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AIDS and Behavior
Erschienen in: AIDS and Behavior 3/2017

08.06.2016 | Original Paper

Factors Associated with Sexual Risk of HIV Transmission Among HIV-Positive Latino Men Who have Sex with Men on the U.S.-México Border

verfasst von: Bryan A. Kutner, Kimberly M. Nelson, Jane M. Simoni, John A. Sauceda, John S. Wiebe

Erschienen in: AIDS and Behavior | Ausgabe 3/2017

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Abstract

We present results from a cross-sectional, clinic-based survey of border-region Latino men who have sex with men (MSM) and who also are living with HIV in the El Paso-Ciudad Juárez area. Among the 66 participants who reported serodiscordant anal or vaginal intercourse, we examined levels of psychological distress and substance use and the association of these variables with condomless sex. Bivariate analyses indicated that MSM who reported condomless sex with a serodiscordant partner were more likely to report higher scores on measures of anxiety, depression, and trauma. These men were also more likely to report more days of alcohol use to the point of intoxication. In multivariate logistic regression, no variables were independently associated with sexual risk behavior, but symptoms of anxiety trended toward statistical significance. Our study is one of few reports aimed at understanding the HIV epidemic among Latino MSM living with HIV in the El Paso-Ciudad Juárez border region. Although we found no evidence of a relation between our measures of psychological distress and substance use and sexual risk behavior in multivariate analyses, psychological distress and problematic alcohol use were common in the sample and are important targets for intervention in their own right.
Literatur
1.
2.
3.
CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas—2012. Vol. 19, HIV Surveillance Supplemental Report. Centers for Disease Control and Prevention; 2014. Report No.: 3.
4.
5.
Santos G, Puga AM, Medina C. HAART, adherence, and cultural issues in the US Latino community. AIDS Read. 2004;14(10 Suppl):S26–9.PubMed
6.
Espinoza L, Hall HI, Hu X. Increases in HIV Diagnoses at the U.S.–Mexico Border, 2003–2006. AIDS Educ Prev. 2009;21(supplement b):19–33.CrossRefPubMed
7.
Gudelia Rangel M, Martínez-Donate AP, Hovell MF, Santibáñez J, Sipan CL, Izazola-Licea JA. Prevalence of risk factors for HIV infection among Mexican migrants and immigrants: probability survey in the north border of Mexico. Salud Pública Méx. 2006;48:3–12.CrossRefPubMed
8.
Sanchez MA, Lemp GF, Magis-Rodríguez C, Bravo-García E, Carter S, Ruiz JD. The epidemiology of HIV among Mexican migrants and recent immigrants in California and Mexico. JAIDS. 2004;1(37 Suppl 4):S204–14.
9.
Rhodes SD, McCoy TP, Hergenrather KC, Vissman AT, Wolfson M, Alonzo J, et al. Prevalence estimates of health risk behaviors of immigrant Latino men who have sex with men. J Rural Health. 2012;28(1):73–83.CrossRefPubMed
10.
Crepaz N, Lyles CM, Wolitski RJ, Passin WF, Rama SM, Herbst JH, et al. Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials. AIDS. 2006;20(2):143–57.CrossRefPubMed
11.
del Rio C. Latinos and HIV care in the Southeastern United States: new challenges complicating longstanding problems. Clin Infect Dis. 2011;53(5):488–9.CrossRefPubMed
12.
Kelley CF, Hernandez-Ramos I, Franco-Paredes C, del Rio C. Clinical, epidemiologic characteristics of foreign-born Latinos with HIV/AIDS at an urban HIV clinic. AIDS Read. 2007;17(2):73–88.PubMed
13.
Fendrich M, Avci O, Johnson TP, Mackesy-Amiti ME. Depression, substance use and HIV risk in a probability sample of men who have sex with men. Addict Behav. 2013;38(3):1715–8.CrossRefPubMed
14.
