Skip to main content
Erschienen in: AIDS and Behavior 1/2007

01.01.2007 | Original Paper

Prevalence of treatment optimism-related risk behavior and associated factors among men who have sex with men in 11 states, 2000–2001

verfasst von: Patrick S. Sullivan, Amy J. Drake, Travis H. Sanchez

Erschienen in: AIDS and Behavior | Ausgabe 1/2007

Einloggen, um Zugang zu erhalten

Abstract

Sustainable behavior change among men who have sex with men (MSM) may be threatened by optimistic beliefs about HIV treatments: treatment optimism has been associated with high risk sexual behaviors. We used data from behavioral surveys of MSM attending gay bars in 11 states from 2000–2001 to describe the prevalence and correlates of being less careful with sex or drugs because of treatment optimism (optimism-related risk behavior). Fifteen percent of 1477 HIV-negative or -untested MSM reported optimism-related risk behavior. Optimism-related risk behavior was reported more often by Black and Hispanic MSM (versus white), more often by MSM with a high school education or less (versus college), and less often by MSM in some states. HIV prevention programs should address treatment optimism and related behavioral risks by providing culturally appropriate information, accessible to MSM with lower educational attainment, about the limitations of current therapies.
Literatur
Zurück zum Zitat Centers for Disease Control and Prevention (2002). Primary and secondary syphilis among men who have sex with men–New York City, 2001. Morbidity and Mortality Weekly Report, 51, 853–856. Centers for Disease Control and Prevention (2002). Primary and secondary syphilis among men who have sex with men–New York City, 2001. Morbidity and Mortality Weekly Report, 51, 853–856.
Zurück zum Zitat Centers for Disease Control and Prevention (2003). HIV/AIDS Special Surveillance Report, 2003; Vol 1(No. 1):1–27. [Special surveillance report], URL http://www.cdc.gov/hiv/stats/special-reportVol1No1.htm. Centers for Disease Control and Prevention (2003). HIV/AIDS Special Surveillance Report, 2003; Vol 1(No. 1):1–27. [Special surveillance report], URL http://​www.​cdc.​gov/​hiv/​stats/​special-reportVol1No1.​htm.​
Zurück zum Zitat Centers for Disease Control and Prevention (2004a). HIV/AIDS Surveillance Report, 2003 (Vol. 15). [Surveillance report], URL http://www.cdc.gov/hiv/stats/hasrlink.htm. Centers for Disease Control and Prevention (2004a). HIV/AIDS Surveillance Report, 2003 (Vol. 15). [Surveillance report], URL http://​www.​cdc.​gov/​hiv/​stats/​hasrlink.​htm.​
Zurück zum Zitat Centers for Disease Control and Prevention (2004b). HIV Testing Survey, 2001; Special Surveillance Report Number 1:1–28. [Special surveillance report], URL http://www.cdc.gov/hiv/stats/ special-reportVol2.htm. Centers for Disease Control and Prevention (2004b). HIV Testing Survey, 2001; Special Surveillance Report Number 1:1–28. [Special surveillance report], URL http://​www.​cdc.​gov/​hiv/​stats/​ special-reportVol2.htm.
Zurück zum Zitat Chen, J. L., Kodagoda, D., Lawrence, A. M., & Kerndt, P. R. (2002). Rapid public health interventions in response to an outbreak of syphilis in Los Angeles. Sexually Transmitted Diseases, 29, 277–284.PubMedCrossRef Chen, J. L., Kodagoda, D., Lawrence, A. M., & Kerndt, P. R. (2002). Rapid public health interventions in response to an outbreak of syphilis in Los Angeles. Sexually Transmitted Diseases, 29, 277–284.PubMedCrossRef
Zurück zum Zitat Ciesielski, C. A. (2003). Sexually transmitted diseases in men who have sex with men: An epidemiologic review. Current Infectious Disease Reports, 5, 145–152.PubMedCrossRef Ciesielski, C. A. (2003). Sexually transmitted diseases in men who have sex with men: An epidemiologic review. Current Infectious Disease Reports, 5, 145–152.PubMedCrossRef
Zurück zum Zitat Crepaz, N., Hart, T. A., & Marks, G. (2004). Highly active antiretroviral therapy and sexual risk behavior: a meta-analytic review. Journal of the American Medical Association, 292, 224–236.PubMedCrossRef Crepaz, N., Hart, T. A., & Marks, G. (2004). Highly active antiretroviral therapy and sexual risk behavior: a meta-analytic review. Journal of the American Medical Association, 292, 224–236.PubMedCrossRef
