HIV Prioritization and Risk Perception Among an Online Sample of Men Who Have Sex With Men in the United States
| Autor: | Erin M. Kahle, Rob Stephenson, Stephen P Sullivan, Akshay Sharma |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Safe Sex gender issues and sexual orientation Prioritization Health Knowledge Attitudes Practice medicine.medical_specialty Health (social science) Adolescent lcsh:Medicine HIV Infections physiological and endocrine disorders Sample (statistics) Interpersonal communication Risk Assessment Men who have sex with men Odds Young Adult 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Surveys and Questionnaires Humans Medicine 030212 general & internal medicine Homosexuality Male health-care issues research 030505 public health business.industry Public health lcsh:R public health Public Health Environmental and Occupational Health virus diseases Middle Aged medicine.disease Special section-HIV/AIDS/STIs United States Risk perception HIV/AIDS 0305 other medical science business gay health issues quantitative research Demography |
| Zdroj: | American Journal of Men's Health American Journal of Men's Health, Vol 12 (2018) |
| ISSN: | 1557-9891 1557-9883 |
| DOI: | 10.1177/1557988318776581 |
| Popis: | Men who have sex with men (MSM) may prioritize interpersonal and structural factors, such as LGBTQ-related inequalities, housing instability, financial insecurity, and relationship seeking, over HIV prevention. The aim of this study was to assess how MSM prioritize HIV relative to other factors and the association between HIV prioritization, HIV testing and sexual risk behavior, and perceived risk. Data were collected from a national online survey of MSM in the United States assessing HIV knowledge and prioritization. Participants ranked HIV prevention relative to LGBTQ-related concerns and life issues (e.g., housing, job, relationship). Adjusted regression models were conducted to assess the association of HIV prioritization with HIV testing and condomless anal sex (CAS) and to evaluate associations between perceived risk and HIV risk behavior. Among 516 participants, HIV prevention was ranked significantly higher among MSM reporting recent CAS ( p = .04) and HIV testing within the past ( p = .02); HIV prevention was prioritized higher relative to life issues among MSM reporting last HIV test more than 1 year ago ( p = .02). Perceived HIV risk was significantly associated with higher HIV prioritization relative to LGBTQ concerns ( p = .001) and life issues ( p = .001). Higher HIV perceived risk was associated with lower odds of any CAS ( p < .001) and higher odds of having an HIV test in the past year ( p < .001). In this online study, HIV prioritization was identified as differentially associated with HIV testing, sexual risk behavior, and perceived HIV risk. HIV prevention programs should integrate strategies to address social and structural inequalities based on priority needs of MSM. |
| Databáze: | OpenAIRE |
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