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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Safer sex intentions modify the relationship between substance use and sexual risk behavior among black South African men who have sex with men
International journal of STD & AIDS, v 30(8), pp 786-794
01 Jul 2019
PMID: 31142222
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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 < 0.01). This study found that among men who have sex with men with high intentions to engage in safer sex, substance use was associated with increased risky sexual behavior.
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Details
- Title
- Safer sex intentions modify the relationship between substance use and sexual risk behavior among black South African men who have sex with men
- Creators
- Justin Knox - Columbia UniversityVasu Reddy - University of PretoriaTim Lane - 3 Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA.Gina S. Lovasi - Drexel UniversityDeborah Hasin - Columbia UniversityTheo Sandfort - NYS Psychiat Inst, HIV Ctr Clin & Behav Studies, New York, NY USA
- Publication Details
- International journal of STD & AIDS, v 30(8), pp 786-794
- Publisher
- Sage
- Number of pages
- 9
- Grant note
- P30MH043520 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) T32DA031099 / NATIONAL INSTITUTE ON DRUG ABUSE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA); European Commission R01MH083557; P30MH43520 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) F31DA037128; T32DA031099; R01DA034244 / National Institute on Drug Abuse; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA); European Commission
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000476522800008
- Scopus ID
- 2-s2.0-85066951110
- Other Identifier
- 991019168339404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Immunology
- Infectious Diseases