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AIDS and Behavior
Published in: AIDS and Behavior 1/2014

01-01-2014 | Original Paper

Syndemic and Other Risk Factors for Unprotected Anal Intercourse Among an Online Sample of Belgian HIV Negative Men Who have Sex with Men

Authors: Vanden Berghe Wim, Nöstlinger Christiana, Laga Marie

Published in: AIDS and Behavior | Issue 1/2014

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Abstract

Men who have sex with men (MSM) are confronted with different health problems. Next to a higher HIV prevalence and a higher reporting of depressive symptoms and other mental health problems, there is also evidence of substance dependence and sexual compulsivity occurring simultaneously. Using a sample of 591 HIV-negative Belgian MSM, we examine the relationships between depressive symptoms and other risk factors of unprotected anal intercourse (UAI) practice with casual partners. These risk factors include depressive symptoms, sexual behavioural indicators, individual risk perception of UAI, intrapersonal factors measured by the sexual sensation seeking scale, substance use, sources of social support and social norming regarding condom use and finally the location where or media through which men find sex partners. Our findings show that multifactorial, intertwined factors contribute to the explanation of UAI among MSM at risk for HIV infection. These findings underline the need for an integrated sexual health approach for MSM.
Literature
1.
Sasse A, Defraye A. HIV/AIDS in België, semestrieel rapport (toestand op 31 December 2009). Wetenschappelijk Instituut voor Volksgezondheid; 2009 Dec.
2.
Likatavicius G, Klavs I, Devaux I, Alix J, Nardone A. An increase in newly diagnosed HIV cases reported among men who have sex with men in Europe, 2000–6: implications for a European public health strategy. Sex Trans Infect. 2008;84(6):499–505.CrossRef
3.
Fenton KA, Imrie J. Increasing rates of sexually transmitted diseases in homosexual men in western Europe and the United States: Why? Infect Dis Clin North Am. 2005;19(2):311.PubMedCrossRef
4.
Sullivan PS, Hamouda O, Delpech V, Geduld JE, Prejean J, Semaille C, et al. Reemergence of the HIV epidemic among men who have sex with men in North America, Western Europe, and Australia, 1996–2005. Ann Epidemiol. 2009;19(6):423–31.PubMedCrossRef
5.
Vanden Berghe W, Nostlinger C, Buve A, Beelaert G, Fransen K, Laga M. A venue-based HIV prevalence and behavioural study among men who have sex with men in Antwerp and Ghent, Flanders, Belgium, October 2009 to March 2010. Eurosurveillance. 2011;16(28):10–7.
6.
Lhomond B, Saurel-Cubizolles M. Sexual orientation and mental health: a review. Revue D Epidemiologie et de Sante Publique. 2009;57(6):437–50.PubMedCrossRef
7.
Vanden Berghe W, Dewaele A, Cox N, Vincke J. Minority-specific determinants of mental well-being among Lesbian, Gay, and Bisexual Youth. J Appl Soc Psychol. 2010;40(1):153–66.CrossRef
8.
Jie W, Ciyong L, Xueqing D, Hui W, Lingyao H. A syndemic of psychosocial problems places the MSM (men who have sex with men) population at greater risk of HIV infection. PLoS ONE. 2012;7(3):e32312.PubMedCentralPubMedCrossRef
9.
Singer M, Clair S. Syndemics and public health: reconceptualizing disease in bio-social context. Med Anthropol Q. 2003;17(4):423–41.PubMedCrossRef
10.
Singer MC, Erickson PI, Badiane L, Diaz R, Ortiz D, Abraham T, et al. Syndemics, sex and the city: understanding sexually transmitted diseases in social and cultural context. Soc Sci Med. 2006;63(8):2010–21.PubMedCrossRef
11.
