Country level homophobia and protective sexual health behaviours among HIV negative or untested men who have sex with men in 45 countries

Autor:	G. J. Melendez-Torres, Teymur Noori, Anastasia Pharris, Beatrice Alba, Gianfranco Spiteri, Alex Garner, Adam Bourne
Rok vydání:	2020
Předmět:	Adult Male Safe Sex Health (social science) Social Psychology Substance-Related Disorders Sexual Behavior Health Behavior Human immunodeficiency virus (HIV) HIV Infections Hiv testing medicine.disease_cause Men who have sex with men Sexual and Gender Minorities 03 medical and health sciences 0302 clinical medicine Country level Humans Medicine 030212 general & internal medicine Homosexuality Male Biomedical technology Reproductive health 030505 public health Unsafe Sex business.industry Transmission (medicine) Public Health Environmental and Occupational Health Middle Aged Pre-Exposure Prophylaxis Homophobia Sexual Health Post-Exposure Prophylaxis 0305 other medical science business Clinical psychology
Zdroj:	AIDS Care. 32:1589-1593
ISSN:	1360-0451 0954-0121
DOI:	10.1080/09540121.2020.1766662
Popis:	Despite new, effective biomedical technologies to prevent the transmission of HIV, social and structural factors still impact the opportunity for gay, bisexual and other men who have sex with men (GBMSM) to access safe sexual health services. Within this paper we describe findings of a pilot analysis that seeks to identify relationships between country level homophobia, individual-level sexualised drug use and key sexual health protective behaviours in a sample of HIV negative men from 45 countries recruited via a large online survey. Responses to questions relating to HIV and STI testing history, use of pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP) and engagement in sexualised drug use were treated as dependent variables within generalised linear mixed-effects model with logit link analysis, with country level homophobia (drawn from a recently published international index) operating as the dependent variable. In total, data from 9,356 respondents were included for analysis. Overall, uptake of behaviours known to be protective of sexual health overall was significantly lower in countries with high levels of homophobia. This paper is unique in linking a robust measure of country-level homophobia to engagement in health protective behaviours on a large-scale, multi-country level basis.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bf5e1c80460e692d7b51447d380f3ba6 https://doi.org/10.1080/09540121.2020.1766662 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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