Carrico AW, Johnson MO, Morin SF, Remien RH, Charlebois ED, Steward WT, et al. Correlates of suicidal ideation among HIV-positive persons. AIDS. 2007;21(9):1199–203.CrossRefPubMed
15.
Keesee MS, Shinault KA, Carabin H. Socio-demographic characteristics of HIV/AIDS individuals living and receiving care along the US-Mexico border through five SPNS demonstration projects. J HIV/AIDS Soc Svs; 2006.
16.
White JM, Gordon JR, Mimiaga MJ. The role of substance use and mental health problems in medication adherence among HIV-infected MSM. LGBT Health. 2014;1(4):319–22.CrossRefPubMed
17.
Leserman J, Barroso J, Pence BW, Salahuddin N, Harmon JL. Trauma, stressful life events and depression predict HIV-related fatigue. AIDS Care. 2008;20(10):1258–65.CrossRefPubMedPubMedCentral
18.
Hart TA, James CA, Purcell DW, Farber E. Social anxiety and HIV transmission risk among HIV-seropositive male patients. AIDS Patient Care STDS. 2008;22(11):879–86.CrossRefPubMedPubMedCentral
19.
Bradley MV, Remien RH, Dolezal C. Depression symptoms and sexual HIV risk behavior among serodiscordant couples. Psychosom Med. 2008;70(2):186–91.CrossRefPubMed
20.
DeSantis JP, Arcia A, Vermeesch A, Gattamorta KA. Using structural equation modeling to identify predictors of sexual behaviors among Hispanic men who have sex with men. Nurs Clin N Am. 2011;46(2):233–48.CrossRef
21.
De Santis JPJ, Colin JMJ, Vasquez EEP, McCain GCG. The relationship of depressive symptoms, self-esteem, and sexual behaviors in a predominantly Hispanic sample of men who have sex with men. Am J Mens Health. 2008;2(4):314–21.CrossRefPubMed
22.
Ciesla JA, Roberts JE. Meta-analysis of the relationship between HIV infection and risk for depressive disorders. Am J Psychiatry. 2001;158(5):725–30.CrossRefPubMed
23.
Schafer KR, Gupta S, Dillingham R. HIV-infected men who have sex with men and histories of childhood sexual abuse: implications for health and prevention. J Assoc Nurses AIDS Care. 2013;24(4):288–98.CrossRefPubMedPubMedCentral
24.
Semple SJ, Stockman JK, Goodman-Meza D, Pitpitan EV, Strathdee SA, Chavarin CV, et al. correlates of sexual violence among men who have sex with men in Tijuana, Mexico. Arch Sex Behav; 2016.
25.
Perry NS, Taylor SW, Elsesser S, Safren SA, O’Cleirigh C. the predominant relationship between sexual environment characteristics and hiv-serodiscordant condomless anal sex among HIV-positive men who have sex with men (MSM). AIDS Behav. 2015;20(6):1228–35.CrossRef
26.
Bedoya CA, Mimiaga MJ, Beauchamp G, Donnell D, Mayer KH, Safren SA. Predictors of HIV transmission risk behavior and seroconversion among Latino men who have sex with men in Project EXPLORE. AIDS Behav. 2012;16(3):608–17.CrossRefPubMedPubMedCentral
27.
Boone MR, Cook SH, Wilson P. Substance use and sexual risk behavior in HIV-positive men who have sex with men: an episode-level analysis. AIDS Behav. 2013;17(5):1883–7.CrossRefPubMed
28.
Mansergh G, Flores S, Koblin B, Hudson S, McKirnan D, Colfax GN, et al. Alcohol and drug use in the context of anal sex and other factors associated with sexually transmitted infections: results from a multi-city study of high-risk men who have sex with men in the USA. Sex Transm Infect. 2008;84(6):509–11.CrossRefPubMed
29.
