Trends in HIV/AIDS behavioural research among homosexual and bisexual men in the United States: 1981–1991

Sm, Adib; Dg, Ostrow

doi:10.1080/09540129108253074

Cited by 5 publications

(2 citation statements)

References 20 publications

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“…In fact, much research has investigated internalized stigma as it relates to preventative health behaviors related to HIV, another communicable disease that has differentially impacted the sexual minority community. Like COVID-19, lack of effective treatments in the early days of the AIDS epidemic meant that engaging in protective health behaviors (e.g., wearing condoms) to prevent the spread of the illness played a key role in curtailing infections (Adib & Ostrow, 1991; Eaton & Kalichman, 2020).…”

Section: The Minority Stress Model and Health Behaviorsmentioning

confidence: 99%

COVID-19 health behaviors in a sexual minority sample: The impact of internalized stigma.

Solomon¹,

Morey²,

Williams³

et al. 2021

Psychology of Sexual Orientation and Gender Diversity

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COVID-19 has been identified as a public health crisis that can be avoided by preventative health behaviors such as social distancing, the use of a cloth face covering when in public, and regular handwashing or sanitizing. Although identifying predictors of preventive health behaviors related to COVID-19 is important across the general population, it may be especially pertinent in marginalized populations including sexual and gender minorities particularly due to the role of minority stress and internalized stigma in predicting health behaviors. The purpose of this study was to expand the current COVID-19 literature to investigate whether internalized stigma regarding sexual orientation and gender minority status may impact COVID-19 preventative health behaviors. For all the COVID-19 health behaviors examined, internalized stigma and gender minority status accounted for significantly more variance than predictors that were not specific to sexual or gender minority status. However, different facets of internalized sexual minority predicted varying preventative health behaviors. For instance, sexuality dissatisfaction predicted leaving home for nonessential reasons whereas belief in negative stereotypes predicted less frequent handwashing and less use of face masks and social distancing in public places. Furthermore, sexual minority participants had significantly more fear of COVID-19 and anxiety about potentially spreading COVID-19 to others than heterosexual participants, and, although their engagement in preventative health behaviors was equivalent, the patterns of predictors differed between heterosexual and sexual minority individuals. Public Significance StatementAlthough heterosexual and sexual minority individuals have similar levels of engagement in COVID-19 preventative health behaviors (e.g., handwashing and mask wearing), the predictors of health behavior engagement differ between groups. Internalized stigma is related to less adherence to COVID-19 preventative health behaviors in sexual minorities and uniquely accounts for these outcomes above and beyond variables that are not specific to sexual orientation of gender identity.

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Section: The Minority Stress Model and Health Behaviorsmentioning

confidence: 99%

COVID-19 health behaviors in a sexual minority sample: The impact of internalized stigma.

Solomon¹,

Morey²,

Williams³

et al. 2021

Psychology of Sexual Orientation and Gender Diversity

View full text Add to dashboard Cite

show abstract

“…Prior to 1997, sex without condoms among gay and bisexual men was mostly described by researchers as unintentional, some had unprotected sex randomly or inconsistently, others experienced a relapse from safer sex behaviors (Adam, 2005;Adib, Joseph, Ostrow, & James, 1991a;Adib, Joseph, Ostrow, Tal, & Schwartz, 1991b;Adib & Ostrow, 1991, 1995Ekstrand, 1992;Roffman et al, 1998;Williams, Elwood, & Bowen, 2000;Wolitski, 2005). While unprotected sex as a result of relapse or situations in which men intended to use condoms initially but then failed to do so continues, these ''unintentional'' unprotected sex behaviors should be differentiated from the increasingly common ''intentional'' practice of barebacking (unprotected anal sex); (Goodroad, Kirksey, & Butensky, 2000;Parsons, 2005a;Wolitski, 2005).…”

Section: Introductionmentioning

confidence: 98%

Intentional Unprotected Anal Intercourse among Sex Who have Sex with Men: Barebacking—from Behavior to Identity

Parsons

Bimbi

2006

AIDS Behav

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Unprotected sex among gay/bisexual men throughout the AIDS epidemic has usually been described as unintentional due to a relapse from safer sex behavior. The term "barebacking" emerged among HIV-positive men explicitly seeking unprotected sex with seroconcordant partners, but has come into use in the larger gay community to simply mean condomless sex. Some men have also taken on the identity as a "barebacker." The present study assessed prevalence and predictors of bareback identity in a sample 687 gay/bisexual men attending community events. Barebackers reported significantly more use of crystal methamphetamine and higher peer norms for unprotected sex; HIV-negative barebackers were higher in sexual compulsivity while HIV-positive barebackers were higher in romantic obsession as well as drug/alcohol influenced sexual expectancies. HIV prevention efforts targeting barebackers and barebacking must be carefully developed if programs and campaigns are to be effective given the open debates about this phenomenon in the gay community.

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Sexual Risk Following a Sexually Transmitted Disease Diagnosis: The More Things Change the More They Stay the Same

et al. 2004

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The purpose of this study is to assess changes in sexual risk behaviors, attitudes toward using condoms, and perceived susceptibility to fiuture STDs for adolescent females who recently were diagnosed with an incident STD compared to those who were not diagnosed with an incident STD. Adolescent females (N = 308) were assessed at two time points, 6 months apart. Ninety-two participants were diagnosed with an STD, and 216 were not diagnosed with an STD in between the two time points. Results indicated that adolescents did not significantly change their behaviors, attitudes, or perceptions following the diagnosis of an incident STD compared to those who were not diagnosed with an incident STD. This suggests that an STD diagnosis alone is not sufficient to motivate adolescent females to reduce their sexual risk behavior and change their sexual risk attitudes and perceptions.

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Trends in HIV/AIDS behavioural research among homosexual and bisexual men in the United States: 1981–1991

Cited by 5 publications

References 20 publications

COVID-19 health behaviors in a sexual minority sample: The impact of internalized stigma.

COVID-19 health behaviors in a sexual minority sample: The impact of internalized stigma.

Intentional Unprotected Anal Intercourse among Sex Who have Sex with Men: Barebacking—from Behavior to Identity

Sexual Risk Following a Sexually Transmitted Disease Diagnosis: The More Things Change the More They Stay the Same

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