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Prospective Predictors of Unprotected Anal Intercourse Among HIV-Seropositive Men Who Have Sex with Men Initiating Antiretroviral Therapy |
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| Authors: | David W. Pantalone David Huh Kimberly M. Nelson Cynthia R. Pearson Jane M. Simoni |
| Affiliation: | 1. Department of Psychology, University of Massachusetts, 100 Morrissey Boulevard, Boston, MA, 02125, USA 2. The Fenway Institute, Fenway Health, Boston, MA, USA 3. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA 4. Department of Psychology, University of Washington, Seattle, WA, USA 5. Indigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, WA, USA |
| Abstract: | Contemporary HIV prevention efforts are increasingly focused on those already living with HIV/AIDS (i.e., “prevention with positives”). Key to these initiatives is research identifying the most risky behavioral targets. Using a longitudinal design, we examined socio-demographic and psychosocial factors that prospectively predicted unprotected anal intercourse (UAI) in a sample of 134 HIV-seropositive men who have sex with men (MSM) initiating, changing, or re-starting an antiretroviral therapy regimen as part of a behavioral intervention study. Computer-based questionnaires were given at baseline and 6 months. In a sequential logistic regression, baseline measures of UAI (step 1), socio-demographic factors such as Latino ethnicity (step 2), and psychosocial factors such as crystal methamphetamine use, greater life stress, and lower trait anxiety (step 3) were predictors of UAI at 6 months. Problem drinking was not a significant predictor. Prevention efforts among MSM living with HIV/AIDS might focus on multiple psychosocial targets, like decreasing their crystal methamphetamine use and teaching coping skills to deal with life stress. |
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