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Assessing Motivations to Engage in Intentional Condomless Anal Intercourse in HIV Risk Contexts (Bareback Sex) Among Men Who Have Sex with Men

dc.contributor.authorBauermeister, José A.en_US
dc.contributor.authorCarballo-Dieguez, Alexen_US
dc.contributor.authorVentuneac, Anaen_US
dc.contributor.authorDolezal, Curtisen_US
dc.date.accessioned2011-07-07T19:22:05Z
dc.date.available2011-07-07T19:22:05Z
dc.date.issued2009en_US
dc.identifier.citationBauermeister, Jose A.; Carballo-Diéguez, Alex; Ventuneac, Ana; Dolezal, Curtis. Assessing Motivations to Engage in Intentional Condomless Anal Intercourse in HIV Risk Contexts (Bareback Sex) Among Men Who Have Sex With Men, AIDS Education and Prevention, vol. 21, no. 2, p. 156-168 <http://hdl.handle.net/2027.42/85205>en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/85205
dc.description.abstractAlthough condom use is an effective barrier against HIV transmission, some men who have sex with men (MSM) engage in bareback sex (unprotected anal sex in risky contexts) and increase their risk for HIV (re)infection. Understanding MSM's decision to bareback (vis-à-vis condom use) is essential to develop effective HIV/AIDS prevention programs for this population. An ethnically diverse sample of men who bareback (n = 120) was recruited exclusively on the Internet and stratified to include two thirds who reported both unprotected receptive anal intercourse (URAI) and being HIV uninfected. We used exploratory factor analysis to explore the domains within the Decisional Balance to Bareback (DBB) scale, and test the association between DBB and risky sexual behaviors. HIV-positive MSM (n = 31) reported higher costs/losses associated with condom use than HIV-negative men (n = 89). We found two underlying factors in the DBB scale: a Coping with Social Vulnerabilities subscale (eight items; alpha = .89) and a Pleasure and Emotional Connection subscale (five items; alpha = .92). We found a positive association between DBB (i.e. greater gains associated with bareback sex) and URAI occasions, number of partners, and having one or more sero-discordant partners in the past 3 months. We conclude that because MSM may avoid using condoms in order to cope with psychosocial vulnerabilities and create intimacy with other MSM, this population could benefit from alternatives to condoms such as pre/post exposure prophylaxis and rectal microbicides.en_US
dc.publisherGuilford Pressen_US
dc.titleAssessing Motivations to Engage in Intentional Condomless Anal Intercourse in HIV Risk Contexts (Bareback Sex) Among Men Who Have Sex with Menen_US
dc.typearticleen_US
dc.subject.hlbsecondlevelPublic Health (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumSchool of Public Health - Health Behavior Health Educationen_US
dc.contributor.affiliationotherColumbia Universityen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/85205/1/Bauermeister_AEP_09.pdf
dc.identifier.doi10.1521/aeap.2009.21.2.156en_US
dc.identifier.sourceAIDS Education and Preventionen_US
dc.owningcollnamePublic Health, School of (SPH)


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