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Association of positive psychobehavioral factors and structural disadvantage with condomless sex in men who have sex men with childhood sexual abuse histories.

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Title: Association of positive psychobehavioral factors and structural disadvantage with condomless sex in men who have sex men with childhood sexual abuse histories.
Authors: Fitch, Calvin, Shepard, Caleigh, Foley, Jacklyn, Ironson, Gail, Safren, Steven, Carrico, Adam, Rodriguez, Allan, O'Cleirigh, Conall
Source: Journal of Behavioral Medicine. Feb2022, Vol. 45 Issue 1, p90-102. 13p. 5 Charts.
Subjects: HIV prevention, HIV infection risk factors, Risk-taking behavior, Adaptability (Personality), Child sexual abuse, Confidence intervals, Cross-sectional method, Regression analysis, Risk assessment, Income, Descriptive statistics, Men who have sex with men, Condoms, Psychological distress
Geographic Terms: Florida, Massachusetts
Abstract: Previous research has highlighted both psychological and structural risk factors as correlates of condomless anal sex, a key pathway to HIV acquisition in men who have sex with men (MSM). Fewer studies have focused on positive psychobehavioral factors, which may be associated with more consistent condom use. This study hypothesized that positive psychobehavioral factors would be associated with more frequent condom use over and above psychological and structural risk factors. MSM with histories of childhood sexual abuse in Boston, MA and Miami, FL (N = 108) completed cross-sectional assessments of psychosocial, structural, and positive psychobehavioral factors. These factors were entered simultaneously in a linear regression model to examine their association with frequency of condomless sex. More recent seroadaptive behavior (B = 0.323, 95% CI = 0.055–0.590, p =.019) and receipt of government benefits to supplement income (B = 0.892, 95% CI = 0.171–1.612, p =.016) were independently associated with higher frequency of condomless sex over and above all other psychosocial, structural, and positive psychobehavioral factors. R2 for the final model was 0.270. Ancillary analyses including participants taking and adherent to biomedical HIV prevention suggested an association between higher distress tolerance and lower frequency of condomless sex. Positive psychobehavioral factors may potentially lower risk for HIV in high-risk MSM; however, left unaddressed, structural disadvantage is a potent influence which may limit potential benefits. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Association of positive psychobehavioral factors and structural disadvantage with condomless sex in men who have sex men with childhood sexual abuse histories.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Medicine%22">Journal of Behavioral Medicine</searchLink>. Feb2022, Vol. 45 Issue 1, p90-102. 13p. 5 Charts.
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  Data: Previous research has highlighted both psychological and structural risk factors as correlates of condomless anal sex, a key pathway to HIV acquisition in men who have sex with men (MSM). Fewer studies have focused on positive psychobehavioral factors, which may be associated with more consistent condom use. This study hypothesized that positive psychobehavioral factors would be associated with more frequent condom use over and above psychological and structural risk factors. MSM with histories of childhood sexual abuse in Boston, MA and Miami, FL (N = 108) completed cross-sectional assessments of psychosocial, structural, and positive psychobehavioral factors. These factors were entered simultaneously in a linear regression model to examine their association with frequency of condomless sex. More recent seroadaptive behavior (B = 0.323, 95% CI = 0.055–0.590, p =.019) and receipt of government benefits to supplement income (B = 0.892, 95% CI = 0.171–1.612, p =.016) were independently associated with higher frequency of condomless sex over and above all other psychosocial, structural, and positive psychobehavioral factors. R2 for the final model was 0.270. Ancillary analyses including participants taking and adherent to biomedical HIV prevention suggested an association between higher distress tolerance and lower frequency of condomless sex. Positive psychobehavioral factors may potentially lower risk for HIV in high-risk MSM; however, left unaddressed, structural disadvantage is a potent influence which may limit potential benefits. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s10865-021-00251-9
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 90
    Subjects:
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: HIV infection risk factors
        Type: general
      – SubjectFull: Risk-taking behavior
        Type: general
      – SubjectFull: Adaptability (Personality)
        Type: general
      – SubjectFull: Child sexual abuse
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Risk assessment
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      – SubjectFull: Income
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Men who have sex with men
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      – SubjectFull: Condoms
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      – SubjectFull: Psychological distress
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      – SubjectFull: Florida
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      – SubjectFull: Massachusetts
        Type: general
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      – TitleFull: Association of positive psychobehavioral factors and structural disadvantage with condomless sex in men who have sex men with childhood sexual abuse histories.
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              Text: Feb2022
              Type: published
              Y: 2022
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