Randomised controlled trial of a sexual risk reduction intervention for STI prevention among men who have sex with men in the USA

Eaton, Lisa A.; Kalichman, Seth C.; Kalichman, Moira O.; Driffin, Daniel D.; Baldwin, Robert C.; Zohren, Larissa; Conway-Washington, Christopher

doi:10.1136/sextrans-2016-052835

Cited by 22 publications

(29 citation statements)

References 21 publications

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“…Black bisexual men with high internalized heterosexism and binegativity may have internalized these stereotypes about bisexual people (Flanders et al, 2017), thus they believe they have HIV or other STIs despite no diagnosis of these conditions. Black bisexual men who believe, without testing, that they have STIs may not pursue STI testing after condomless sex (Eaton et al, 2018). Or, perhaps the opposite is true.…”

Section: Discussionmentioning

confidence: 99%

Risk and Protective Factors for Sexual Health Outcomes Among Black Bisexual Men in the U.S.: Internalized Heterosexism, Sexual Orientation Disclosure, and Religiosity

et al. 2018

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Bisexual individuals are oftentimes at higher risk for negative sexual health outcomes compared to their heterosexual, gay, and lesbian counterparts. Racial minorities, who may experience double minority stress, may be at particular risk for a sexually transmitted infection (STI) and HIV. Some studies have considered protective factors that ameliorate negative health outcomes; yet, few focus on especially vulnerable populations. We analyzed a sample of 225 Black bisexual men (M = 36 years, SD = 12) from Atlanta to explore how combinations of risk (internalized heterosexism) and protective (sexual identity disclosure to community, disclosure to family, and religiosity) factors were related to sexual health outcomes post-baseline during a 1-year follow-up period: any self-reported STI, chlamydia/gonorrhea diagnosis, and HIV diagnosis. We used probability profiling methodology to report the probabilities that a Black bisexual man would report an STI or HIV diagnosis with various combinations and profiles of risk/protective factors. We found that higher levels of internalized heterosexism were significantly related to higher odds of all sexual health outcomes. Disclosure to community was related to much lower risk of all outcomes, whereas disclosure to family was associated with lower odds of self-reported STIs over time. Religiosity was related to lower odds of diagnosis of STIs/HIV, but not self-reported STIs. Our findings have implications for interventions that address internalized heterosexism and protective factors, especially among racial and sexual minorities. Interventions are needed for Black bisexual men that will leverage specific strategies for support to reduce their risk of negative sexual health outcomes.

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Section: Discussionmentioning

confidence: 99%

Risk and Protective Factors for Sexual Health Outcomes Among Black Bisexual Men in the U.S.: Internalized Heterosexism, Sexual Orientation Disclosure, and Religiosity

et al. 2018

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“…All participants provided written informed consent. As part of a larger longitudinal study (Eaton et al, 2017), 351 BMSM were tested for HIV and 271 BMSM were tested for STI at 4 time points over 1 year. From these study testing procedures, 50 participants were newly diagnosed with HIV (50/351, 13.5%) and 101 were newly diagnosed with gonorrhea, chlamydia and/or syphilis (101/271, 37%).…”

Section: Methodsmentioning

confidence: 99%

Experiences of stigma and health care engagement among Black MSM newly diagnosed with HIV/STI

et al. 2018

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Rates of HIV/STI transmission among Black men who have sex with men (BMSM) are alarmingly high and demand urgent public health attention. Stigma related concerns are a key barrier to accessing health care and prevention tools, yet limited research has been focused in this area. Experiences of stigma related to health care were evaluated among 151 BMSM residing in the Atlanta, GA area, both prior to and post HIV or STI diagnosis in a longitudinal study (data collected from 2014 to 2016). Findings demonstrated that inadequate health care engagement is associated with post-diagnosis anticipated stigma (b = - 0.38, SE = 0.17 p ≤ .05). Pre-diagnosis prejudice is a predictor of post-diagnosis enacted (b = 0.39, SE = 0.14, p < .01), anticipated (b = .28, SE = 0.14, p < .05), and internalized (b = .22, SE = 0.06, p < .001) stigmas. This study is the first of its kind to assess experiences of stigma among BMSM during a critical time (i.e., before and after diagnosis) for HIV/STI prevention and treatment. Results provide a novel understanding of how stigma unfolds over-time and provide direction for stigma intervention development.

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“…Entre los elementos vinculados a la seroclasificación de VIH están la disponibilidad de políticas que protejan, reconozcan y/o penalicen las relaciones del mismo sexo, así como que criminalicen a las PVV 34 . Por lo tanto, si las personas perciben un contexto amistoso para las relaciones del mismo sexo y protección y/o reconocimiento político, puede haber menos riesgo de que ellos entren en relaciones casuales y por lo tanto tener sexo riesgoso 53,54 .…”

Section: Nivel Social/estructuralunclassified

Multilevel elements associated with HIV serosorting for sexual encounters: a scoping literature review

Villa-Rueda¹,

Onofre-Rodríguez

Churchill

et al. 2021

Ciênc. saúde coletiva

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A scoping literature review to identify the multilevel HIV serosorting related elements was developed. Articles from EBSCO, PubMed, PsyNET and Science Direct with serosort* or serosorting at the tittle or abstract, written in English or Spanish were included. No restriction in type of population or design were applied. 239 records were retrieved after duplicates removed, but 181 references were extracted for full-text review. Individual level: HIV knowledge, serostatus, risk perceptions, abilities to disclose and for condom use negotiation, motivations, use of drugs, stigma, attitudes toward condom use, and perceptions/beliefs about the HIV and related treatments, HIV infection rates/testing and behavioral factors. Interpersonal level: social networks, abilities (sexual behavior negotiation, and communication). Community level: stigma, social norms, access to HIV related services. Structural level: political context, HIV related funding and public policies. HIV Serosorting is not solely an interpersonal behavior it involves multilevel elements that must be acknowledged by professionals and stakeholders.

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Randomised controlled trial of a sexual risk reduction intervention for STI prevention among men who have sex with men in the USA

Abstract: NCT02128594.

Cited by 22 publications

References 21 publications

Risk and Protective Factors for Sexual Health Outcomes Among Black Bisexual Men in the U.S.: Internalized Heterosexism, Sexual Orientation Disclosure, and Religiosity

Risk and Protective Factors for Sexual Health Outcomes Among Black Bisexual Men in the U.S.: Internalized Heterosexism, Sexual Orientation Disclosure, and Religiosity

Experiences of stigma and health care engagement among Black MSM newly diagnosed with HIV/STI

Multilevel elements associated with HIV serosorting for sexual encounters: a scoping literature review

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