Poppen PJ, Reisen CA, Zea MC, Bianchi FT, Echeverry JJ. Predictors of unprotected anal intercourse among HIV-positive Latino gay and bisexual men. AIDS Behav. 2004;8(4):379–89.CrossRefPubMed
30.
Mizuno Y, Borkowf CB, Ayala G, Carballo-Dieguez A, Millett GA. correlates of sexual risk for hiv among us-born and foreign-born Latino men who have sex with men (MSM): an analysis from the Brothers y Hermanos Study. J Immigr Minor Health. 2015;17(1):47–55.CrossRefPubMedPubMedCentral
31.
Hess K, Hu X, Lansky A, Mermin J, Hall HI. Estimating the lifetime risk of a diagnosis of HIV infection in the United States. In: Conference on retroviruses and opportunistic infections CROI, 22–25 Feb 2016, Boston, Abstract 52.
32.
Simoni JM, Wiebe JS, Sauceda JA, Huh D, Sanchez G, Longoria V, Bedoya CA, Safren SA. A preliminary RCT of CBT-AD for adherence and depression among HIV-Positive Latinos on the U.S.-Mexico border: the Nuevo Día study. AIDS Behav. 2013;17(8):2816–29.CrossRefPubMedPubMedCentral
33.
Brislin RW. Translation and content analysis of oral and written material. In: Triandis HC, Berry JW, editors. Handbook of cross-cultural psychology. Boston; 1980. p. 389–444.
34.
Zea MC, Asner-Self KK, Birman D. The abbreviated multidimentional acculturation scale: empirical validation with two Latino/Latina samples. Cultur Divers Ethnic Minor Psychol. 2003;9(2):107–26.CrossRefPubMed
35.
Remis RS, Alary M, Liu J, Kaul R, Palmer RWH. HIV transmission among men who have sex with men due to condom failure. PLoS ONE. 2014;9(9):e107540.CrossRefPubMedPubMedCentral
36.
Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988;8(1):77–100.CrossRef
37.
Beck AT, Steer RA. Manual for the revised Beck depression inventory. Austin: The Psychological Association; 1987.
38.
Marshall GNG. Posttraumatic stress disorder symptom checklist: factor structure and English-Spanish measurement invariance. J Trauma Stress. 2004;17(3):223–30.CrossRefPubMed
39.
McDonald SD, Calhoun PS. The diagnostic accuracy of the PTSD Checklist: a critical review. Clin Psychol Rev. 2010;30(8):976–87.CrossRefPubMed
40.
Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. J Psychosom Res. 2002;52(2):69–77.CrossRefPubMed
41.
Babor TF, la Fuente de JR, Saunders J, Grant M. The alcohol use disorders identification test: guidelines for use in primary care. Geneva, Switzerland: World Health Organization; 2001
42.
McLellan AT, Cacciola JC, Alterman AI, Rikoon SH, Carise D. The Addiction Severity Index at 25: origins, contributions and transitions. Am J Addict. 2006;15(2):113–24.CrossRefPubMed
43.
Crepaz N, Marks G, Liau A, Mullins MM, Aupont LW, Marshall KJ, et al. Prevalence of unprotected anal intercourse among HIV-diagnosed MSM in the United States: a meta-analysis. AIDS. 2009;23(13):1617–29.CrossRefPubMed
44.
Darrow WW, Montanea JE, Gladwin H. AIDS-related stigma among Black and Hispanic young adults. AIDS Behav. 2009;13(6):1178–88.CrossRefPubMed
45.
Pines HA, Gorbach PM, Weiss RE, Shoptaw S, Landovitz RJ, Javanbakht M, et al. Sexual risk trajectories among MSM in the United States: implications for pre-exposure prophylaxis delivery. JAIDS. 2014;65(5):579–86.PubMedPubMedCentral
46.
