Men who have sex with men receiving HIV care reported their sexual behaviours and their intentions, classified according to the Transtheoretical Model of Change, to modify the following behaviours: (1) condom use by partner type and activity type; (2) reduction of partner number; and (3) disclosure of HIV serostatus to partners. Most participants were white (68.8%) or black (29.5%) and were more likely to report unprotected sex with HIV-positive than with serodiscordant partners for most activities. Whites reported more partners than black patients (mean 4.1 versus 2; P < 0.0001) and black participants reported fewer HIV-negative (P = 0.0084) and -unknown status partners (P = 0.00095) than whites. Cocaine/crack use was associated with more sexual partners (P = 0.001) and more frequent unprotected sex with HIV-negative or -unknown status partners (P = 0.036). Readiness to change risk behaviour varied by partner status and type of sexual activity. Understanding patients' risks and their readiness to change behaviours may help providers to promote sexual health.

Background: Previous studies have investigated the relationship between psychological flexibility and psychological well-being among university students. In addition to examining the relationship between these two variables, this study enhances our understanding about the process underlying the relationship between psychological flexibility and psychological well-being among women with breast cancer. The aim of the present study was to test the mediating role of self-compassion in the relationship between psychological flexibility and psychological well-being among Iranian women with breast cancer. Methods: The participants of this study, 220 women with breast cancer (ages 28 to 58 years, mean age: 42.16, SD: ±6.9.54) from three hospitals, in Tehran, Iran completed questionnaires about psychological flexibility, self-compassion and psychological well-being. Results: The results from structural equation modeling indicated that psychological flexibility and self-compassion positively predicted psychological well-being and psychological inflexibility negatively predicted psychological well-being among breast cancer patients. The findings from mediation analysis demonstrated that self-compassion partially mediated the relationships between psychological flexibility and psychological inflexibility with psychological well-being. The present study brings to light an underlying mechanism of the relationships between psychological flexibility and psychological inflexibility with psychological well-being via the mediating variable of self-compassion for patients with breast cancer.

No abstract