Online Program

Rural MSM living with HIV: Influences on sexual behavior and sexual health

Sunday, November 1, 2015

Randolph D. Hubach, PhD, MPH, School of Applied Health & Educational Psychology, Oklahoma State University, Stillwater, OK
Michael Li, MPH, Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA
Brian Dodge, PhD, Center for Sexual Health Promotion, Indiana University-Bloomington, Bloomington, IN
Vanessa Schick, PhD, Division of Management, Policy and Community Health, The University of Texas Health Science Center at Houston, Houston, TX
Debby Herbenick, PhD, MPH, Center for Sexual Health Promotion, Indiana University-Bloomington, Bloomington, IN
William D. Ramos, PHD, Department of Recreation, Park, and Tourism Studies, School of Public Health - Indiana University, Bloomington, Bloomington, IN
Michael Reece, PhD, MPH, School of Public Health, Indiana University-Bloomington, Bloomington, IN
Background. Studies have indicated that stigma, discrimination, and loneliness may be higher for men who have sex with men (MSM) in rural areas; however, few studies have addressed the potential connection to sexual behavior among those living with HIV. The overarching literature on HIV-positive MSM has analyzed sexual behavior within the context of risk, thus ignoring the social context for which sexual behaviors occur. Methods. In collaboration with community partners and consumers of HIV-related services, study protocols were developed. Using an internet-based questionnaire, we assessed HIV-related stigma, loneliness, safer sex attitudes, and event-level sexual behaviors in a sample of HIV positive MSM (n = 100) residing within a largely rural area in the Midwestern United States. Results. Negative attitudes towards safer sex was positively correlated with total HIV stigma (r = 0.255, p < 0.05), and HIV stigma was highly correlated with loneliness (r = 0.619, p < 0.01). Loneliness was negatively associated with condom usage with the most recent partner of unknown status (p < 0.05). Namely, a 1-unit increase in the UCLA loneliness score was met with a 10% decrease in odds of condom usage. Conclusions. Our study provides novel data on HIV-related stigma, loneliness, safer sex attitudes of HIV of HIV-positive MSM, and sexual behavior by illuminating possible pathways linking sexual beliefs and condom use among HIV-positive MSM. More refined data will inform clinical and social service practice, as they provide much-needed information on sexual health outcomes and experiences of an often underserved and under studied population.

Learning Areas:

Public health or related research
Social and behavioral sciences

Learning Objectives:
Differentiate the influence of loneliness, HIV-related discrimination, safer sex attitues, and HIV-related stigma on sexual behaviors and sexual health among rural MSM living with HIV. Formulate new approaches to address societal level stigma impacting rural MSM living with HIV.

Keyword(s): HIV/AIDS, HIV Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I teach, conduct research, and disseminate findings in the area of HIV/AIDS and psychological bases of human sexual behavior.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 2035.0: Sexual Behavior and HIV