A Model of Sexual Risk Behaviors among Young Gay and Bisexual Men: Longitudinal Associations of Mental Health, Substance Abuse, Sexual Abuse, and the Coming-Out Process

Autor/inn/en	Rosario, Margaret; Schrimshaw, Eric W.; Hunter, Joyce
Titel	A Model of Sexual Risk Behaviors among Young Gay and Bisexual Men: Longitudinal Associations of Mental Health, Substance Abuse, Sexual Abuse, and the Coming-Out Process
Quelle	In: AIDS Education and Prevention, 18 (2006) 5, S.444-460 (17 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0899-9546
DOI	10.1521/aeap.2006.18.5.444
Schlagwörter	Substance Abuse; Sexual Abuse; Negative Attitudes; Mental Health; At Risk Persons; Homosexuality; Males; Correlation; Social Attitudes; Social Bias; Social Influences; Longitudinal Studies; Urban Areas; Intention; Health Behavior; Symptoms (Individual Disorders); New York + Suchen Sie Ihr Suchwort? Drug use; Drug consomption; Drogenkonsum; Sexueller Missbrauch; Negative Fixierung; Psychohygiene; Risikogruppe; Homosexualität; Male; Männliches Geschlecht; Korrelation; Social attidude; Soziale Einstellung; Sozialer Einfluss; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Urban area; Stadtregion; Health behaviour; Gesundheitsverhalten; Psychiatrische Symptomatik
Abstract	Sexual risk behaviors of young gay and bisexualmen must be understood within the context of other health concerns (e.g., anxiety, substance abuse), population specific factors (i.e., the coming-out process and gay-related stress), childhood sexual abuse, and other theoretical factors (e.g., safer-sex intentions). The current report proposes and longitudinally examines a model of risk factors for subsequent sexual risk behaviors among young gay and bisexual men in New York City. As hypothesized, more negative attitudes toward homosexuality, more substance abuse symptoms, and poorer intentions for safer sex were directly associated with a greater likelihood of unprotected anal sex over the following year. Furthermore, lower self-esteem, more anxious symptoms, and childhood sexual abuse were related to more unprotected anal sex indirectly through more sexual partners, sexual encounters, and substance abuse symptoms. These findings suggest that interventions targeting sexual risk behaviors of young gay and bisexual men may be more effective if they also address mental health concerns and aspects of the coming-out process. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10