Zurück zum Zitat Elford, J., Bolding, G., & Sherr, L. (2002). High-risk sexual behaviour increases among London gay men between 1998 and 2001: what is the role of HIV optimism? AIDS, 16, 1537–1544.PubMedCrossRef Elford, J., Bolding, G., & Sherr, L. (2002). High-risk sexual behaviour increases among London gay men between 1998 and 2001: what is the role of HIV optimism? AIDS, 16, 1537–1544.PubMedCrossRef
Zurück zum Zitat Fox, K. K., del Rio, C., Holmes, K. K., Hook, E. W., Judson, F. N., Knapp, J. S., et al. (2001). Gonorrhea in the HIV era: a reversal in trends among men who have sex with men. American Journal of Public Health, 91, 959–964.PubMedCrossRef Fox, K. K., del Rio, C., Holmes, K. K., Hook, E. W., Judson, F. N., Knapp, J. S., et al. (2001). Gonorrhea in the HIV era: a reversal in trends among men who have sex with men. American Journal of Public Health, 91, 959–964.PubMedCrossRef
Zurück zum Zitat Halkitis, P. N., Zade, D. D., Shrem, M., & Marmor, M. (2004). Beliefs about HIV non-infection and risky sexual behavior among MSM. AIDS Education and Prevention, 16, 448–458.PubMedCrossRef Halkitis, P. N., Zade, D. D., Shrem, M., & Marmor, M. (2004). Beliefs about HIV non-infection and risky sexual behavior among MSM. AIDS Education and Prevention, 16, 448–458.PubMedCrossRef
Zurück zum Zitat Holmes, W. C. & Pace, J. L. (2002). HIV-seropositive individuals’ optimistic beliefs about prognosis and relation to medication and safe sex adherence. Journal of General Internal Medicine, 17, 677–683.PubMedCrossRef Holmes, W. C. & Pace, J. L. (2002). HIV-seropositive individuals’ optimistic beliefs about prognosis and relation to medication and safe sex adherence. Journal of General Internal Medicine, 17, 677–683.PubMedCrossRef
Zurück zum Zitat Huebner, D. M. & Gerend, M. A. (2001). The relation between beliefs about drug treatments for HIV and sexual risk behavior in gay and bisexual men. Annals of Behavioral Medicine, 23, 304–312.PubMedCrossRef Huebner, D. M. & Gerend, M. A. (2001). The relation between beliefs about drug treatments for HIV and sexual risk behavior in gay and bisexual men. Annals of Behavioral Medicine, 23, 304–312.PubMedCrossRef
Zurück zum Zitat Huebner, D. M., Rebchook, G. M., & Kegeles, S. M. (2004). A longitudinal study of the association between treatment optimism and sexual risk behavior in young adult gay and bisexual men. Journal of the Acquired Immune Deficiency Syndrome, 37, 1514–1519.CrossRef Huebner, D. M., Rebchook, G. M., & Kegeles, S. M. (2004). A longitudinal study of the association between treatment optimism and sexual risk behavior in young adult gay and bisexual men. Journal of the Acquired Immune Deficiency Syndrome, 37, 1514–1519.CrossRef
Zurück zum Zitat International Collaboration on HIV Optimism. (2003). HIV treatments optimism among gay men: an international perspective. Journal of the Acquired Immune Deficiency Syndrome, 32, 545–550.CrossRef International Collaboration on HIV Optimism. (2003). HIV treatments optimism among gay men: an international perspective. Journal of the Acquired Immune Deficiency Syndrome, 32, 545–550.CrossRef
Zurück zum Zitat Kalichman, S. C., Nachimson, D., Cherry, C., & Williams, E. (1998). AIDS treatment advances and behavioral prevention setbacks: preliminary assessment of reduced perceived threat of HIV-AIDS. Health Psychology, 17, 546–550.PubMedCrossRef Kalichman, S. C., Nachimson, D., Cherry, C., & Williams, E. (1998). AIDS treatment advances and behavioral prevention setbacks: preliminary assessment of reduced perceived threat of HIV-AIDS. Health Psychology, 17, 546–550.PubMedCrossRef
Zurück zum Zitat Kellerman, S. E., Lehman, J. S., Lansky, A., Stevens, M. R., Hecht, F. M., Bindman, A. B., et al. (2002). HIV testing within at-risk populations in the United States and the reasons for seeking or avoiding HIV testing. Journal of the Acquired Immune Deficiency Syndrome, 31, 202–210. Kellerman, S. E., Lehman, J. S., Lansky, A., Stevens, M. R., Hecht, F. M., Bindman, A. B., et al. (2002). HIV testing within at-risk populations in the United States and the reasons for seeking or avoiding HIV testing. Journal of the Acquired Immune Deficiency Syndrome, 31, 202–210.
