Individual, Psychosocial, and Social Correlates of Unprotected Anal Intercourse in a New Generation of Young Men Who Have Sex With Men in New York City

Abstract

Objectives We examined associations of individual, psychosocial, and social factors with unprotected anal intercourse (UAI) among young men who have sex with men in New York City. Methods Using baseline assessment data from 592 young men who have sex with men participating in an ongoing prospective cohort study, we conducted multivariable logistic regression analyses to examine the associations between covariates and likelihood of recently engaging in UAI with same-sex partners. Results Nineteen percent reported recent UAI with a same-sex partner. In multivariable models, being in a current relationship with another man (adjusted odds ratio [AOR] = 4.87), an arrest history (AOR = 2.01), greater residential instability (AOR = 1.75), and unstable housing or homelessness (AOR = 3.10) was associated with recent UAI. Although high levels of gay community affinity and low internalized homophobia were associated with engaging in UAI in bivariate analyses, these associations did not persist in multivariable analyses. Conclusions Associations of psychosocial and socially produced conditions with UAI among a new generation of young men who have sex with men warrant that HIV prevention programs and policies address structural factors that predispose sexual risk behaviors.

HIV Acquisition and Transmission Potential Among African American Men Who Have Sex with Men and Women in Three U.S. Cities

“…Similarly, the psychological impact of both gender role conflict and internalized homonegativity may be low self-worth or value, which in turn may translate to less self-protective behavior. However, the relationship between risk and internalized homonegativity may not be direct nor consistent across subgroups (Halkitis et al, 2013;Mansergh et al, 2015). We found that HIV-negative and unknown status men who reported more homonegative attitudes reported fewer episodes of sex without condoms with all partners.…”

Demographic, Mental Health, Behavioral, and Psychosocial Factors Associated with Cigarette Smoking Status Among Young Men Who Have Sex with Men: The P18 Cohort Study

“…Study details have previously been published and are summarized herein. 21 Briefly, potential participants were recruited between June 2009 and May 2011, using a combination of venueand internet-based methods. Nonprobability quota sampling methods were employed to ensure enrollment of a racially/ ethnically diverse study sample.…”

Early Life Psychosocial Stressors and Housing Instability among Young Sexual Minority Men: the P18 Cohort Study

“…Study details were previously described in detail and are briefly summarized here. 18,19 Participants were recruited through a combination of community outreach methods including flyers and Internet advertisements as well as venue-based (e.g., community centers, college campuses, bars/clubs, etc.) methods between June 2009 and May 2011.…”

“…In the present analysis, we coded the response options for the Kinsey Scale for Sexual Orientation dichotomously as exclusively homosexual versus not exclusively homosexual to be consistent with our previous research and because, as previously demonstrated, risk behavior varies by sexual behavior. 18,[22][23][24] Relationship status was assessed by whether a participant had a relationship with a male in the last 3 months and self-rated health was categorized as Bexcellent,B very good,^and Bgood/fair/poor.^Educational status was examined dichotomously as Bnot currently in school/currently in school,^and lifetime arrest history was analyzed dichotomously as Byes/no.Î nterpersonal Factors Outness. To determine sexual orientation outness, participants were asked, BWho knows that you have had sex with a man?^and for the purpose of this analysis, we examined whether participants were out to their parents, friends, teachers, and other family members including grandparents, siblings, aunts/uncles, and other relatives.…”