TY - JOUR
T1 - Resilience, syndemic factors, and serosorting behaviors among HIV-positive and HIV-negative substance-using MSM
AU - Kurtz, Steven P.
AU - Buttram, Mance E.
AU - Surratt, Hilary L.
AU - Stall, Ronald D.
PY - 2012/6
Y1 - 2012/6
N2 - 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.
AB - 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.
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U2 - 10.1521/aeap.2012.24.3.193
DO - 10.1521/aeap.2012.24.3.193
M3 - Article
C2 - 22676460
AN - SCOPUS:84862684968
SN - 0899-9546
VL - 24
SP - 193
EP - 205
JO - AIDS Education and Prevention
JF - AIDS Education and Prevention
IS - 3
ER -