Zurück zum Zitat Kelly, J. A., Hoffman, R. G., Rompa, D., & Gray, M. (1998). Protease inhibitor combination therapies and perceptions of gay men regarding AIDS severity and the need to maintain safer sex. AIDS, 12, F91–F95.PubMedCrossRef Kelly, J. A., Hoffman, R. G., Rompa, D., & Gray, M. (1998). Protease inhibitor combination therapies and perceptions of gay men regarding AIDS severity and the need to maintain safer sex. AIDS, 12, F91–F95.PubMedCrossRef
Zurück zum Zitat Koblin, B. A., Perdue, T., Ren, L., Thiede, H., Guilin, V., MacKellar, D. A., et al. (2003). Attitudes about combination HIV therapies: the next generation of gay men at risk. Journal of Urban Health, 80, 510–519.PubMed Koblin, B. A., Perdue, T., Ren, L., Thiede, H., Guilin, V., MacKellar, D. A., et al. (2003). Attitudes about combination HIV therapies: the next generation of gay men at risk. Journal of Urban Health, 80, 510–519.PubMed
Zurück zum Zitat Morin, S. F., Vernon, K., Harcourt, J. J., Steward, W. T., Volk, J., Riess, T. H., et al. (2003). Why HIV infections have increased among men who have sex with men and what to do about it: findings from California focus groups. AIDS and Behavior, 7, 353–362.PubMedCrossRef Morin, S. F., Vernon, K., Harcourt, J. J., Steward, W. T., Volk, J., Riess, T. H., et al. (2003). Why HIV infections have increased among men who have sex with men and what to do about it: findings from California focus groups. AIDS and Behavior, 7, 353–362.PubMedCrossRef
Zurück zum Zitat Ostrow, D. E., Fox, K. J., Chmiel, J. S., Silvestre, A., Visscher, B. R., Vanable, P. A., et al. (2002). Attitudes towards highly active antiretroviral therapy are associated with sexual risk taking among HIV-infected and uninfected homosexual men. AIDS, 16, 775–780.PubMedCrossRef Ostrow, D. E., Fox, K. J., Chmiel, J. S., Silvestre, A., Visscher, B. R., Vanable, P. A., et al. (2002). Attitudes towards highly active antiretroviral therapy are associated with sexual risk taking among HIV-infected and uninfected homosexual men. AIDS, 16, 775–780.PubMedCrossRef
Zurück zum Zitat Remien, R. H., Wagner, G., Carballo-Dieguez, A., & Dolezal, C. (1998). Who may be engaging in high-risk sex due to medical treatment advances? AIDS, 12, 1560–1561.PubMedCrossRef Remien, R. H., Wagner, G., Carballo-Dieguez, A., & Dolezal, C. (1998). Who may be engaging in high-risk sex due to medical treatment advances? AIDS, 12, 1560–1561.PubMedCrossRef
Zurück zum Zitat Resnicow, K., Baranowski, T., Ahluwalia, J. S., & Braithwaite, R. L. (1999). Cultural sensitivity in public health: defined and demystified. Ethnicity and Disease, 9, 10–21.PubMed Resnicow, K., Baranowski, T., Ahluwalia, J. S., & Braithwaite, R. L. (1999). Cultural sensitivity in public health: defined and demystified. Ethnicity and Disease, 9, 10–21.PubMed
Zurück zum Zitat Sackett, D. L. (1979). Bias in analytic research. Journal of Chronic Disease, 32, 51–63.CrossRef Sackett, D. L. (1979). Bias in analytic research. Journal of Chronic Disease, 32, 51–63.CrossRef
Zurück zum Zitat Stolte, I. G., & Dukers, N. H. (2003). Response to ‘High-risk sexual behaviour increases among London gay men between 1998 and 2001: what is the role of HIV optimism?’. AIDS, 17, 2011–2012.PubMedCrossRef Stolte, I. G., & Dukers, N. H. (2003). Response to ‘High-risk sexual behaviour increases among London gay men between 1998 and 2001: what is the role of HIV optimism?’. AIDS, 17, 2011–2012.PubMedCrossRef
Zurück zum Zitat Stolte, I. G., Dukers, N. H., Geskus, R. B., Coutinho, R. A., & de Wit, J. B. (2004). Homosexual men change to risky sex when perceiving less threat of HIV/AIDS since availability of highly active antiretroviral therapy: a longitudinal study. AIDS, 18, 303–309.PubMedCrossRef Stolte, I. G., Dukers, N. H., Geskus, R. B., Coutinho, R. A., & de Wit, J. B. (2004). Homosexual men change to risky sex when perceiving less threat of HIV/AIDS since availability of highly active antiretroviral therapy: a longitudinal study. AIDS, 18, 303–309.PubMedCrossRef