Read TRH, Hocking J, Sinnott V, Hellard M. Risk factors for incident HIV infection in men having sex with men: a case-control study. Sex Health. 2007;4(1):35–9.PubMedCrossRef
12.
Koblin BA, Husnik MJ, Colfax G, Huang YJ, Madison M, Mayer K, et al. Risk factors for HIV infection among men who have sex with men. AIDS. 2006;20(5):731–9.PubMedCrossRef
13.
Wolitski RJ, Parsons JT, Gomez CA, Sums and Sumit Study Teams. Prevention with HIV-seropositive men who have sex with men: lessons from the seropositive urban men’s study (SUMS) and the seropositive urban men’s intervention trial (SUMIT). J Acquir Immune Deficienc Syndr. 2004;37:101–9.CrossRef
14.
Stall R, Paul JP, Greenwood G, Pollack LM, Bein E, Crosby GM, et al. Alcohol use, drug use and alcohol-related problems among men who have sex with men: the urban men’s health study. Addiction. 2001;96(11):1589–601.PubMedCrossRef
15.
Bancroft J, Vukadinovic Z. Sexual addiction, sexual compulsivity, sexual impulsivity, or what? Toward a theoretical model. J Sex Res. 2004;41(3):225–34.PubMedCrossRef
16.
Coleman E, Horvath KJ, Miner M, Ross MW, Oakes M, Rosser B. Compulsive sexual behavior and risk for unsafe sex among internet using men who have sex with men. Arch Sex Behav. 2010;39(5):1045–53.PubMedCentralPubMedCrossRef
17.
Dodge B, Reece M, Herbenick D, Fisher C, Satinsky S, Stupiansky N. Relations between sexually transmitted infection diagnosis and sexual compulsivity in a community-based sample of men who have sex with men. Sex Trans Infect. 2008;84(4):324–7.CrossRef
18.
19.
Semple SJ, Zians J, Grant I, Patterson TL. Sexual compulsivity in a sample of HIV-positive methamphetamine-using gay and bisexual men. AIDS Behav. 2006;10(5):587–98.PubMedCrossRef
20.
Parsons JT, Grov C, Golub SA. Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: Further evidence of a syndemic. Am J Public Health 2012;102(1).
21.
Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129(5):674.PubMedCentralPubMedCrossRef
22.
23.
Crepaz N, Marks G. Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review. Health Psychol. 2001;20(4):291–9.PubMedCrossRef
24.
Kurtz SP, Buttram ME, Surratt HL, Stall RD. Resilience, syndemic factoRs, and seRosoRting behavioRs among hiv-positive and hiv-negative substance-using msm. AIDS Educ Prev. 2012;24(3):193–205.PubMedCentralPubMedCrossRef
25.
Kalichman SC, Johnson JR, Adair V, Rompa D, Multhauf K, Kelly JA. Sexual sensation seeking: scale development and predicting AIDS-risk behavior among homosexually active men. J Pers Assess. 1994;62(3):385–97.PubMedCrossRef
26.
Bancroft J, Janssen E, Strong D, Carnes L, Vukadinovic Z, Long JS. Sexual risk-taking in gay men: the relevance of sexual arousability, mood, and sensation seeking. Arch Sex Behav. 2003;32(6):555–72.PubMedCrossRef
27.
Bancroft J, Carnes L, Janssen E. Unprotected anal intercourse in HIV-positive and HIV-negative gay men: the relevance of sexual arousability, mood, sensation seeking, and erectile problems. Arch Sex Behav. 2005;34(3):299–305.PubMedCrossRef
28.
Kashubeck-West S, Szymanski DM. Risky sexual behavior in gay and bisexual men: internalized heterosexism, sensation seeking, and substance use. Counsel Psychol. 2008;36(4):595–614.CrossRef
29.
Vincke J, Bolton R, de Vleeschouwer P. The cognitive structure of the domain of safe and unsafe gay sexual behaviour in Belgium. Aids Care-Psychol Socio-Med Aspect AIDS/HIV. 2001;13(1):57–70.CrossRef
30.
Vincke J, Bolton R. Beyond the sexual monad: combining complementary cognitions to explain and predict unsafe sex among gay men. Human Org. 1997;56(1):38–46.
31.
Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.CrossRef
