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A Qualitative Analysis of Factors Contributing to Increased HIV Incidence for Gay and Bisexual Men: Implications for Prevention

Year: 2009
Type: dissertation
Abstract: HIV incidence continues to rise in the population of gay and bisexual men (Joint United Nations Program on HIV/AIDS, 2008), a high-risk group due to the complexity of promoting sexual behavior change on an enduring basis. In the present study, interview data from fifteen self-identified gay or bisexual men living in an urban Canadian city was analyzed in order to determine the most salient psychosocial factors in decision-making leading to safe sexual choices, and the psychological implications of these factors for the mental health and well-being of participants. Results suggest three core factors are most relevant to sexual decision-making for gay/bisexual men: self-efficacy, sexual communication and/or negotiation, and individual assessment of risk. A conceptual model of factors influencing sexual decision-making is presented. These results are discussed in terms of their implications for future HIV prevention interventions and the clinical practice of counselling psychology with gay and bisexual male clients.
Language: English
Field: Medicine
Open Access status: green
OpenAlex ID: W2781092325
Cites: 136
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Related to: 10