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It is critical we investigate positive constructs such as resilience and mastery to determine factors associated with psychological well-being. We examine HIV-related factors, adverse conditions, and psychosocial characteristics that are associated with resilience the ability to bounce back and mastery sense of self-efficacy. Multivariate linear regression was used to identify factors that contributed or detracted from resilience and mastery in the sample recruited from 17 sites from across the United States. Resilience and mastery were independently associated with psychological health-related quality of life.

In multivariate analysis, adjusting for demographic characteristics, previous diagnosis of depression was negatively associated with resilience. Time since HIV diagnosis was positively associated with mastery whereas victimization was negatively associated with mastery. Social support and community engagement were positively associated with both resilience and mastery.

Individual and structural-environmental characteristics contributed to resilience and mastery. These findings can be used to develop interventions incorporating an increased understanding of factors that are associated with both resilience and mastery.

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All rights reserved. For permissions, please e-mail: journals. Research suggests that self-esteem in gay and bisexual men may be linked with sexual risk-taking behaviors. As part of a larger investigation into the sexual practices of gay and bisexual men , we assessed serostatus, self-esteem, condom use, and HIV disclosure to sexual partners.

However, among HIV-positive men , there was a positive relationship between self-esteem and disclosure to receptive and insertive anal sex partners. These results suggest greater attention to the self-esteem of HIV-positive men by attending healthcare workers and social support groups. Social media use and HIV transmission risk behavior among ethnically diverse HIV-positive gay men : results of an online study in three U.

In , an anonymous online survey was conducted among members of an HIV-positive personals website. Emails were sent to a subset of HIV-positive male members who self-identified as gay.

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Median age was 46 range Men who reported using 3 or more websites or apps to meet sex partners were significantly more likely to report anal intercourse AOR 4. Although there is evidence of increasing overall rates of HIV status disclosure among gay and bisexual men , little is known about men 's disclosure expectations and practices. In this study, we investigate the importance non- HIV-positive men in Australia vest in knowing the HIV status of their sexual partners, and the extent to which they restrict sex to partners of the same HIV status, and their HIV disclosure expectations.

Data were collected through a national, online self-report survey. Of the men included in the study, were HIV negative and were untested. Participants completed the assessment of socio-demographic characteristics, HIV status preferences, and disclosure expectations and practices. Participants also completed reliable multi-item measures of perceived risk of HIV transmission, expressed HIV-related stigma, and engagement with the gay community and the community of people living with HIV.

A quarter Three quarters Less than half Multivariate linear regression analysis identified various covariates of disclosure expectations and practices, in particular of disclosure expectations regarding HIV-positive men. Men who expected HIV-positive partners to disclose their HIV status before sex more often lived outside capital cities, were less educated, were less likely to identify as gay , perceived more risk of HIV transmission from a range of sexual practices, were less engaged with the community of people living with HIV, and expressed more stigma towards HIV-positive people.

These findings suggest that an HIV-status divide is emerging or. Trouble with bleeding: risk factors for acute hepatitis C among HIV-positive gay men from Germany--a case-control study. To identify risk factors for hepatitis C among HIV-positive men who have sex with men MSM , focusing on potential sexual, nosocomial, and other non-sexual determinants. Between and , a case-control study was embedded into a behavioural survey of MSM in Germany.

The HCV-serostatus of controls was assessed by serological testing of dried blood specimens. Univariable and multivariable regression analyses were used to identify factors independently associated with HCV-co-infection. Among cases, surgical interventions overlapped with sex-associated rectal bleeding. Sexual practices leading to rectal bleeding, and snorting drugs in settings of increased HCV-prevalence are risk factors for acute hepatitis C.

We suggest that sharing snorting equipment as well as sharing sexual partners might be modes of sexual transmission. Condoms and gloves may not provide adequate protection if they are contaminated with blood.


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Public health interventions for HIV-positive gay men should address the role of blood in sexual risk behaviour. Further research is needed into the interplay of proctosurgery and sex-associated rectal bleeding. Downing, Martin J. Objectives We investigated risk and protective factors associated with sleep quality among a national sample of HIV-positive gay , bisexual, and other men who have sex with men GBMSM.

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Design This study reports on findings from both an eligibility survey and baseline assessment for an online HIV risk reduction intervention. Participants There were 16, completed eligibility surveys. A total of 1, eligible men completed a baseline assessment after consenting to participate in the intervention. Measurements and results Among participants with a completed eligibility survey, men with an HIV-positive status had significantly worse sleep quality and more frequent use of sleep medications during the past month than HIV-negative men.