32.
Safren SA, Traeger L, Skeer MR, O’Cleirigh C, Meade CS, Covahey C, et al. Testing a social-cognitive model of HIV transmission risk behaviors in HIV-infected MSM with and without depression. Health Psychol. 2010;29(2):215–21.PubMedCentralPubMedCrossRef
33.
Safren SA, Reisner SL, Herrick A, Mimiaga MI, Stall RD. Mental health and HIV risk in men who have sex with men. J Acquir Immune Deficienc Syndr. 2010;55:S74–7.CrossRef
34.
Dudley MG, Rostosky SS, Korfhage BA, Zimmerman RS. Correlates of high-risk sexual behavior among young men who have sex with men. AIDS Educ Prev. 2004;16(4):328–40.PubMedCrossRef
35.
Pearlin LI. Stress and mental health: a conceptual overview. 1999.
36.
Ingram KM, Jones DA, Fass RJ, Neidig JL, Song YS. Social support and unsupportive social interactions: their association with depression among people living with HIV. AIDS Care. 1999;11(3):313–29.PubMedCrossRef
37.
Jenness SM, Neaigus A, Hagan H, Wendel T, Gelpi-Acosta C, Murrill CS. Reconsidering the internet as an HIV/STD risk for men who have sex with men. AIDS Behav. 2010;14(6):1353–61.PubMedCrossRef
38.
Lyons A, Smith AMA, Grierson JW, von Doussa H. Australian men’s sexual practices in saunas, sex clubs and other male sex on premises venues. Sexual Health. 2010;7(2):186–92.PubMedCrossRef
39.
McNeely J, Silvera R, Torres K, Bernstein K, Aberg J, Gourevitch M, et al. Current substance misuse and HIV risk behavior among highly sexually active men who have sex with men (Msm) attending commercial sex venues, events and parties (Csvep) in New York City. J Gen Intern Med. 2010;25:250.
40.
Wood AM, Taylor PJ, Joseph S. Does the CES-D measure a continuum from depression to happiness? Comparing substantive and artifactual models. Psychiatry Res. 2010;177(1):120–3.PubMedCrossRef
41.
Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.CrossRef
42.
Weissman M, Sholomskas D, Pottenger M, Prusoff B, Locke B. Assessing depressive symptoms in five psychiatric populations: a validation study. Am J Epidemiol. 1977;106(3):203–14.PubMed
43.
Zimet GD, Powell SS, Farley GK, Werkman S, Berkoff KA. Psychometric characteristics of the multidimensional scale of perceived social support. J Pers Assess. 2012;55:610–7.
44.
Starks TJ, Golub SA, Kelly BC, Parsons JT. The problem of “just for fun”: patterns of use situations among active club drug users. Addict Behav. 2010;35(12):1067–73.PubMedCentralPubMedCrossRef
45.
Grov C. HIV risk and substance use in men who have sex with men surveyed in bathhouses, bars/clubs, and on Craigslist. org: venue of recruitment matters. AIDS Behav. 2012;16(4):807–17.PubMedCrossRef
46.
Tsui HY, Lau JTF. Comparison of risk behaviors and socio-cultural profile of men who have sex with men survey respondents recruited via venues and the internet. BMC Public Health. 2010;10:1–11.CrossRef
47.
Barrett DC, Bolan G, Joy D, Counts K, Doll L, Harrison J. Coping strategies, substance use, sexual activity, and HIV sexual risks in a sample of gay male STD patients1. J Appl Soc Psychol. 1995;25(12):1058–72.CrossRef
48.
McCabe SE, Bostwick WB, Hughes TL, West BT, Boyd CJ. The relationship between discrimination and substance use disorders among lesbian, gay, and bisexual adults in the United States. Am J Public Health. 2010;100:10.CrossRef
49.
Lelutiu-Weinberger C, Pachankis JE, Golub SA, Walker JJ, Bamonte AJ, Parsons JT. Age cohort differences in the effects of gay-related stigma, anxiety and identification with the gay community on sexual risk and substance use. AIDS Behav 2011;1–10.
50.
