The Impact of Stressful Life Events on Unprotected Anal Intercourse Among Gay and Bisexual Men

Calzavara, Liviana; Burchell, Ann; Lebovic, Gerald; Myers, Ted; Remis, Robert S.; Raboud, Janet; Corey, Paul; Swantee, Carol; Hart, Trevor A.

doi:10.1007/s10461-010-9879-5

Cited by 7 publications

(4 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While previous studies in the USA have produced mixed results regarding the negative impact of stressful life events (Calzavara et al, 2012), to the best of our knowledge, this is the first study that has shown an inverse association between stressful life events and sexual risk among MSM. While further exploration of this finding is necessary, occurrence of a particular life event does not measure the extent of its impact on an individual.…”

Section: Discussionmentioning

confidence: 61%

Psychosocial risk factors for HIV sexual risk among Indian men who have sex with men

et al. 2013

View full text Add to dashboard Cite

Indian men who have sex with men (MSM) are at increased risk for HIV compared to the general Indian population. Psychosocial factors may be uniquely associated with HIV risk among Indian MSM and may moderate the beneficial impact of standard HIV prevention approaches. Psychiatric diagnostic interviews and psychosocial and sexual risk assessments were conducted among 150 MSM in Mumbai, India. Logistic regression was employed to examine the association of psychiatric disorders and psychosocial problems to recent sexual risk behavior. Twenty-five percent of participants reported engaging in unprotected anal sex (UAS) during their last sexual contact with a man. Men who were married to a woman were more likely to have engaged in UAS during their last sexual contact with a man (35% vs. 17%, p = 0.018). In multivariable models, significant predictors of engaging in UAS were current major depression (adjusted odds ratio [AOR] = 2.61; 95% confidence interval [CI] 1.07, 6.39) and number of stressful life events (AOR = 0.91; 95% CI 0.83, 0.99). Alcohol dependence, anxiety, and self-esteem were not associated with engaging in UAS. Indian MSM with depression are at higher odds of engaging in UAS compared to MSM without depression. HIV prevention programs for Indian MSM may benefit from incorporating treatment or triage for mental health problems.

show abstract

Section: Discussionmentioning

confidence: 61%

Psychosocial risk factors for HIV sexual risk among Indian men who have sex with men

et al. 2013

View full text Add to dashboard Cite

show abstract

“…These various types of violence and stigma may increase MSM vulnerability and difficulty to control their own risk of acquiring HIV [23]–[25]. Studies in North America and sub-Saharan Africa have shown that MSM reporting social discrimination due to their sexual behavior or orientation are more likely to engage in high-risk sex [11], [26]. This study highlights the need for structural interventions addressing frequent human rights violations that can increase risk-taking behaviors and hinder access to prevention and care for MSM in Cote d′Ivoire.…”

Section: Discussionmentioning

confidence: 99%

“…HIV-related risk behaviors such as multiple male and female sexual partnerships and frequent unprotected anal intercourse have been reported among MSM in African countries such as Namibia, Botswana, Malawi, Rwanda and Nigeria [8]–[10]. In addition, in predominantly hetero-normative sub-Saharan Africa, MSM generally suffer from high stigma, violence, and other human rights violations that can reinforce vulnerability, risky sexual behavior and thus HIV risk [7], [11].…”

Section: Introductionmentioning

confidence: 99%

Exploring Risk Behaviors and Vulnerability for HIV among Men Who Have Sex with Men in Abidjan, Cote d′Ivoire: Poor Knowledge, Homophobia and Sexual Violence

et al. 2014

View full text Add to dashboard Cite

Men who have sex with men (MSM) are at high risk of HIV. Few data are available on MSM and HIV-related risk behaviors in West Africa. We aimed to describe risk behaviors and vulnerability among MSM in Abidjan, Cote d′Ivoire. We conducted a cross-sectional respondent-driven sampling survey with 601 MSM in 2011–2012. Sociodemographic and behavioural data as well as data related to emotional state and stigma were collected. Population estimates with 95% confidence intervals were produced. Survey weighted logistic regression was used to assess factors associated with inconsistent condom use in the prior 12 months. Most MSM were 24 years of age or younger (63.9%) and had attained at least primary education (84.4%). HIV risk behaviors such as low condom and water-based lubricant use, high numbers of male and female sex partners, and sex work were frequently reported as well as verbal, physical and sexual abuse. Inconsistent condom use during anal sex with a male partner in the prior 12 months was reported by 66.0% of the MSM and was positively associated with history of forced sex, alcohol consumption, having a regular partner and a casual partner, having bought sex, and self-perception of low HIV risk. MSM in Abidjan exhibit multiple and frequent HIV-related risk behaviors. To address those behaviours, a combination of individual but also structural interventions will be needed given the context of stigma, homophobia and violence.

show abstract

“…LGBTQ+ individuals face markedly elevated psycho-social stress, including systematic stigmatization, and have higher rates of HIV-risk behaviors (alcohol, substance abuse, unsafe sexual behaviors) [4] , [5] . As a result, they bear a disproportionate burden of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) and HIV/AIDS-related co-infections [6] .…”

mentioning

confidence: 99%

COVID-19 among LGBTQ+ individuals living with HIV/AIDS: psycho-social challenges and care options

et al. 2021

View full text Add to dashboard Cite

Prolonged social isolation during the COVID-19 lockdown has adversely impacted the mental, social, and physical wellbeing of the global populace. Coping with mental and physical stressors amidst the global lockdown is especially strenuous for the Lesbian, Gay, Bisexual, Transgender, and more (LGBT+) community, who are frequently subjected to social stigma and minority stress. Systematic stigma and discrimination place LGBT+ individuals at higher risk for deleterious behaviors, such as substance abuse (e.g., injection drug use, smoking, alcohol) and risky sexual practices (e.g., anal/vaginal/oral sex). Maladaptive coping behaviors consequently increase the chances of HIV/AIDS risk among LGBT+ individuals, compared to heterosexual individuals. LGBT+ individuals Living with HIV/AIDS perpetually face higher rates of unemployment, income disparity, and intimate partner violence. Prolonged home confinement, and impaired accessibility to healthcare, legal, and criminal justice services during lockdown may deplete the quality of life of LGBT+ individuals Living with HIV/AIDS. Therefore, it is critical that multidisciplinary service providers, including health professionals, employers, social services providers, educational institutions and community organizations, move toward online service delivery, so that homebound HIV-positive LGBT+ individuals are secured with a wide range of care options. Non-judgemental, tele-counseling may bridge the gap to mental health services. Community clinics catering to HIV-positive and/or LGBT+ clients may consider precociously supplying essential amenities, such as Preexposure (PrEP)/postexposure prophylaxis (PEP), condoms, emergency contraception, and sterile needles. Lastly, efforts directed at the sustenance of at-risk/HIV-positive LGBT+ health should persevere, even after the pandemic.

show abstract

The Impact of Stressful Life Events on Unprotected Anal Intercourse Among Gay and Bisexual Men

Cited by 7 publications

References 44 publications

Psychosocial risk factors for HIV sexual risk among Indian men who have sex with men

Psychosocial risk factors for HIV sexual risk among Indian men who have sex with men

Exploring Risk Behaviors and Vulnerability for HIV among Men Who Have Sex with Men in Abidjan, Cote d′Ivoire: Poor Knowledge, Homophobia and Sexual Violence

COVID-19 among LGBTQ+ individuals living with HIV/AIDS: psycho-social challenges and care options

Contact Info

Product

Resources

About