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Predictors of Day-Level Sexual Risk for Young Gay and Bisexual Men

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Abstract

As HIV infection rates remain high among young gay and bisexual men, investigations into determinants of sexual risk are paramount. This study examined independent and interactive effects of substance use, mental health, perceived benefits of unprotected sex, and type of sex partner on odds of not using condoms. Analyses included 188 high-risk substance using HIV-negative and unknown status young gay and bisexual men (ages 18–29). Substance use and endorsing favorable attitudes towards unprotected sex strongly predicted sexual risk. Mental health moderated the relationship between partner type (main vs. casual) and condom use such that increased anxiety and depression were associated with increased odds of using condoms with main partners and not using condoms with casual partners. Understanding how these determinants of HIV risk converge to predict unprotected anal sex can identify essential risk relationships for prevention, obtain effects sizes of greater magnitude and prolonged sustainability, and build robust couples-based interventions.

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Acknowledgments

The Young Men’s Health Project was supported by a grant from the National Institute on Drug Abuse (NIDA) (R01-DA020366, Jeffrey T. Parsons, Principal Investigator). The authors acknowledge the contributions of the Young Men’s Health Project Team—Michael Adams, Anthony Bamonte, Aaron Breslow, Kristi Gamarel, Christian Grov, Chris Hietikko, Zak Hill-Whilton, Catherine Holder, Anna Johnson, Mark Pawson, John Pachankis, Gregory Payton, Jonathan Rendina, Kevin Robin, Joel Rowe, Tyrel Starks, Anthony Surace, Julia Tomassilli, Andrea Vial, Brooke Wells, and the CHEST recruitment team. We also gratefully acknowledge Richard Jenkins for his support of the project.

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Authors and Affiliations

  1. Center for HIV/AIDS Educational Studies and Training (CHEST), Hunter College of the City University of New York, 142 West 36th Street, 9th Floor, New York, NY, 10018, USA

    Jeffrey T. Parsons, Corina Lelutiu-Weinberger, Michael Botsko & Sarit A. Golub

  2. Department of Psychology, Hunter College of the City University of New York, 695 Park Avenue, New York, NY, 10065, USA

    Jeffrey T. Parsons & Sarit A. Golub

  3. Department of Psychology, Graduate Center of the City University of New York, 365 Fifth Avenue, New York, NY, 10016, USA

    Jeffrey T. Parsons & Sarit A. Golub

  4. School of Public Health, City University School of Public Health at Hunter College, 695 Park Avenue, New York, NY, 10065, USA

    Jeffrey T. Parsons

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  1. Jeffrey T. Parsons
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Correspondence to Jeffrey T. Parsons.

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Parsons, J.T., Lelutiu-Weinberger, C., Botsko, M. et al. Predictors of Day-Level Sexual Risk for Young Gay and Bisexual Men. AIDS Behav 17, 1465–1477 (2013). https://doi.org/10.1007/s10461-012-0206-1

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