Conclusions Findings from this online study call for more attention to the role of sleep in immune system functioning and engagement in HIV care.

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Results further suggest a need to design and test culturally-appropriate sleep health interventions for GBMSM living with HIV that promote protective factors and target particular behavioral changes i. We investigated risk and protective factors associated with sleep quality among a national sample of HIV-positive gay , bisexual, and other men who have sex with men GBMSM.

This study reports on findings from both an eligibility survey and baseline assessment for an online HIV risk reduction intervention. There were 16, completed eligibility surveys. Among participants with a completed eligibility survey, men with an HIV-positive status had significantly worse sleep quality and more frequent use of sleep medications during the past month than HIV-negative men. Findings from this online study call for more attention to the role of sleep in immune system functioning and engagement in HIV care.

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Even in the presence of promising biomedical treatment as prevention, HIV incidence among men who have sex with men has not always decreased. Counseling interventions, therefore, continue to play an important role in reducing HIV sexual transmission behaviors among gay and bisexual men and other men who have sex with men. The present study evaluated effects of a small-group counseling intervention on psychosocial outcomes and HIV sexual risk behavior. The intervention employed information provision, motivational interviewing, and behavioral skills building to reduce sexual transmission risk behaviors.

Findings were robust even when controlling for whether the participant had an undetectable viral load at baseline.


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Significant reductions were also found in the two secondary psychosocial outcomes, loneliness and sexual compulsivity. Hart, Trevor A. Background Even in the presence of promising biomedical treatment as prevention, HIV incidence among men who have sex with men has not always decreased.

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Trial Registration ClinicalTrials. Internalized sexual minority stigma and enacted sexual minority stigma in health care settings are significantly associated with SRBs. The relationship between internalized sexual minority stigma and SRBs are mediated by infrequent routine health care and elevated levels of perceived stress. Minority stress theory represents the most plausible conceptual framework for explaining health disparities for gay and bisexual men GBM.

We explored the role of HIV-related stress within a minority stress model of mental health and condomless anal sex. Longitudinal data were collected on a diverse convenience sample of highly sexually active, HIV-positive GBM in NYC regarding sexual minority internalized homonegativity and gay -related rejection sensitivity and HIV-related stressors internalized HIV stigma and HIV-related rejection sensitivity , emotion dysregulation, mental health symptoms of depression, anxiety, sexual compulsivity, and hypersexuality , and sexual behavior condomless anal sex with all male partners and with serodiscordant male partners.

Across both sexual minority and HIV-related stressors, internalized stigma was significantly associated with mental health and sexual behavior outcomes while rejection sensitivity was not. We identified two targets of behavioral interventions that may lead to improvements in mental health and reductions in sexual transmission risk behaviors-maladaptive cognitions underlying negative self-schemas and difficulties with emotion regulation.

Techniques for cognitive restructuring and emotion regulation may be particularly useful in the development of interventions that are sensitive to the needs of this population while also highlighting the important role that structural interventions can have in preventing these disparities for future generations.

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Substance use has been linked to the sexual transmission of HIV among gay , bisexual, and other men who have sex with men MSM across the lifespan. People aged 50 years and older represent a growing proportion of the overall HIV-positive population. This study aimed to explore relationships between substance use and cognitive function, and their impact on condomless anal sex CAS among HIV-positive gay , bisexual, and other MSM aged 50 years and older.

Multivariable modeling indicated that use of alcohol to intoxication and date of HIV diagnosis were the strongest predictors of CAS in both a model that included dementia risk and a model that included impaired executive function risk. Current illicit substance use was a significant predictor of CAS only in the model that included dementia risk.

Those with better cognitive and executive function had higher odds of CAS. However, only executive function was a significant cognitive predictor of CAS. Further research is needed to clarify the impact of cognitive function and substance use on sexual risk behaviors as these HIV-positive men achieve normal life expectancies, while continuing to use substances and engage in CAS.

Furthermore, addiction treatment remains a critical need for this group even as they transition into later adulthood. Change in subjective social status following HIV diagnosis and associated effects on mental and physical health among HIV-positive gay men in Australia. This study investigates the impact of HIV diagnosis on subjective social status and if changes are linked to health outcomes.

Two measures of subjective social status, socio-economic and standing in the community were examined in Australian HIV-positive gay men in Participants recalled ratings at diagnosis were compared with current ratings. Self-reported mental psychological distress, self-esteem, positive mental health and satisfaction with life and physical health self-rated health, CD4 count, viral load.

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