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- Title
HIV-Related Attitudes and Intentions for High-Risk, Substance-Using Men Who Have Sex With Men: Associations and Clinical Implications for HIV-Positive and HIV-Negative MSM.
- Authors
Mansergh, Gordon; McKirnan, David J.; Flores, Stephen A.; Hudson, Sharon M.; Koblin, Beryl A.; Purcell, David W.; Colfax, Grant N.
- Abstract
This study compared HIV-related attitudes and intentions by respondent HIV-status in a large sample of substance-using men who have sex with men (MSM) in the United States. Attitudes and intentions included self-efficacy for safer sex; difficulty communicating with sex partners about safer sex; intent to use condoms consistently and to not use substances before sex in the next 3 months; and less concern for HIV given effective antiviral treatments. Differences were found for behavior during the most recent anal sex encounter by HIV-status, including (a) insertive and (b) receptive anal sex risk behavior, and (c) substance use before or during the encounter. Self-efficacy for safer sex was associated with less risk behavior among HIV-negative men but not among HIV-positive men, suggesting that self-efficacy for safer sex continues to be a relevant issue to address in counseling uninfected MSM. HIV-positive men who reported less concern for HIV given treatments were more likely to report receptive risk behavior, as were HIV-negative men who reported difficulty communicating about safer sex. Implications are discussed for potentially heightened client desire and therapeutic opportunity to reduce future substance use during sex for clients who report recent substance use during sex.
- Subjects
UNITED States; HEALTH attitudes; HIV-positive men; MEN who have sex with men; SUBSTANCE abuse
- Publication
Journal of Cognitive Psychotherapy, 2010, Vol 24, Issue 4, p281
- ISSN
0889-8391
- Publication type
Article
- DOI
10.1891/0889-8391.24.4.281