Zurück zum Zitat Valdiserri, R. O. (2004). Mapping the roots of HIV/AIDS complacency: implications for program and policy development. AIDS Education and Prevention, 16, 426–439.PubMedCrossRef Valdiserri, R. O. (2004). Mapping the roots of HIV/AIDS complacency: implications for program and policy development. AIDS Education and Prevention, 16, 426–439.PubMedCrossRef
Zurück zum Zitat Van de Ven, P. V., Prestage, G., French, J., Knox, S., & Kippax, S. (1998). Increase in unprotected anal intercourse with casual partners among Sydney gay men in 1996–98. Australian New Zealand Journal of Public Health, 22, 814–818.CrossRef Van de Ven, P. V., Prestage, G., French, J., Knox, S., & Kippax, S. (1998). Increase in unprotected anal intercourse with casual partners among Sydney gay men in 1996–98. Australian New Zealand Journal of Public Health, 22, 814–818.CrossRef
Zurück zum Zitat Van de Ven, P., Rawstorne, P., Nakamura, T., Crawford, J., & Kippax, S. (2002). HIV treatments optimism is associated with unprotected anal intercourse with regular and with casual partners among Australian gay and homosexually active men. International Journal of STD and AIDS, 13, 181–183.PubMedCrossRef Van de Ven, P., Rawstorne, P., Nakamura, T., Crawford, J., & Kippax, S. (2002). HIV treatments optimism is associated with unprotected anal intercourse with regular and with casual partners among Australian gay and homosexually active men. International Journal of STD and AIDS, 13, 181–183.PubMedCrossRef
Zurück zum Zitat Vanable, P. A., Ostrow, D. G., & McKirnan, D. J. (2003). Viral load and HIV treatment attitudes as correlates of sexual risk behavior among HIV-positive gay men. Journal of Psychosomatic Research, 54, 263–269.PubMedCrossRef Vanable, P. A., Ostrow, D. G., & McKirnan, D. J. (2003). Viral load and HIV treatment attitudes as correlates of sexual risk behavior among HIV-positive gay men. Journal of Psychosomatic Research, 54, 263–269.PubMedCrossRef
Zurück zum Zitat Vanable, P. A., Ostrow, D. G., McKirnan, D. J., Taywaditep, K. J., & Hope, B. A. (2000). Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men. Health Psychology, 19, 134–145.PubMedCrossRef Vanable, P. A., Ostrow, D. G., McKirnan, D. J., Taywaditep, K. J., & Hope, B. A. (2000). Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men. Health Psychology, 19, 134–145.PubMedCrossRef
Zurück zum Zitat Williams, L. A., Klausner, J. D., Whittington, W. L., Handsfield, H. H., Celum, C., & Holmes, K. K. (1999). Elimination and reintroduction of primary and secondary syphilis. American Journal of Public Health, 89, 1093–1097.PubMed Williams, L. A., Klausner, J. D., Whittington, W. L., Handsfield, H. H., Celum, C., & Holmes, K. K. (1999). Elimination and reintroduction of primary and secondary syphilis. American Journal of Public Health, 89, 1093–1097.PubMed
Zurück zum Zitat Williamson, L. M., & Hart, G. J. (2004). HIV optimism does not explain increases in high-risk sexual behaviour among gay men in Scotland. AIDS, 18, 834–835.PubMedCrossRef Williamson, L. M., & Hart, G. J. (2004). HIV optimism does not explain increases in high-risk sexual behaviour among gay men in Scotland. AIDS, 18, 834–835.PubMedCrossRef
Zurück zum Zitat Wolitski, R. J., Valdiserri, R. O., Denning, P. H., & Levine, W. C. (2001). Are we headed for a resurgence of the HIV epidemic among men who have sex with men? American Journal of Public Health, 91, 883–888.PubMed Wolitski, R. J., Valdiserri, R. O., Denning, P. H., & Levine, W. C. (2001). Are we headed for a resurgence of the HIV epidemic among men who have sex with men? American Journal of Public Health, 91, 883–888.PubMed
Metadaten
Titel
Prevalence of treatment optimism-related risk behavior and associated factors among men who have sex with men in 11 states, 2000–2001
verfasst von
Patrick S. Sullivan
Amy J. Drake
Travis H. Sanchez
Publikationsdatum
01.01.2007
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 1/2007
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-006-9100-z

Weitere Artikel der Ausgabe 1/2007

AIDS and Behavior 1/2007 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.