Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain

In a sample of men who have sex with men (MSM) (N=3436) in Spain who bear intrinsic HIV risk, we investigated how internalised homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse (as a proxy of sexual risk behaviour). Using structural equation mo...

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Detalles Bibliográficos
Autores: Sönmez, İbrahim, Folch Toda, Cinta, Lorente Palacios, Nicolás, Berg, Rigmor C., Thurlby, Natalie, Schmidt, Axel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/53202
Acceso en línea:http://hdl.handle.net/10230/53202
http://dx.doi.org/10.1007/s12119-021-09925-7
Access Level:acceso abierto
Palabra clave:Internalised homonegativity
Sexual risk behaviour
HIV knowledge
Substance use
MSM
Structural equation modelling
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spelling Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in SpainSönmez, İbrahimFolch Toda, CintaLorente Palacios, NicolásBerg, Rigmor C.Thurlby, NatalieSchmidt, AxelInternalised homonegativitySexual risk behaviourHIV knowledgeSubstance useMSMStructural equation modellingIn a sample of men who have sex with men (MSM) (N=3436) in Spain who bear intrinsic HIV risk, we investigated how internalised homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse (as a proxy of sexual risk behaviour). Using structural equation modelling (SEM), we examined the relationship between IH and sexual risk behaviour, and mediating efects of HIV/PrEP knowledge and substance use during sex on this relationship. We found no direct association between IH and sexual risk behaviour, nor did IH infuence substance use during sex. In line with our hypothesis, association between IH and sexual risk behaviour was signifcant when mediated by HIV/PrEP knowledge. We found that as IH increased, sexual risk behaviour decreased, because higher IH was associated with lower HIV/PrEP knowledge while higher HIV/PrEP knowledge was associated with increased non-condom use with non-steady partners. Substance use during sex was signifcantly associated with sexual risk behaviour. Our results emphasize the continuing importance of prevention strategies focused on behavioural changes and community level interventions, especially targeting substance use.Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. EMIS-2017 was carried out as part of ESTICOM, under the service contract 2015 71 01 with The Consumers, Health, Agriculture and Food Executive Agency (Chafea), acting under powers delegated by the Commission of the European Union. The contract arises from the Call for tender No Chafea/2015/Health/38.Elsevier202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/53202http://dx.doi.org/10.1007/s12119-021-09925-7reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésSexuality & Culture. 2022 Jun;26(3):932-50© The Author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/532022026-06-12T07:21:37Z
dc.title.none.fl_str_mv Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain
title Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain
spellingShingle Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain
Sönmez, İbrahim
Internalised homonegativity
Sexual risk behaviour
HIV knowledge
Substance use
MSM
Structural equation modelling
title_short Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain
title_full Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain
title_fullStr Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain
title_full_unstemmed Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain
title_sort Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain
dc.creator.none.fl_str_mv Sönmez, İbrahim
Folch Toda, Cinta
Lorente Palacios, Nicolás
Berg, Rigmor C.
Thurlby, Natalie
Schmidt, Axel
author Sönmez, İbrahim
author_facet Sönmez, İbrahim
Folch Toda, Cinta
Lorente Palacios, Nicolás
Berg, Rigmor C.
Thurlby, Natalie
Schmidt, Axel
author_role author
author2 Folch Toda, Cinta
Lorente Palacios, Nicolás
Berg, Rigmor C.
Thurlby, Natalie
Schmidt, Axel
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Internalised homonegativity
Sexual risk behaviour
HIV knowledge
Substance use
MSM
Structural equation modelling
topic Internalised homonegativity
Sexual risk behaviour
HIV knowledge
Substance use
MSM
Structural equation modelling
description In a sample of men who have sex with men (MSM) (N=3436) in Spain who bear intrinsic HIV risk, we investigated how internalised homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse (as a proxy of sexual risk behaviour). Using structural equation modelling (SEM), we examined the relationship between IH and sexual risk behaviour, and mediating efects of HIV/PrEP knowledge and substance use during sex on this relationship. We found no direct association between IH and sexual risk behaviour, nor did IH infuence substance use during sex. In line with our hypothesis, association between IH and sexual risk behaviour was signifcant when mediated by HIV/PrEP knowledge. We found that as IH increased, sexual risk behaviour decreased, because higher IH was associated with lower HIV/PrEP knowledge while higher HIV/PrEP knowledge was associated with increased non-condom use with non-steady partners. Substance use during sex was signifcantly associated with sexual risk behaviour. Our results emphasize the continuing importance of prevention strategies focused on behavioural changes and community level interventions, especially targeting substance use.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/53202
http://dx.doi.org/10.1007/s12119-021-09925-7
url http://hdl.handle.net/10230/53202
http://dx.doi.org/10.1007/s12119-021-09925-7
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Sexuality & Culture. 2022 Jun;26(3):932-50
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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