Influence of Internalised Homonegativity on Sexual Risk Behaviour of Men Who Have Sex with Men in Spain.

In a sample of men who have sex with men (MSM) (N = 3436) in Spain who bear intrinsic HIV risk, we investigated how internalised homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse (as a proxy of sexual risk behaviour). Using structural equation...

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Publicado en:Sexuality & Culture Vol. 26; no. 3; pp. 932 - 951
Autores principales: Sönmez, İbrahim, Folch, Cinta, Lorente, Nicolas, Berg, Rigmor C., Thurlby, Natalie, Schmidt, Axel J.
Formato: Artículo
Publicado: Springer Nature Jun2022
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Influence of Internalised Homonegativity on Sexual Risk Behaviour of Men Who Have Sex with Men in Spain.
      aug:
        au:
          Sönmez, İbrahim
          Folch, Cinta
          Lorente, Nicolas
          Berg, Rigmor C.
          Thurlby, Natalie
          Schmidt, Axel J.
        affil:
          Universitat Pompeu Fabra, Barcelona, Spain
          Centre for Epidemiological Studies on Sexually Transmitted Infections and HIV/AIDS of Catalonia (CEEISCAT), Catalonia Public Health Agency (ASPCAT), Badalona, Spain
          CIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain
          Community-Based Research Laboratory, Coalition PLUS, Pantin, France
          FHI, Oslo, Norway
          University of Tromsø, Tromsø, Norway
          Jean Golding Institute, University of Bristol, Bristol, UK
          London School of Hygiene and Tropical Medicine, Sigma Research, London, UK
      su:
        Men who have sex with men
        HIV
        Homophobia
        Sexual intercourse
        Structural equation modeling
        Spain
      sug:
        subj:
          Spain
          Men who have sex with men
          HIV
          Homophobia
          Sexual intercourse
          Structural equation modeling
      keyword:
        HIV knowledge
        Internalised homonegativity
        MSM
        Sexual risk behaviour
        Structural equation modelling
        Substance use
      ab: In a sample of men who have sex with men (MSM) (N = 3436) in Spain who bear intrinsic HIV risk, we investigated how internalised homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse (as a proxy of sexual risk behaviour). Using structural equation modelling (SEM), we examined the relationship between IH and sexual risk behaviour, and mediating effects of HIV/PrEP knowledge and substance use during sex on this relationship. We found no direct association between IH and sexual risk behaviour, nor did IH influence substance use during sex. In line with our hypothesis, association between IH and sexual risk behaviour was significant when mediated by HIV/PrEP knowledge. We found that as IH increased, sexual risk behaviour decreased, because higher IH was associated with lower HIV/PrEP knowledge while higher HIV/PrEP knowledge was associated with increased non-condom use with non-steady partners. Substance use during sex was significantly associated with sexual risk behaviour. Our results emphasize the continuing importance of prevention strategies focused on behavioural changes and community level interventions, especially targeting substance use.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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