Safer sex intentions modify the relationship between substance use and sexual risk behavior among black South African men who have sex with men

dc.contributor.authorKnox, Justin
dc.contributor.authorReddy, Vasu
dc.contributor.authorLane, Tim
dc.contributor.authorLovasi, Gina S.
dc.contributor.authorHasin, Deborah
dc.contributor.authorSandfort, T.G.M. (Theo)
dc.date.accessioned2020-04-30T10:36:04Z
dc.date.available2020-04-30T10:36:04Z
dc.date.issued2019-07
dc.description.abstractDue to the global burden of HIV, a better understanding of the relationship between substance use and HIV risk behavior is a public health priority, particularly among populations with high rates of HIV infection. The current study explored the moderating effects of psychosocial factors on the relationship between substance use and sexual risk behavior. Among 480 black South African men who have sex with men recruited using respondent-driven sampling, a cross-sectional survey was conducted that included questions about their last sexual event that involved anal sex. Substance use was not associated with unprotected anal intercourse (UAI) (P = 0.97). The effect of substance use on UAI was modified by safer sex intentions (P = 0.001). Among those with higher safer sex intentions, substance use was positively associated with UAI (aOR = 5.8, 95%CI = 1.6–21.3, P < 0.01). This study found that among men who have sex with men with high intentions to engage in safer sex, substance use was associated with increased risky sexual behavior.en_ZA
dc.description.departmentPsychologyen_ZA
dc.description.librarianhj2020en_ZA
dc.description.urihttps://journals.sagepub.com/home/stden_ZA
dc.identifier.citationKnox, J., Reddy, V., Lane, T., Lovasi, G. S., Hasin, D., & Sandfort, T. (2019). Safer sex intentions modify the relationship between substance use and sexual risk behavior among black South African men who have sex with men. International Journal of STD & AIDS, 30(8), 786–794. https://doi.org/10.1177/0956462418825333.en_ZA
dc.identifier.issn0956-4624 (print)
dc.identifier.issn1758-1052 (online)
dc.identifier.other10.1177/0956462418825333
dc.identifier.urihttp://hdl.handle.net/2263/74438
dc.language.isoenen_ZA
dc.publisherSageen_ZA
dc.rights© The Author(s) 2019en_ZA
dc.subjectMen who have sex with men (MSM)en_ZA
dc.subjectSubstance useen_ZA
dc.subjectSexual risk behavioren_ZA
dc.subjectSouth Africa (SA)en_ZA
dc.titleSafer sex intentions modify the relationship between substance use and sexual risk behavior among black South African men who have sex with menen_ZA
dc.typePostprint Articleen_ZA

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