Factors Influencing HIV Serodisclosure Among Men Who Have Sex with Men in the US: An Examination of Online Versus Offline Meeting Environments and Risk Behaviors

Noor, Syed W.; Rampalli, Krystal; Rosser, B. R. Simon

doi:10.1007/s10461-014-0774-3

Cited by 19 publications

(14 citation statements)

References 40 publications

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“…Data for this analysis came from the fourth wave of data collection. Additional details about the SILAS study are provided elsewhere (Jones-Webb, Smolenski, Brady, Wilkerson, & Rosser, 2013; Noor, Rampalli, & Rosser, 2014). …”

Section: Methodsmentioning

confidence: 99%

“…Higher levels of internalized homonegativity have been associated with decreased outness (Rosser et al, 2008), increased depression (Ross, Rosser, Neumeier, & the Positive Connections Team, 2008; Rosser et al, 2008), increased drug use (Ross et al, 2001; Shoptaw et al, 2009), less HIV-serostatus disclosure (Noor, Rampalli, & Rosser, 2014), and increased unsafe sexual activity (Ross et al, 2008). Thus, outness and internalized homonegativity are of interest to researchers studying the health of lesbian, gay, or bisexual populations.…”

Section: Introductionmentioning

confidence: 99%

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Correlates of a Single-Item Indicator Versus a Multi-Item Scale of Outness About Same-Sex Attraction

et al. 2015

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In this study, we investigated if a single-item indicator measured the degree to which people were open about their same-sex attraction (“out”) as accurately as a multi-item scale. For the multi-item scale, we used the Outness Inventory, which includes three subscales: family, world, and religion. We examined correlations between the single- and multi-item measures; between the single-item indicator and the subscales of the multi-item scale; and between the measures and internalized homonegativity, social attitudes towards homosexuality, and depressive symptoms. In addition, we calculated Tjur’s R2 as a measure of predictive power of the single-item indicator, multi-item scale, and subscales of the multi-item scale in predicting two health-related outcomes: depressive symptoms and condomless anal sex with multiple partners. There was a strong correlation between the single- and multi-item measures (r = 0.73). Furthermore, there were strong correlations between the single-item indicator and each subscale of the multi-item scale: family (r = 0.70), world (r = 0.77), and religion (r = 0.50). In addition, the correlations between the single-item indicator and internalized homonegativity (r = −0.63), social attitudes towards homosexuality (r = −0.38), and depression (r = −0.14) were higher than those between the multi-item scale and internalized homonegativity (r = −0.55), social attitudes towards homosexuality (r = −0.21), and depression (r = −0.13). Contrary to the premise that multi-item measures are superior to single-item measures, our collective findings indicate that the single-item indicator of outness performs better than the multi-item scale of outness.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Correlates of a Single-Item Indicator Versus a Multi-Item Scale of Outness About Same-Sex Attraction

et al. 2015

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“…We calculated adjusted relative risk and respective 95% confidence interval with a robust variance estimator correcting the standard errors. These analyses and model-building procedures were constructed in a similar fashion to prior research with MSM (Mimiaga et al, 2011; Noor, Rampalli & Rosser, 2014). All statistical tests were two-tailed, data management, and regression analyses were conducted in Stata 13.1(StataCorp., 2013) and factor analyses were conducted in MPlus 6.12 (Muthen & Muthen, 1998–2010).…”

Section: Methodsmentioning

confidence: 99%

Nonmonosexual Partnerships: Information, Motivation and Self-Efficacy Among Methamphetamine-Using Men Who Have Sex with Men Who Also Have Sex with Women or Transgender Persons

Noor

Wilkerson

Schick

et al. 2016

International Journal of Sexual Health

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Objectives Sex with more than one gender is associated with higher substance use, and sexual HIV risk. Methods We examined knowledge, motivation, and self-efficacy to engage in safer substance use and sexual behavior among methamphetamine-using U.S. men who have sex with more than one gender (N=343). Results Almost half(46.2%) of the men reported having sex with a man and a woman or transgender partner in the last 30 days. Compared to monosexual MSM, non-monosexual MSM reported greater condom use self-efficacy however, they reported more sexual partners who inject drugs. Conclusion We observed distinct differences between men who do or do not have sex with more than one gender.

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“…Comparisons between online and offline samples and other approaches assessing internet use among GBM show that online samples are younger [7], less likely to identify as gay [8], and exhibit lower community attachment and social embeddedness [8–11], suggesting important differences between GBM connected online and those who are not. Further, online sex seeking has been associated with having more sexual partners [12–16], differing patterns of HIV risk management [17–19], and higher odds of condomless anal sex [20–22]. With the arrival of sex seeking apps in 2009, these trends continue to merit significant attention from health researchers [23–25].…”

Section: Introductionmentioning

confidence: 99%

Patterns of Online and Offline Connectedness Among Gay, Bisexual, and Other Men Who Have Sex with Men

et al. 2017

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This study examined patterns of connectedness among 774 sexually-active gay, bisexual, and other men who have sex with men (GBM), aged ≥ 16 years, recruited using respondent-driven sampling in Metro Vancouver. Latent class analysis examined patterns of connectedness including: attendance at gay venues/events (i.e., bars/clubs, community groups, pride parades), social time spent with GBM, use of online social and sex seeking apps/websites, and consumption of gay media. Multinomial regression identified correlates of class membership. A three-class LCA solution was specified: Class 1 "Socialites" (38.8%) were highly connected across all indicators. Class 2 "Traditionalists" (25.7%) were moderately connected, with little app/website-use. Class 3 "Techies" (35.4%) had high online connectedness and relatively lower in-person connectedness. In multivariable modelling, Socialites had higher collectivism than Traditionalists, who had higher collectivism than Techies. Socialites also had higher annual incomes than other classes. Techies were more likely than Traditionalists to report recent serodiscordant or unknown condomless anal sex and HIV risk management practices (e.g., ask their partner's HIV status, get tested for HIV). Traditionalists on the other hand were less likely to practice HIV risk management and had lower HIV/AIDS stigma scores than Socialites. Further, Traditionalists were older, more likely to be partnered, and reported fewer male sex partners than men in other groups. These findings highlight how patterns of connectedness relate to GBM's risk management.

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Factors Influencing HIV Serodisclosure Among Men Who Have Sex with Men in the US: An Examination of Online Versus Offline Meeting Environments and Risk Behaviors

Cited by 19 publications

References 40 publications

Correlates of a Single-Item Indicator Versus a Multi-Item Scale of Outness About Same-Sex Attraction

Correlates of a Single-Item Indicator Versus a Multi-Item Scale of Outness About Same-Sex Attraction

Nonmonosexual Partnerships: Information, Motivation and Self-Efficacy Among Methamphetamine-Using Men Who Have Sex with Men Who Also Have Sex with Women or Transgender Persons

Patterns of Online and Offline Connectedness Among Gay, Bisexual, and Other Men Who Have Sex with Men

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