mediator of the relationship between subjective well-being and general health of military cadets

Depression and HIV Serostatus Disclosure to Sexual Partners Among Newly HIV-Diagnosed Men Who Have Sex with Men

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