Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain

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• dc.contributor.author Sönmez, İbrahim
• dc.contributor.author Folch Toda, Cinta
• dc.contributor.author Lorente Palacios, Nicolás
• dc.contributor.author Berg, Rigmor C.
• dc.contributor.author Thurlby, Natalie
• dc.contributor.author Schmidt, Axel
• dc.date.accessioned 2022-05-23T07:16:22Z
• dc.date.available 2022-05-23T07:16:22Z
• dc.date.issued 2022
• dc.description.abstract In a sample of men who have sex with men (MSM) (N=3436) in Spain who bear intrinsic HIV risk, we investigated how internalised homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse (as a proxy of sexual risk behaviour). Using structural equation modelling (SEM), we examined the relationship between IH and sexual risk behaviour, and mediating efects of HIV/PrEP knowledge and substance use during sex on this relationship. We found no direct association between IH and sexual risk behaviour, nor did IH infuence substance use during sex. In line with our hypothesis, association between IH and sexual risk behaviour was signifcant when mediated by HIV/PrEP knowledge. We found that as IH increased, sexual risk behaviour decreased, because higher IH was associated with lower HIV/PrEP knowledge while higher HIV/PrEP knowledge was associated with increased non-condom use with non-steady partners. Substance use during sex was signifcantly associated with sexual risk behaviour. Our results emphasize the continuing importance of prevention strategies focused on behavioural changes and community level interventions, especially targeting substance use.
• dc.description.sponsorship Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. EMIS-2017 was carried out as part of ESTICOM, under the service contract 2015 71 01 with The Consumers, Health, Agriculture and Food Executive Agency (Chafea), acting under powers delegated by the Commission of the European Union. The contract arises from the Call for tender No Chafea/2015/Health/38.
• dc.format.mimetype application/pdf
• dc.identifier.citation Sönmez İ, Folch C, Lorente N, Berg RC, Thurlby N, Schmidt AJ. Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain. Sexuality & Culture. 2022 Jun;26(3):932-50. DOI: 10.1007/s12119-021-09925-7
• dc.identifier.doi http://dx.doi.org/10.1007/s12119-021-09925-7
• dc.identifier.issn 1095-5143
• dc.identifier.uri http://hdl.handle.net/10230/53202
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Sexuality & Culture. 2022 Jun;26(3):932-50
• dc.rights © The Author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Internalised homonegativity
• dc.subject.keyword Sexual risk behaviour
• dc.subject.keyword HIV knowledge
• dc.subject.keyword Substance use
• dc.subject.keyword MSM
• dc.subject.keyword Structural equation modelling
• dc.title Influence of internalised homonegativity on sexual risk behaviour of men who have sex with men in Spain
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion