Thoughts Associated with Unprotected Anal Intercourse Among Men at High Risk in San Francisco 1997-1999

Dilley, James; McFarland, Willi; Woods, William J.; Sabatino, James; Lihatsh, Tania; Adler, Barbara; Swig, Louise; Dark, Tony

doi:10.1080/08870440290013707

Cited by 17 publications

(19 citation statements)

References 10 publications

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“…On joining the participant, the counselor asked the participant to complete a revised ''self-justifications'' questionnaire (SJQ-R). 15 To do so, the participant was instructed to recall a recent episode of UAI with a male partner of unknown or known HIV-positive serostatus. After bringing a specific episode to mind, the participant completed the SJQ-R, noting whether and to what extent any of the items from the questionnaire were present in his mind just before or during the sexual encounter.…”

Section: Interventionsmentioning

confidence: 99%

Brief Cognitive Counseling With HIV Testing To Reduce Sexual Risk Among Men Who Have Sex With Men

Dilley

Woods²,

Loeb³

et al. 2007

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Section: Interventionsmentioning

confidence: 99%

Brief Cognitive Counseling With HIV Testing To Reduce Sexual Risk Among Men Who Have Sex With Men

Dilley

Woods²,

Loeb³

et al. 2007

JAIDS Journal of Acquired Immune Deficiency Syndromes

Self Cite

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“…Many factors have been identified, including the belief that engaging in unprotected sex is an expression of individual choice [3,4], the belief that engaging in unprotected sex is an expression of masculinity [5–7], the perception that AIDS antiretroviral drugs have made HIV/AIDS less of a health concern now than in prior years [8,9], a fear of being rejected sexually by partners who dislike condoms [9], the belief that sex is more pleasurable when condoms are not used [4,10,11], feeling “burned out” by worrying about becoming HIV-infected [8,10], and feeling a greater sense of emotional connectedness to sexual partners with whom one had unprotected rather than protected sex [11,12]. …”

Section: Introductionmentioning

confidence: 99%

A comparison of HIV risk practices among unprotected sex-seeking older and younger men who have sex with other men

Klein¹

2012

The Aging Male

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Purpose: In recent years, much attention has been devoted to understanding the HIV risk behaviors of younger men who have sex with men (MSM). Recent data suggest that HIV is becoming an increasing problem for older adults, but little attention has been devoted to understanding their HIV risk behaviors or the factors that underlie their risk taking. This study provides a comparison of these issues among younger and older MSM. Methods: The data come from a subset of younger (ages 18–39, n = 113) and older (ages 50+, n = 109) men participating in a national study of 332 men who use the Internet to find other men for unprotected sex. Men were sampled randomly from 16 websites. Data were collected via telephone interviews conducted in 2008 and 2009. Results: Younger and older men reported comparable involvement in HIV risk, including involvement in unprotected sex, proportion of sex acts involving internal ejaculation, number of times having anonymous sex, and number of times having multiple-partner sex. Generally speaking, the factors underlying the risk practices of younger and older men were quite different (e.g. self-esteem and condom use self-efficacy for younger men, versus HIV serostatus and depression for older men). Conclusions: Older MSM using the Internet to find partners for unprotected sex engage in high rates of behaviors that place them at risk for contracting or transmitting HIV. They were just as likely as their younger counterparts to practice these behaviors. The factors “fueling” involvement in risk generally differ for older and younger men, thereby warranting the development of age-specific HIV interventions that can take into account the unique life circumstances and needs of older MSM.

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“…Many factors have been identified, including the belief that engaging in unprotected sex is an expression of individual choice, 4,5 the belief that engaging in unprotected sex is an expression of masculinity, 6–8 the perception that AIDS antiretroviral drugs have made HIV/AIDS less of a health concern now than in previous years, 9,10 a fear of being rejected sexually by partners who dislike condoms, 10 the belief that sex is more pleasurable when condoms are not used, 5,11,12 feeling ‘burned out’ by worrying about becoming HIV-infected, 9,11 and feeling a greater emotional connectedness to sexual partners with whom one has unprotected sex. 12,13 …”

mentioning

confidence: 99%

HIV risk practices sought by men who have sex with other men, and who use internet websites to identify potential sexual partners

Klein¹

2008

Sex. Health

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Men who have sex with men (MSM) account for the largest number of persons diagnosed with AIDS in the USA, with higher than average rates of drug use and unprotected sex being cited as the principal reasons underlying their high rates of HIV infection. Recent evidence has suggested that the use of websites specifically designed to promote unsafe sexual practices may be particularly common among MSM, thereby fostering their risky behaviours. In light of these findings, the present study is based on a content analysis of 1316 ads/profiles posted on one of the most popular MSM websites that specifically fosters unprotected sex. Ads/profiles were selected randomly based on the American ZIP code of residence. Data were collected between September 2006 and January 2007. Rates of advertised for high-risk sexual behaviours were very high, particularly for oral sex involving ejaculation into the mouth (88.0% for receptive oral sex, 77.4% for insertive oral sex), anal sex involving ejaculation into the anus (79.7% for insertive anal sex, 69.4% for receptive anal sex), multiple partner sex (77.9%) and felching (16.5%). A multivariate analysis of the correlates of sexual risk preferences identified seven factors that were related to a propensity towards enhanced sexual risk: younger age (β = 0.12, P = 0.0001), not being African American (β = 0.05, P = 0.0341), self-identification as a sexual ‘bottom’ (β = 0.20, P = 0.0001), not caring about one’s potential sex partners’ HIV serostatus (β = 0.15, P = 0.0001), preferring to have sex while under the influence of drugs (β = 0.08, P = 0.0022), a greater involvement in and commitment to the use of the website to locate potential unprotected sex partners (β = 0.16, P = 0.0001) and not being HIV-negative (β = 0.08, P = 0.0081). The HIV intervention-related implications of these findings are discussed.

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Thoughts Associated with Unprotected Anal Intercourse Among Men at High Risk in San Francisco 1997-1999

Cited by 17 publications

References 10 publications

Brief Cognitive Counseling With HIV Testing To Reduce Sexual Risk Among Men Who Have Sex With Men

Brief Cognitive Counseling With HIV Testing To Reduce Sexual Risk Among Men Who Have Sex With Men

A comparison of HIV risk practices among unprotected sex-seeking older and younger men who have sex with other men

HIV risk practices sought by men who have sex with other men, and who use internet websites to identify potential sexual partners

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