Unprotected Anal Intercourse Among Immigrant Latino MSM: The Role of Characteristics of the Person and the Sexual Encounter

Abstract

Theoretical models of sexual risk-taking have traditionally focused on personal characteristics, but conceptual approaches emphasizing the social and situational context have also been proposed. This study examined the impact of characteristics of the person and of the sexual encounter on unprotected anal intercourse (UAI) among 482 immigrant Latino MSM. Analyses included logistic regression and hierarchical linear modeling. The personal characteristic of self-efficacy for safer sex was negatively associated with UAI over the previous three months, at the most recent encounter, and over multiple encounters reported by each participant. In addition, a cross-level interaction of selfefficacy at the person-level and sexual desire at the encounter-level showed that increased sexual desire was associated with greater likelihood of UAI for those with low self-efficacy, but not those with high self-efficacy. Likelihood of UAI was also linked to the situational characteristics of closeness to the partner, seroconcordance, and concern about STIs in the encounter.

Predictors of crystal methamphetamine use in a community-based sample of UK men who have sex with men

“…These findings update, extend and mirror previous evidence from South Florida, USA on the association between reporting any non-steady sex partners and crystal meth use (Forrest et al, 2010), and demonstrate that these relationships persist even in multivariate models. This relationship is important because pathways to sexual risk may be different by perceived intimacy with partner (Purcell et al, 2014;Zea, Reisen, Poppen, & Bianchi, 2009). We found that while having a steady partner was protective against last-year crystal meth use, having two or more steady partners with CAI increased the odds of reporting last-year crystal meth use.…”

Lesbian, gay, bisexual, and transgender immigrant acculturation experience

“…Research has identified four important types of predictors of risky sexual behaviours that undermine LGBT immigrants' ability to engage in safer sex: demographic, developmental, social-cognitive, and behavioural (Diaz et al, 1999;Zea, Reisen, Poppen, & Bianchi, 2009). The demographic profile associated with risky sexual behaviours among LGBT immigrants, according to Ramirez et al (2004), can be characterized by the following set of attributes:…”

“…Research found that LGBT immigrants who are less acculturated to mainstream society tend to have less positive attitudes toward safer sex (Zea et al, 2009). According to Zea and colleagues, this can be explained by the presence of cultural norms in their countries of origin that do not support safer sex, as well as by exposure to poverty, social isolation, and lack of knowledge related to healthy sexual behaviours.…”

How partnership type and HIV seroconcordance affect HIV transmission risk in regular sexual partnerships: a cross-sectional survey of Australian gay and bisexual men

“…3 Approximately one-third of infections among newly diagnosed men in Australia are estimated to be from regular partners, [4][5][6] whereas modelling from the US estimates that 68% of infections in GBM are from 'main' partners. 7 Intimacy and familiarity with partners have been associated with increased CLAI among GBM, [8][9][10][11] and HIV prevention and research have described ongoing sexual relationships as potentially high risk for HIV transmission. 12 However, CLAI in some types of regular partnerships has been found to be largely low risk, particularly among HIV-negative men with HIV-negative partners and among HIV serodiscordant couples, in the era of widespread, effective HIV treatments.…”