Depression and HIV Risk Taking Among Men Who Have Sex with Other Men and Who Use the Internet to Find Partners for Unprotected Sex

Klein, Hugh

doi:10.1080/19359705.2013.834858

Cited by 18 publications

(15 citation statements)

References 76 publications

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“…Klein [33] found that depression, while not related to actual sexual risk behaviors among gay and bisexual men, was associated with condom use beliefs which were, in turn, related to sexual risk behavior. Perdue et al [34] found that depression was linked with increased number of partners among MSM but not with increased sexual risk-taking with those partners.…”

Section: Introductionmentioning

confidence: 99%

Sexual Risk-Taking in HIV-Negative Gay and Bisexual Men Increases with Depression: Results from a U.S. National Study

et al. 2016

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The link between depression and sexual risk-taking has received mixed findings in the literature. The current study analyzed the links between depression and recent condomless anal sex (CAS) with casual partners among 1033 HIV-negative, non-PrEP-using, gay and bisexual men. When CAS was dichotomized as either none or some, depression was not associated with the odds of CAS (with receptive and insertive combined) or insertive CAS only, but was positively associated with the odds of receptive CAS. When CAS was tallied as a count variable of events, depression was positively associated with total CAS, receptive CAS, and insertive CAS. With the addition of a quadratic term for depression, a positive quadratic effect was only found for total CAS and receptive CAS, but not for insertive CAS. These findings highlight the utility of using count data for CAS events and treating CAS separately with regard to receptive and insertive positioning when considering the role of depression among gay and bisexual men.

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Section: Introductionmentioning

confidence: 99%

Sexual Risk-Taking in HIV-Negative Gay and Bisexual Men Increases with Depression: Results from a U.S. National Study

et al. 2016

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“…Previous international research underscores that homosexuality-related stigma and discrimination are associated with a higher risk of depression (16, 17). Depression has been found to be highly prevalent among MSM, particularly HIV-positive men (18, 19), and is considered a major health issue among MSM (20). Furthermore, homosexuality-related stigma, discrimination, and depression have been found to be associated with engaging in HIV-related risky behaviors such as CAI (21–23), drug use (24, 25), having sex while on drugs (26), less awareness and underutilization of HIV prevention services (27–29), and experiencing less benefit from participating in HIV prevention interventions (27).…”

Section: Introductionmentioning

confidence: 99%

The Prevalence and Correlates of HIV and Undiagnosed Infection among Men Who Have Sex with Men in Hanoi, Vietnam: Findings from a Cross-sectional, Biobehavioral Study

Holt

Phan

et al. 2016

Front. Public Health

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IntroductionMen who have sex with men (MSM) are a key population for HIV infection in Vietnam, and the use of amphetamine type substances (ATS) is prevalent and possibly increasing in this population. The reported analysis examines the association between ATS use before or during sex and HIV infection among MSM in Hanoi, Vietnam.MethodsThis cross-sectional study of 210 MSM was conducted in Hanoi, Vietnam, in late 2014. Men tested for HIV and answered questions about demographic characteristics, sexual sensation seeking, depression, belief in HIV prevention strategies, homosexuality-related stigma and discrimination, recent accessing of HIV prevention services, sexual behaviors and ATS, and other drug use behaviors. We performed logistic regression to assess correlates of HIV infection.ResultsHIV prevalence was 6.7% (14/210), and 85.7% (12/14) of HIV-positive men were not aware of their HIV status. Of the 210 participants, 10.5, 2.9, and 3.8% of men had used methamphetamine, amphetamine, and ecstasy before or during sex in the last 3 months. In multivariable analysis, HIV infection was associated with recent sex-related methamphetamine use [adjusted odds ratio (AOR): 5.03, 95% confidence interval (CI): 1.35–18.68], engaging in recent sex work (AOR: 3.55, 95% CI: 1.07–11.75), and homosexuality-related perceived stigma (AOR: 2.32, 95% CI: 0.98–5.47).ConclusionFindings underscore the importance of integrating methamphetamine use interventions into HIV prevention services and scaling-up of gay-friendly, non-stigmatizing HIV testing services for MSM in Hanoi. We recommend the routine assessment of ATS use and undiagnosed infection in this population.

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“…Some studies have found higher rates of psychological problems in individuals who use the internet to seek social interactions or meet romantic partners, including higher levels of social anxiety, depression, and loneliness, as well as lower self-esteem (Caplan, 2007;Kim, Kwon, & Lee, 2009;Klein, 2014;Morrison & Gore, 2010). Given that many transgender men and women face discrimination and consequently have relatively high rates of psychiatric symptoms, examination of mental health among transgender individuals who meet partners online is warranted.…”

Section: Sexuality and The Internetmentioning

confidence: 96%

Use of the Internet to Meet Sexual Partners, Sexual Risk Behavior, and Mental Health in Transgender Adults

et al. 2014

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The purpose of this study was to examine the use of the internet to meet sexual partners among transgender individuals and examine correlates of this use, including sexual risk behavior, discrimination experiences, and mental health. A sample of 166 transgender adults (112 male-to-female transgender women and 54 female-to-male transgender men) were recruited in community venues and anonymously completed measures assessing these variables. Most participants (64.5 %) were HIV-negative, 25.2 % were HIV-positive, and 10.3 % did not know their HIV status. Overall, 33.7 % of participants reported having met a sexual partner over the internet, which did not differ significantly between transgender women and men. Among these individuals, transgender women reported significantly more lifetime internet sexual partners (median = 3) than transgender men (median = 1). Use of the internet to meet sexual partners was associated with lower self-esteem but not with depression, anxiety, somatic distress or discrimination experiences. Among transgender women, use of the internet to meet sexual partners was associated with each of the 11 sexual risk behaviors examined, including having multiple partners, sex under the influence of drugs, number of unprotected anal or vaginal sex acts, and history of commercial sex work. The use of the internet to meet partners was not associated with sexual risk behavior among transgender men (0/11 variables assessed). Although the internet is a common mode of meeting sexual partners among some transgender adults, it may also be a potential venue for prevention interventions targeting transgender individuals at particularly high risk for HIV acquisition.

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Depression and HIV Risk Taking Among Men Who Have Sex with Other Men and Who Use the Internet to Find Partners for Unprotected Sex

Cited by 18 publications

References 76 publications

Sexual Risk-Taking in HIV-Negative Gay and Bisexual Men Increases with Depression: Results from a U.S. National Study

Sexual Risk-Taking in HIV-Negative Gay and Bisexual Men Increases with Depression: Results from a U.S. National Study

The Prevalence and Correlates of HIV and Undiagnosed Infection among Men Who Have Sex with Men in Hanoi, Vietnam: Findings from a Cross-sectional, Biobehavioral Study

Use of the Internet to Meet Sexual Partners, Sexual Risk Behavior, and Mental Health in Transgender Adults

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