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AIDS and Behavior

, Volume 21, Issue 3, pp 923–934 | Cite as

Factors Associated with Sexual Risk of HIV Transmission Among HIV-Positive Latino Men Who have Sex with Men on the U.S.-México Border

  • Bryan A. KutnerEmail author
  • Kimberly M. Nelson
  • Jane M. Simoni
  • John A. Sauceda
  • John S. Wiebe
Original Paper

Abstract

We present results from a cross-sectional, clinic-based survey of border-region Latino men who have sex with men (MSM) and who also are living with HIV in the El Paso-Ciudad Juárez area. Among the 66 participants who reported serodiscordant anal or vaginal intercourse, we examined levels of psychological distress and substance use and the association of these variables with condomless sex. Bivariate analyses indicated that MSM who reported condomless sex with a serodiscordant partner were more likely to report higher scores on measures of anxiety, depression, and trauma. These men were also more likely to report more days of alcohol use to the point of intoxication. In multivariate logistic regression, no variables were independently associated with sexual risk behavior, but symptoms of anxiety trended toward statistical significance. Our study is one of few reports aimed at understanding the HIV epidemic among Latino MSM living with HIV in the El Paso-Ciudad Juárez border region. Although we found no evidence of a relation between our measures of psychological distress and substance use and sexual risk behavior in multivariate analyses, psychological distress and problematic alcohol use were common in the sample and are important targets for intervention in their own right.

Keywords

Latino/Hispanic Men who have sex with men (MSM) Risk factors HIV positive HIV prevention 

Resumen

Nosotros presentamos los resultados de un estudio transversal, encuesta basada en la clínica de la región fronteriza de El Paso Ciudad Juárez con hombres latinos que tienen sexo con hombres (HSH) y que viven con VIH. Entre los 66 participantes que reportaron sexo anal o vaginal serodiscordante, examinamos los niveles de estrés psicológico y el uso de sustancias y la asociación de estos variables con el variable de sexo sin condón. Los análisis bivariantes indicaron que los HSH que reportaron tener sexo sin condón con una pareja serodiscordante eran más propensos a reportar puntuaciones más altas en las medidas de la ansiedad, la depresión y el trauma. Estos hombres también eran más propensos a reportar más días de consumo de alcohol hasta el punto de intoxicación. En la regresión logística multivariante, los variables no se asociaron de forma independiente con comportamientos sexuales de riesgo, pero los síntomas de ansiedad mostraron una tendencia hacia la significación estadística. Nuestro estudio es uno de los pocos reportes dirigido a la comprensión de la epidemia del VIH entre HSH latinos que viven con el VIH en la región fronteriza de El PasoCiudad Juárez. Aunque nosotros no encontramos ron pruebas de un relación entre nuestras medidas de los trastornos psicológicos, consumo de sustancias, y el comportamiento sexual de riesgo en los análisis multivariantes, angustia psicológica y problemático uso de alcohol eran comunes en la muestra, y son objetivos importantes para la intervención en su propio derecho.

Notes

Acknowledgments

We are grateful to the patients and staff of Centro de Salud Familiar la Fe CARE Center, Inc. for their participation and facilitation of this study. We thank members of our community and administrative advisory boards as well as research consultants Jaime Anaya, Kurt C. Organista, Steffanie A. Strathdee, Karina Walters, and Randolph Whitworth. We would also like to thank those who aided with project implementation, including Jessica Armendariz, Teresa Frias, Carolina Lara, Chrisie Lemon, Virginia Longoria, Elsa Martin, Antonio Martinez, Miriam Pando, Tatiana Rodriguez, and Cesar Villareal Ramos from the University of Texas at El Paso, and Joyce Yang, Cynthia Pearson, and Samantha Yard from the University of Washington.

Funding

This research project was supported by the National Institute of Mental Health (Grants #1R34MH08674, #K24MH093243, #T32MH19105, #T32MH078788 and #F31MH088851, and minority research supplement award #R34MH084674-S1) and in part by the Center for AIDS Research, University of Washington (Grant # P30AI027757).

Compliance with Ethical Standards

Conflict of Interest

Bryan A. Kutner, Kimberly M. Nelson, Jane M. Simoni, John A. Sauceda, and John S. Wiebe declares that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Bryan A. Kutner
    • 1
    Email author
  • Kimberly M. Nelson
    • 2
    • 3
  • Jane M. Simoni
    • 1
  • John A. Sauceda
    • 4
  • John S. Wiebe
    • 5
  1. 1.Department of PsychologyUniversity of WashingtonSeattleUSA
  2. 2.Department of Psychiatry and Human BehaviorBrown UniversityProvidenceUSA
  3. 3.Centers for Behavioral and Preventative MedicineThe Miriam HospitalProvidenceUSA
  4. 4.Center for AIDS Prevention StudiesUniversity of California, San FranciscoSan FranciscoUSA
  5. 5.Department of PsychologyUniversity of Texas at El PasoEl PasoUSA

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