The Impact of Stressful Life Events on Unprotected Anal Intercourse Among Gay and Bisexual Men |
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| Authors: | Liviana M. Calzavara Ann N. Burchell Gerald Lebovic Ted Myers Robert S. Remis Janet Raboud Paul Corey Carol Swantee Trevor A. Hart |
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| Affiliation: | (1) Dalla Lana School of Public Health, University of Toronto, 5th Floor, Health Sciences Building, 155 College Street, Toronto, ON, M5T 3M7, Canada;(2) Ontario HIV Treatment Network, Toronto, ON, Canada;(3) University Health Network, Toronto, ON, Canada;(4) HIV Laboratory, Ontario Agency for Health Protection and Promotion, Toronto, ON, Canada;(5) Department of Psychology, Ryerson University, Toronto, ON, Canada |
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| Abstract: | ![]()
We investigated the hypothesis that gay and bisexual men experiencing stressful life events are more likely to engage in risky sexual behavior. Data were from a cohort study of 155 HIV-positive and 207 HIV-negative men in Ontario, Canada (1998–2007). We quantified the relation between stressful life events and unprotected anal intercourse with a non-regular partner. In the past 6 months, 19% reported unprotected intercourse (HIV+: 28%; HIV−: 13%) and 58% reported one or more stressful life events (HIV+: 64%; HIV−: 55%). Among HIV-negative men, the odds of unprotected intercourse increased by 1.15 for each additional event (95%CI 1.06, 1.24). Among HIV-positive men, those who reported the event “problems due to alcohol or drugs” were 1.80 (95%CI 1.27, 2.56) times more likely to report unprotected intercourse. Interventions to assist men to cope with stress may help to prevent population spread of HIV and improve overall health. |
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