HIV Prevention Altruism and Sexual Risk Behavior in HIV-Positive Men Who Have Sex with Men

O’Dell, Brennan L.; Rosser, B. R. Simon; Miner, Michael H.; Jacoby, Scott M.

doi:10.1007/s10461-007-9321-9

Cited by 59 publications

(51 citation statements)

References 29 publications

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“…It may also be highly relevant that protecting the partner from infection of HIV also protects oneself from other STDs, which can be important in the context of a compromised immune system. When discussing prevention with a Role 1 person, our results might suggest giving a focus of how condoms show care for a partner and protect the partner from contracting the same chronic disease (12). …”

Section: Discussion and Clinical Implicationsmentioning

confidence: 99%

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Reasons People Give for Using (or Not Using) Condoms

2016

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Section: Discussion and Clinical Implicationsmentioning

confidence: 99%

“…An altruistic or caregiving motivation (39–41) may lead a person to protect a partner they feel emotionally close to. An altruistic concern to protect the partner has been studied by several researchers who focus primarily on the HIV+ population (9, 10, 12, 13). …”

Section: Reasons For Using Condomsmentioning

confidence: 99%

Reasons People Give for Using (or Not Using) Condoms

2016

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“…We interpreted this pattern of results as resulting from altruistic orientations that led participants in this project not to risk infecting those who were otherwise not at high risk. Later research by our group (2, 3) and others (4, 5) supported the importance of altruism and solidarity among drug users and among HIV-positive men who have sex with men (MSM). We have shown in our articles on “intravention” (in which we ask PWID and others at HIV risk (8 - 10) to describe how they try to get other people to protect their health) that actions that seem to express altruism and/or solidarity with others are widespread among PWID and other key populations.…”

Section: Introductionmentioning

confidence: 77%

“…For the questions on altruism, we built on the work of Nimmons & Folkman (17) and of O'Dell et al (18), who had created measures of other-sensitive motivations and altruism in relationship to safer sex among gay men. We modified their approach considerably based on our fieldwork.…”

Section: Methodsmentioning

confidence: 99%

Measuring Altruistic and Solidaristic Orientations Toward Others Among People Who Inject Drugs

Friedman

Pouget

Sandoval

et al. 2015

Journal of Addictive Diseases

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Background Past research has found that HIV+ people who inject drugs (PWID) have high levels of consistent condom use in their partnerships with non-IDUs and in other behavioral expressions of what could be altruism or solidarity. Such research on PWID has been hindered by lack of appropriate measures of altruism and solidarity. Yet such measures may help us understand how people who inject drugs react when structural interventions or Big Events such as economic or political crises take place, and thus may also have major implications for HIV and other epidemics. Methods After considerable formative ethnography and pilot testing, we developed scales to assess altruistic and solidaristic orientations towards other drug users and non-drug users. We administered these scales to 300 PWID (56% male; 72% nonwhite; 98% income < $20,000) who were referred to our storefront location by a large respondent-driven sampling (RDS) project. Scale reliabilities were assessed using Cronbach's alpha; scale validity was assessed using Pearson's correlations with criterion variables. Results The 13-item Altruism Scale and the 9-item Solidarity Scale were both internally consistent (alpha = 0.91, 0.83, respectively). Each scale was correlated with how many hours participants help other people, local organizations, or the community in general during an average week (r = 0.33, p < 0.001; and 0.34, p < 0.001, respectively) and with bringing food or other necessities to others after the Hurricane Sandy emergency (r = 0.48, p < 0.001; and 0.41, p < 0.001, respectively). Conclusion These measures seem to be reliable and valid. They can be useful for a variety of studies of PWID and perhaps other people who use drugs. They can help us study both how (and if) Big Events or structural interventions affect altruism and solidarity among PWID and how (and if) altruism and solidarity are associated with changes in HIV or other risks among PWID.

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“…a desire on the part of HIVpositive individuals to protect others from risk of infection. Prevention altruism has been associated with lower levels of serodiscordant anal intercourse among HIVpositive gay and bisexual men, but these effects may be mitigated by other psychological and contextual factors (O'Dell et al 2008).…”

Section: Discussionmentioning

confidence: 99%

Dimensions of Psychological Well-being Predict Consistent Condom Use among Older Adults Living with HIV

et al. 2011

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This study examined the role of psychological well-being in promoting consistent condom use among a sample of HIV-positive adults ages 50 and older living in New York City. Data were drawn from the Research on Older Adults with HIV (ROAH) project, and 328 sexually active participants (ages 50 to 78) were included in this cross-sectional analysis. Participants completed the Ryff Scales of Psychological Well-being (Ryff Journal of Personality and Social Psychology 57 (6): [1069][1070][1071][1072][1073][1074][1075][1076][1077][1078][1079][1080][1081] 1989) and a detailed measure of sexual behavior in the past 90 days. Separate regression models were constructed by gender and sexual orientation (i.e., gay/bisexual men, straight men, and women). Psychological well-being was positively associated with sustained prevention practice, i.e. consistent condom use during every act of anal or vaginal sex. The effects of psychological well-being were observed over and above those associated with alcohol and drug use or disease severity (i.e. presence of an AIDS diagnosis). Unique dimensions of psychological well-being were associated with protected sex practice for each of the three gender/ sexual orientation cohorts. This study is among the first to identify associations

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HIV Prevention Altruism and Sexual Risk Behavior in HIV-Positive Men Who Have Sex with Men

Cited by 59 publications

References 29 publications

Reasons People Give for Using (or Not Using) Condoms

Reasons People Give for Using (or Not Using) Condoms

Measuring Altruistic and Solidaristic Orientations Toward Others Among People Who Inject Drugs

Dimensions of Psychological Well-being Predict Consistent Condom Use among Older Adults Living with HIV

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