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Resilience, syndemic factors, and serosorting behaviors among HIV-positive and HIV-negative substance-using MSM

Kurtz, SP and Buttram, ME and Surratt, HL and Stall, RD (2012) Resilience, syndemic factors, and serosorting behaviors among HIV-positive and HIV-negative substance-using MSM. AIDS Education and Prevention, 24 (3). 193 - 205. ISSN 0899-9546

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Abstract

Serosorting is commonly employed by MSM to reduce HIV risk. We hypothesize that MSM perceive serosorting to be effective, and that serosorting is predicted by resilience and inversely related to syndemic characteristics. Surveys included 504 substance-using MSM. Logistic regression models examined syndemic and resilience predictors of serosorting, separately by serostatus. For HIV-positive men, positive coping behaviors (P =.015) and coping self-efficacy (P =.014) predicted higher odds, and cognitive escape behaviors (P =.003) lower odds, of serosorting. For HIVnegative men, social engagement (P =.03) and coping self-efficacy (P =.01) predicted higher odds, and severe mental distress (P =.001), victimization history (P =.007) and cognitive escape behaviors (P =.006) lower odds, of serosorting. HIV-negative serosorters reported lower perceptions of risk for infection than non-serosorters (P <.000). Although high risk HIV-negative men may perceive serosorting to be effective, their high rates of UAI and partner change render this an ineffective risk reduction approach. Relevant public health messages are urgently needed. © 2012 The Guilford Press.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Kurtz, SP
Buttram, ME
Surratt, HL
Stall, RDrstall@pitt.eduRSTALL
Centers: Other Centers, Institutes, or Units > Center for LGBT Health Research
Date: 1 June 2012
Date Type: Publication
Journal or Publication Title: AIDS Education and Prevention
Volume: 24
Number: 3
Page Range: 193 - 205
DOI or Unique Handle: 10.1521/aeap.2012.24.3.193
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 0899-9546
Date Deposited: 12 Jun 2013 21:08
Last Modified: 02 Feb 2019 15:55
URI: http://d-scholarship.pitt.edu/id/eprint/18861

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