Grov C, Rendina HJ, Moody RL, Ventuneac A, Parsons JT. HIV serosorting, status disclosure, and strategic positioning among highly sexually active gay and bisexual men. AIDS Patient Care STDS. 2015;29(10):559–68.CrossRefPubMedPubMedCentral
47.
Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psych. 2005;62(6):617.CrossRef
48.
Shim RS, Baltrus P, Ye J, Rust G. Prevalence, treatment, and control of depressive symptoms in the United States: results from the National Health and Nutrition Examination Survey (NHANES), 2005-2008. J Am Board Fam Med. 2011;24(1):33–8.CrossRefPubMedPubMedCentral
49.
Bostwick WB, Boyd CJ, Hughes TL, McCabe SE. Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the United States. Am J Pub Health. 2010;100(3):468–75.CrossRef
50.
McCabe SE, Hughes TL, Bostwick WB, West BT, Boyd CJ. Sexual orientation, substance use behaviors and substance dependence in the United States. Addiction. 2009;104(8):1333–45.CrossRefPubMedPubMedCentral
51.
Longoria A, Wiebe JS, Jones A. A nurse-based disease management model of HIV/AIDS care on the U.S./Mexico Border. In: Curiel H, editor. Innovative strategies for HIVAIDS prevention care along the US-Mexico Border. Washington DC; 2007.
52.
Asch SM, Kilbourne AM, Gifford AL, Burnam MA, Turner B, Shapiro MF, et al. Underdiagnosis of depression in HIV: who are we missing? J Gen Intern Med. 2003;18(6):450–60.CrossRefPubMedPubMedCentral
53.
Lewis-Fernández R, Das AK, Alfonso C, Weissman MM, Olfson M. Depression in US Hispanics: diagnostic and management considerations in family practice. J Am Board Fam Pract. 2005;18(4):282–96.CrossRefPubMed
54.
Akin M, Fernandez MI, Bowen GS, Warren JC. HIV risk behaviors of Latin American and Caribbean men who have sex with men in Miami, Florida, USA. Rev Panam Salud Publica. 2008;23(5):341–8.CrossRefPubMed
55.
Fernandez MI, Bowen GS, Warren JC, Ibañez GE, Hernandez N, Harper GW, et al. Crystal methamphetamine: a source of added sexual risk for Hispanic men who have sex with men? Drug Alcohol Depend. 2007;86(2–3):245–52.CrossRefPubMed
56.
De Santis JP, Arcia A, Vermeesch A, Gattamorta KA. Using structural equation modeling to identify predictors of sexual behaviors among Hispanic men who have sex with men. Nurs Clin North Am. 2011;46(2):233.CrossRefPubMed
57.
Sikkema KJ, Hansen NB, Kochman A, Santos J, Watt MH, Wilson PA, et al. The development and feasibility of a brief risk reduction intervention for newly HIV-diagnosed men who have sex with men. J Commun Psychol. 2011;39(6):717–32.CrossRef
58.
Herbst JH, Kay LS, Passin WF, Lyles CM, Crepaz N, Marín BV, et al. A systematic review and meta-analysis of behavioral interventions to reduce HIV risk behaviors of Hispanics in the United States and Puerto Rico. AIDS Behav. 2006;11(1):25–47.CrossRefPubMed
59.
Chan KS, Orlando M, Joyce G, Gifford AL, Burnam MA, Tucker JS, et al. Combination antiretroviral therapy and improvements in mental health: results from a nationally representative sample of persons undergoing care for HIV in the United States. JAIDS. 2003;33(1):104–11.PubMed
60.
Alciati A, Gallo L, Monforte AD, Brambilla F, Mellado C. Major depression-related immunological changes and combination antiretroviral therapy in HIV-seropositive patients. Hum Psychopharmacol. 2007;22(1):33–40.CrossRefPubMed
61.
Lima VD, Geller J, Bangsberg DR, Patterson TL, Daniel M, Kerr T, et al. The effect of adherence on the association between depressive symptoms and mortality among HIV-infected individuals first initiating HAART. AIDS. 2007;21(9):1175–83.CrossRefPubMed
62.
