Safer sex intentions modify the relationship between substance use and sexual risk behavior among black South African men who have sex with men
Autor: | Vasu Reddy, Deborah S. Hasin, Tim Lane, Gina S. Lovasi, Justin Knox, Theodorus G. M. Sandfort |
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Rok vydání: | 2019 |
Předmět: |
High rate
medicine.medical_specialty 030505 public health business.industry Public health Public Health Environmental and Occupational Health Human immunodeficiency virus (HIV) Dermatology medicine.disease_cause Hiv risk Men who have sex with men 03 medical and health sciences 0302 clinical medicine Infectious Diseases Safer sex medicine Pharmacology (medical) 030212 general & internal medicine Substance use 0305 other medical science business Sexual risk Demography |
Zdroj: | International Journal of STD & AIDS. 30:786-794 |
ISSN: | 1758-1052 0956-4624 |
DOI: | 10.1177/0956462418825333 |
Popis: | Due to the global burden of HIV, a better understanding of the relationship between substance use and HIV risk behavior is a public health priority, particularly among populations with high rates of HIV infection. The current study explored the moderating effects of psychosocial factors on the relationship between substance use and sexual risk behavior. Among 480 black South African men who have sex with men recruited using respondent-driven sampling, a cross-sectional survey was conducted that included questions about their last sexual event that involved anal sex. Substance use was not associated with unprotected anal intercourse (UAI) ( P = 0.97). The effect of substance use on UAI was modified by safer sex intentions ( P = 0.001). Among those with higher safer sex intentions, substance use was positively associated with UAI (aOR = 5.8, 95%CI = 1.6–21.3, P |
Databáze: | OpenAIRE |
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