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Published in: AIDS and Behavior 4/2009

01-08-2009 | Report

Stress and Coping Among HIV-Positive Barebackers

Authors: Brian C. Kelly, David S. Bimbi, Hubert Izienicki, Jeffrey T. Parsons

Published in: AIDS and Behavior | Issue 4/2009

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Abstract

HIV-positive MSM may report high-risk behaviors—including drug use and intentional unprotected anal sex—as a means of coping. We recruited a diverse sample of HIV-positive men (n = 66) at gay community events. One third of these men self-identified as barebackers. Barebackers were more likely to report drug use and sex under the influence of drugs (i.e., PnP). Beyond this, those who identified as barebackers also tended to report greater stigma, gay-related stress, self-blame-related coping, and substance abuse coping. Providers must attend to issues of stress and coping to engage men who may not respond to traditional risk reduction efforts.
Literature
1.
go back to reference Halkitis PN, Wilton L, Wolitski RJ, Parsons JT, Hoff CC, Bimbi DS. Barebacking identity among HIV-positive gay and bisexual men: demographic, psychological, and behavioral correlates. AIDS. 2003;19:S27–35.CrossRef Halkitis PN, Wilton L, Wolitski RJ, Parsons JT, Hoff CC, Bimbi DS. Barebacking identity among HIV-positive gay and bisexual men: demographic, psychological, and behavioral correlates. AIDS. 2003;19:S27–35.CrossRef
2.
go back to reference Wolitski RJ. The emergence of barebacking among gay and bisexual men in the United States: a public health perspective. J Gay Lesbian Psychother. 2005;9:9–34.CrossRef Wolitski RJ. The emergence of barebacking among gay and bisexual men in the United States: a public health perspective. J Gay Lesbian Psychother. 2005;9:9–34.CrossRef
3.
go back to reference Parsons JT, Bimbi DS. Intentional unprotected anal intercourse among men who have sex with men: barebacking—from behavior to identity. AIDS Behav. 2007;11:277–87.PubMedCrossRef Parsons JT, Bimbi DS. Intentional unprotected anal intercourse among men who have sex with men: barebacking—from behavior to identity. AIDS Behav. 2007;11:277–87.PubMedCrossRef
4.
go back to reference Gauthier DK, Forsyth CJ. Bareback sex, bug chasers, and the gift of death. Dev Behav. 1999;20:85–100.CrossRef Gauthier DK, Forsyth CJ. Bareback sex, bug chasers, and the gift of death. Dev Behav. 1999;20:85–100.CrossRef
5.
go back to reference Carballo-Dieguez A, Ventuneac A, Bauermeister JA, et al. Is “bareback” a useful construct in primary HIV prevention? Definitions, identity, and research. Cult Health Sex. 2009;11:51–65.PubMedCrossRef Carballo-Dieguez A, Ventuneac A, Bauermeister JA, et al. Is “bareback” a useful construct in primary HIV prevention? Definitions, identity, and research. Cult Health Sex. 2009;11:51–65.PubMedCrossRef
7.
go back to reference Halkitis PN, Parsons JT, Wilton L. Barebacking among gay and bisexual men in New York City: explanations for the emergence of intentional unsafe behavior. Arch Sex Behav. 2003;32:351–7.PubMedCrossRef Halkitis PN, Parsons JT, Wilton L. Barebacking among gay and bisexual men in New York City: explanations for the emergence of intentional unsafe behavior. Arch Sex Behav. 2003;32:351–7.PubMedCrossRef
8.
go back to reference Suarez T, Miller J. Negotiating risks in context: a perspective on unprotected anal intercourse and barebacking among men who have sex with men—Where do we go from here? Arch Sex Behav. 2001;30:287–300.PubMedCrossRef Suarez T, Miller J. Negotiating risks in context: a perspective on unprotected anal intercourse and barebacking among men who have sex with men—Where do we go from here? Arch Sex Behav. 2001;30:287–300.PubMedCrossRef
9.
go back to reference Crossley ML. Making sense of “Barebacking”: gay men’s narratives, unsafe sex and the “Resistance Habitus”. Brit J Soc Psych. 2004;43:225–44.CrossRef Crossley ML. Making sense of “Barebacking”: gay men’s narratives, unsafe sex and the “Resistance Habitus”. Brit J Soc Psych. 2004;43:225–44.CrossRef
10.
go back to reference Barrett D, 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 patients. J Appl Soc Psych. 1995;25:1058–71.CrossRef Barrett D, 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 patients. J Appl Soc Psych. 1995;25:1058–71.CrossRef
11.
go back to reference Elford J, Bolding G, Davis M, Sherr L, Hart G. Barebacking among HIV-positive gay men in London. Sex Trans Dis. 2007;34:93–8.CrossRef Elford J, Bolding G, Davis M, Sherr L, Hart G. Barebacking among HIV-positive gay men in London. Sex Trans Dis. 2007;34:93–8.CrossRef
12.
go back to reference Adam BD, Husbands W, Murray J, Maxwell J. AIDS optimism, condom fatigue, or self-esteem? Explaining unsafe sex among gay and bisexual men. J Sex Res. 2005;42:238–48.CrossRefPubMed Adam BD, Husbands W, Murray J, Maxwell J. AIDS optimism, condom fatigue, or self-esteem? Explaining unsafe sex among gay and bisexual men. J Sex Res. 2005;42:238–48.CrossRefPubMed
13.
go back to reference Shernoff M. Condomless sex: gay men, barebacking, and harm reduction. Soc Work. 2006;51:106–13.PubMed Shernoff M. Condomless sex: gay men, barebacking, and harm reduction. Soc Work. 2006;51:106–13.PubMed
14.
go back to reference Hirshfield S, Remien RH, Humberstone M, Walavalkar I, Chiasson MA. Substance use and high-risk sex among men who have sex with men: a national online study in the USA. AIDS Care. 2004;16:1036–47.PubMedCrossRef Hirshfield S, Remien RH, Humberstone M, Walavalkar I, Chiasson MA. Substance use and high-risk sex among men who have sex with men: a national online study in the USA. AIDS Care. 2004;16:1036–47.PubMedCrossRef
Metadata
Title
Stress and Coping Among HIV-Positive Barebackers
Authors
Brian C. Kelly
David S. Bimbi
Hubert Izienicki
Jeffrey T. Parsons
Publication date
01-08-2009
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2009
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-009-9586-2

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