“I consider being gay a very high risk factor”: How Perceptions of a Partner’s Sexual Identity Influence Perceptions of HIV Risk Among Gay and Bisexual Men

Goldenberg, Tamar; Finneran, Catherine; Sullivan, Stephen; Andes, Karen L.; Stephenson, Rob

doi:10.1007/s13178-016-0235-z

Cited by 10 publications

(5 citation statements)

References 28 publications

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“…Research regarding HIV-positive MSM has also identified barriers to serodisclosure that may limit the effectiveness or applicability of this practice in all scenarios ( Przybyla et al, 2014 ). Many of the identified barriers appear to be enhanced in the context of casual sexual relationships ( Przybyla et al, 2014 ), such as assumption of decreased HIV risk with casual partners who also have sex with women ( Goldenberg, Finneran, Sullivan, Andes, & Stephenson, 2016 ). In this study, partner report of seroconcordance was frequently associated with CAI in uncommitted relationships.…”

Section: Resultsmentioning

confidence: 99%

Gay and Bisexual Men’s Perceptions of HIV Risk in Various Relationships

et al. 2018

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Men who have sex with men (MSM) bear a disproportionate burden of HIV incidence in the United States. Previous study of sexual decision-making and HIV risk among MSM has not accounted for relationship dynamics. Further research must examine this connection between relationship dynamics and sexual decision-making, especially regarding condomless anal intercourse. This study analyzes data gathered from gay and bisexual men regarding their sexual partners and sexual decision-making over a 10-week period through personal relationship diaries (PRDs) and a follow-up in-depth interview (IDI). Through coding and extraction of relationship dynamics, key patterns of participants’ sexual decision-making processes were examined based on relationship type, which was categorized by commitment, formality, and sexual agreement. Participants’ sexual relationships can be divided into five categories: (a) Uncommitted, one time, (b) Uncommitted, ongoing, (c) Transitioning or unknown commitment, (d) Committed, nonmonogamous, and (e) Committed, monogamous. These five categories correspond to patterns in sexual decision making and consequent sexual risk-taking behaviors. Each of these influence HIV risk within male–male sexual encounters in a particular manner, and understanding these is important for appropriately tailored HIV prevention interventions for MSM. Recommendations are included for interventions seeking to address HIV risk across a wide variety of MSM sexual relationships.

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Section: Resultsmentioning

confidence: 99%

Gay and Bisexual Men’s Perceptions of HIV Risk in Various Relationships

et al. 2018

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“…19 Moreover, there is some evidence that the desire to 'resist' stigma can lead individuals to downplay their own risk of HIV infection irrespective of their objective risk. 20,21 Goldenberg et al 22 reported that interviewees perceived sexual intercourse with partners who did not identify as gay, who were not out or who also had sex with women as being 'low risk'. These men consequently perceived themselves to be at low risk of HIV.…”

Section: Hiv Risk Perceptionmentioning

confidence: 99%

Psychological wellbeing facilitates accurate HIV risk appraisal in gay and bisexual men

Jaspal

Lopes

2020

Sex. Health

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Background Accurate HIV risk appraisal is key to effective HIV prevention. This study focuses on the role of psychological wellbeing in determining perceived HIV risk in a sample of gay and bisexual (GBM) in the UK. Methods: Overall, 191 HIV-negative GBM completed a cross-sectional survey, in which they provided demographic information and completed measures of engagement in actual sexual risk behaviours, diagnosis with a sexually transmissible infection in the past 12 months, frequency of HIV testing, use of post-exposure prophylaxis (PEP), perceived HIV risk, lesbian, gay, bisexual and transgender (LGBT) identity, sexual identity openness and psychological wellbeing. Results: Results showed that there was a correlation between engagement in actual HIV risk behaviours and perceived HIV risk, suggesting relatively accurate HIV risk appraisal in the participant sample. LGBT identity and sexual identity openness were associated with increased psychological wellbeing. Structural equation modelling showed that psychological wellbeing has an effect on perceived HIV risk through the mediator of LGBT identity. Conclusions: It appears that a state of psychological wellbeing facilitates the construction of a strong and robust LGBT identity, which can be displayed to others, and that a strong LGBT identity in turn facilitates accurate HIV risk appraisal in GBM. In order to achieve our target of zero new HIV infections by 2030, it will be essential to focus on enhancing psychological wellbeing in people at risk of HIV.

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“…Understanding HIV risk representations among gay men is important. In their interview study of 13 HIV-negative gay and bisexual men, Goldenberg et al (2016) found that participants perceived sex with partners who were not gay-identified, not out about being gay or having sex with men as being low risk. These identity characteristics led some interviewees to believe that their partners were not frequently having sex with other men, which in turn paved the way for engaging in condomless sex with them.…”

Section: Social Representations Of Hiv Risk and Preventionmentioning

confidence: 99%

HIV and gay men in the era of antiretroviral therapy

Jaspal¹

2018

bpssex

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In the UK, HIV disproportionately affects gay men. Even in the era of antiretroviral therapy (ART), social stigma surrounding HIV has persisted, generating adverse consequences for both prevention and care. First, the science and epidemiology of HIV among gay men are presented. Second, social representations theory and identity process theory are outlined as tools for exploring awareness, understanding and behaviour in relation to HIV. Third, some of the psychosocial challenges associated with HIV prevention and care are outlined and the potential coping strategies among gay men are discussed. Fourth, patient engagement with care and adherence to ART are considered in relation to psychosocial factors. Fifth, a model for enhancing HIV prevention and care is presented. It is argued that greater focus on psychosocial factors can enhance health outcomes among gay men living with, or at risk of, HIV.

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“I consider being gay a very high risk factor”: How Perceptions of a Partner’s Sexual Identity Influence Perceptions of HIV Risk Among Gay and Bisexual Men

Cited by 10 publications

References 28 publications

Gay and Bisexual Men’s Perceptions of HIV Risk in Various Relationships

Gay and Bisexual Men’s Perceptions of HIV Risk in Various Relationships

Psychological wellbeing facilitates accurate HIV risk appraisal in gay and bisexual men

HIV and gay men in the era of antiretroviral therapy

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