Olatunji BO, Mimiaga MJ, Cleirigh CO. A review of treatment studies of depression in HIV. Top HIV Med. 2006;14(3):112–24.PubMed
63.
Alegría M, Chatterji P, Wells K, Cao Z. Disparity in depression treatment among racial and ethnic minority populations in the United States. Psychiatr Serv. 2008;1(59):1264–72.CrossRef
64.
Alvarez J, Jason LA, Olson BD, Ferrari JR, Davis MI. Substance abuse prevalence and treatment among Latinos and Latinas. J Ethn Subst Abuse. 2007;6(2):115–41.CrossRefPubMedPubMedCentral
65.
Alvarez J, Olson BD, Jason LA, Davis MI, Ferrari JR. Heterogeneity among Latinas and Latinos entering substance abuse treatment: findings from a national database. JSAT. 2004;26(4):277–84.
66.
67.
Griner D, Smith TB. Culturally adapted mental health intervention: a meta-analytic review. Psychotherapy. 2006;43(4):531–48.CrossRefPubMed
68.
Schraufnagel TJ, Wagner AW, Miranda J, Roy-Byrne PP. Treating minority patients with depression and anxiety: what does the evidence tell us? Gen Hosp Psychiatry. 2006;28(1):27–36.CrossRefPubMed
69.
Cohen MS, Smith MK, Muessig KE, Hallett TB, Powers KA, Kashuba AD. Antiretroviral treatment of HIV-1 prevents transmission of HIV-1: where do we go from here? Lancet. 2013;382(9903):1515–24.CrossRefPubMed
70.
US Public Health Service. Preexposure Prophylaxis for the Prevention of HIV Infection in the United States—2014. HIV Surveillance Supplemental Report. Centers for Disease Control and Prevention; 2014. p. 1–43.
71.
Gamarel KE, Golub SA. Intimacy motivations and pre-exposure prophylaxis (PrEP) adoption intentions among HIV-negative men who have sex with men (MSM) in romantic relationships. Ann Behav Med. 2015;49(2):177–86.CrossRefPubMedPubMedCentral
72.
Mustanski B, Starks T, Newcomb ME. Methods for the design and analysis of relationship and partner effects on sexual health. Arch Sex Behav. 2013;43(1):21–33.CrossRef
73.
Skarbinski J, Rosenberg E, Paz-Bailey G, Hall HI, Rose CE, Viall AH, et al. Human immunodeficiency virus transmission at each step of the care continuum in the United States. JAMA Intern Med. 2015;175(4):588–96.CrossRefPubMed
74.
Dawes SE, Suarez P, Vaida F, Marcotte TD, Atkinson JH, Grant I, et al. Demographic influences and suggested cut-scores for the Beck Depression Inventory in a non-clinical Spanish speaking population from the US-Mexico border region. Int J Cult Ment Health. 2010;3(1):34–42.CrossRefPubMedPubMedCentral
75.
Dennis AM, Napravnik S, Seña AC, Eron JJ. Late entry to HIV care among Latinos compared with non-Latinos in a southeastern US cohort. Clin Infect Dis. 2011;53(5):480–7.CrossRefPubMedPubMedCentral
76.
Johnson WD, Díaz RM, Flanders WD, Goodman M, Hill AN, Holtgrave D, et al. Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men. Cochrane Database Syst Rev. 2008;3:CD001230.
Metadaten
Titel
Factors Associated with Sexual Risk of HIV Transmission Among HIV-Positive Latino Men Who have Sex with Men on the U.S.-México Border
verfasst von
Bryan A. Kutner
Kimberly M. Nelson
Jane M. Simoni
John A. Sauceda
John S. Wiebe
Publikationsdatum
08.06.2016
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 3/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1449-z

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