Abstract
AbstractIn a sample of men who have sex with men (MSM) (N = 3436) in Spain who bear intrinsic HIV risk, we investigated how internalised homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse (as a proxy of sexual risk behaviour). Using structural equation modelling (SEM), we examined the relationship between IH and sexual risk behaviour, and mediating effects of HIV/PrEP knowledge and substance use during sex on this relationship. We found no direct association between IH and sexual risk behaviour, nor did IH influence substance use during sex. In line with our hypothesis, association between IH and sexual risk behaviour was significant when mediated by HIV/PrEP knowledge. We found that as IH increased, sexual risk behaviour decreased, because higher IH was associated with lower HIV/PrEP knowledge while higher HIV/PrEP knowledge was associated with increased non-condom use with non-steady partners. Substance use during sex was significantly associated with sexual risk behaviour. Our results emphasize the continuing importance of prevention strategies focused on behavioural changes and community level interventions, especially targeting substance use.
Publisher
Springer Science and Business Media LLC
Subject
Cultural Studies,Gender Studies
Reference55 articles.
1. Andrinopoulos, K., Hembling, J., Guardado, M. E., de Maria Hernández, F., Nieto, A. I., & Melendez, G. (2015). Evidence of the negative effect of sexual minority stigma on HIV testing among msm and transgender women in San Salvador El Salvador. AIDS and Behavior, 19(1), 60–71. https://doi.org/10.1007/s10461-014-0813-0
2. Baral, S., Logie, C. H., Grosso, A., Wirtz, A. L., & Beyrer, C. (2013). Modified social ecological model: A tool to guide the assessment of the risks and risk contexts of HIV epidemics. BMC Public Health. https://doi.org/10.1186/1471-2458-13-482
3. Beaujean, A. A. (2014). Appendix: Bootstrapping Latent Variable Models, in Latent Variable Modeling using R: A Step-by-Step Guide. Routledge. https://cpb-us-w2.wpmucdn.com/blogs.baylor.edu/dist/0/4392/files/2013/12/AppendixBootstrapping-1gyf69b.pdf
4. Berg, R. C., Ross, M. W., Weatherburn, P., & Schmidt, A. J. (2013). Structural and environmental factors are associated with internalised homonegativity in men who have sex with men: Findings from the European MSM internet survey (EMIS) in 38 countries. Social Science & Medicine, 78, 61–69. https://doi.org/10.1016/j.socscimed.2012.11.033
5. Berg, R. C., Weatherburn, P., Ross, M. W., & Schmidt, A. J. (2015). The relationship of internalized homonegativity to sexual health and well-being among men in 38 European countries who have sex with men. Journal of Gay & Lesbian Mental Health, 19(3), 285–302. https://doi.org/10.1080/19359705.2015.1024375
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献