Carey JW, Mejia R, Bingham T, Ciesielski C, Gelaude D, Herbst JH, et al. Drug use, high-risk sex behaviors, and increased risk for recent HIV infection among men who have sex with men in Chicago and Los Angeles. AIDS Behav. 2009;13(6):1084–96.PubMedCrossRef
51.
Mimiaga MJ, Fair AD, Mayer KH, Koenen K, Gortmaker S, Tetu AM, et al. Experiences and sexual behaviors of HIV-infected MSM who acquired HIV in the context of crystal methamphetamine use. AIDS Educ Prev. 2008;20(1):30–41.PubMedCrossRef
52.
Halkitis PN, Moeller RW, Siconolfi DE, Jerome RC, Rogers M, Schillinger J. Methamphetamine and poly-substance use among gym-attending men who have sex with men in New York City. Ann Behav Med. 2008;35(1):41–8.PubMedCrossRef
53.
Rosser BS, Oakes JM, Horvath KJ, Konstan JA, Danilenko GP, Peterson JL. HIV sexual risk behavior by men who use the Internet to seek sex with men: results of the men INTernet sex study-II (MINTS-II). AIDS Behav. 2009;13(3):488–98.PubMedCrossRef
54.
MacKellar DA, Valleroy LA, Secura GM, Behel S, Bingham T, Celentano DD, et al. Unrecognized HIV infection, risk behaviors, and perceptions of risk among young men who have sex with men: opportunities for advancing HIV prevention in the third decade of HIV/AIDS. J Acquir Immune Deficienc Syndr. 2005;38(5):603–14.CrossRef
55.
Mustanski BS, Garofalo R, Emerson EM. Mental health disorders, psychological distress, and suicidality in a diverse sample of Lesbian, Gay, Bisexual, and Transgender Youths. Am J Public Health. 2010;100(12):2426–32.PubMedCrossRef
56.
Hamilton CJ, Mahalik JR. Minority stress, masculinity, and social norms predicting gay men’s health risk behaviors. J Couns Psychol. 2009;56(1):132–41.CrossRef
57.
Hatzenbuehler ML, Nolen-Hoeksema S, Erickson SJ. Minority stress predictors of HIV risk behavior, substance use, and depressive symptoms: results from a prospective study of bereaved gay men. Health Psychol. 2008;27(4):455–62.PubMedCrossRef
58.
McKechnie ML, Bavinton BR, Zablotska IB. Understanding of norms regarding sexual practices among gay men: literature review. AIDS Behav 2012;1–10.
59.
Alessi EJ, Martin JI. Conducting an internet-based survey: benefits, pitfalls and lessons learned. Social Work Res. 2010;34(2):122–8.CrossRef
60.
Wolitski RJ, Valdiserri RO, Denning PH, Levine WC. Are we headed for a resurgence of the HIV epidemic among men who have sex with men? Am J Public Health. 2001;91(6):883–8.PubMedCrossRef
61.
62.
Prochaska JJ, Nigg CR, Spring B, Velicer WF, Prochaska JO. The benefits and challenges of multiple health behavior change in research and in practice. Prev Med. 2010;50(1):26–9.PubMedCentralPubMedCrossRef
63.
Salomon EA, Mimiaga MJ, Husnik MJ, Welles SL, Manseau MW, Montenegro AB, et al. Depressive symptoms, utilization of mental health care, substance use and sexual risk among young men who have sex with men in EXPLORE: implications for age-specific interventions. AIDS Behav. 2009;13(4):811–21.PubMedCentralPubMedCrossRef
64.
Brennan DJ, Welles SL, Miner MH, Ross MW, Rosser BRS, Positive Connections Team. HIV treatment optimism and unsafe anal intercourse among HIV-positive men who have sex with men: findings from the positive connections study. AIDS Educ Prev. 2010;22(2):126–37.PubMedCentralPubMedCrossRef
Metadata
Title
Syndemic and Other Risk Factors for Unprotected Anal Intercourse Among an Online Sample of Belgian HIV Negative Men Who have Sex with Men
Authors
Vanden Berghe Wim
Nöstlinger Christiana
Laga Marie
Publication date
01-01-2014
Publisher
Springer US
Published in
AIDS and Behavior / Issue 1/2014
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-013-0516-y

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