‘I’ve Had Unsafe Sex So Many Times Why Bother Being Safe Now?’: The Role of Cognitions in Sexual Risk Among American Indian/Alaska Native Men Who Have Sex with Men
Year: 2011
Type: article
Study design: Observational Study
Abstract: BACKGROUND: American Indian/Alaska Native (AI/AN) men who have sex with men (MSM) are at high risk of human immunodeficiency virus (HIV) acquisition and transmission. PURPOSE: This study aimed to investigate a potential area of focus for HIV prevention interventions by assessing the impact of sexual risk cognitions on sexual risk-taking among AI/AN MSM. METHODS: AI/AN MSM (N = 173) from a national cross-sectional survey were analyzed. RESULTS: Reporting more frequent sexual risk cognitions overall (high sexual risk cognitions) was associated with multiple HIV risk factors including unprotected anal intercourse and serodiscordant unprotected anal intercourse. Participants with high sexual risk cognitions had a 2.3 (95% Confidence Interval: 1.1, 4.7) times greater odds of engaging in unprotected anal intercourse regardless of childhood sexual abuse, depression, and alcohol dependence. Most individual sexual risk cognitions were associated with unprotected anal intercourse, serodiscordant unprotected anal intercourse, or both. CONCLUSIONS: Results suggest that sexual risk cognitions may be a productive area for further work on HIV prevention among AI/AN MSM.
Source: Annals of Behavioral Medicine
Institution: University of Washington
Language: English
Topic: HIV, Drug Use, Sexual Risk
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
Funders: National Institute of Mental Health, National Institute on Drug Abuse, National Institute of Allergy and Infectious Diseases, National Center on Minority Health and Health Disparities, Office of Research on Women's Health, Office of AIDS Research, National Institute on Minority Health and Health Disparities, Eunice Kennedy Shriver National Institute of Child Health and Human Development
Awards: Media Influence on Risk Behavior in MSM, Health Survey of Two-Spirited Native Americans, Mentoring Diverse Scientists in HIV Research on Substance Abuse and Mental Health, Center for Studies in Demography and Ecology, G7197178138, Mentoring Diverse Scientists in Global HIV Research on Mental Health & Adherence, University of Washington/Fred Hutch Center for AIDS Research, The ITZA Program: Indigenous HIV/AIDS Research Training 3 (IHART3) Program
OpenAlex ID: W2001562962