| Author | Luz, Paula Mendes | |
| Author | Apelian, Herak | |
| Author | Lambert, Gilles | |
| Author | Fourmigue, Alain | |
| Author | Dvorakova, Milada | |
| Author | Grace, Daniel | |
| Author | Lachowsky, Nathan | |
| Author | Hart, Trevor A. | |
| Author | Moore, David M. | |
| Author | Skakoon-Sparling, Shayna | |
| Author | Cox, Joseph | |
| Access date | 2024-08-26T20:54:46Z | |
| Available date | 2024-08-26T20:54:46Z | |
| Document date | 2024 | |
| Citation | LUZ, Paula Mendes et al. HIV Treatment Optimism Moderates the Relationship between Sexual Risk Behavior and HIV Risk Perception among Urban HIV-negative Gay, Bisexual, and Other Men who have Sex With Men. AIDS and Behavior, v. 28, n. 8, p. 2683–2694, Aug. 2024. | en_US |
| ISSN | 1090-7165 | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/65585 | |
| Sponsorship | Engage/Momentum II is funded by grants TE2-138299, FDN = 143342 and PJT-153139 from the Canadian Institutes of Health Research (CIHR), grant CTN300 from the CIHR Canadian HIV/AIDS Trials Network, the Canadian Foundation for AIDS Research, grant 1051 from the Ontario HIV Treatment Network, grant 4500370314 from the Public Health Agency of Canada and the Ministère de la Santé et des Services sociaux du Québec. PML acknowledges funding from Conselho Nacional de Pesquisa (CNPq, 316401/2021-8) and Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ E-26/201.133/2021). The funders had no role in the study design, data collection, and analysis, decision to publish, or preparation of the manuscript. | en_US |
| Language | eng | en_US |
| Publisher | Springer | en_US |
| Rights | restricted access | |
| Title | HIV Treatment Optimism Moderates the Relationship between Sexual Risk Behavior and HIV Risk Perception among Urban HIV-negative Gay, Bisexual, and Other Men who have Sex With Men | en_US |
| Type | Article | |
| DOI | 10.1007/s10461-024-04380-5 | |
| Abstract | Using baseline data of the Engage Cohort Study, a Canadian study of sexually active gay, bisexual and other men who have sex with men (GBM), we evaluated the association between sexual behavior and risk perception among HIV negative participants and whether HIV treatment optimism moderated this relationship. Participants were recruited by
respondent-driven-sampling (RDS). We defined high-risk sexual behavior in the past six months as any condomless anal sex with a casual partner (i.e. not the participant’s main partner) with either unknown HIV-status where neither used pre exposure prophylaxis or with a partner living with HIV having detectable/unknown viral load. We assessed HIV treatment
optimism-skepticism using a 12-item scale. RDS-II-weighted adjusted logistic regression models examined associations with risk perception measured by the question “How would you assess your current risk of getting HIV?” (response options were on a 6-point Likert-scale ranging from “very unlikely” to “very likely”, dichotomized into “No Perceived Risk” (very unlikely/unlikely) and “Perceived Risk” (somewhat likely/likely/very likely/I think I already have HIV). Of 1961 participants, engagement in high-risk sexual behavior was reported by 155 (17.0%), 62 (12.4%), 128 (17.2%) of participants in Montréal, Toronto, and Vancouver, respectively. High-risk sexual behavior increased the odds of perceived HIV risk (pooled adjusted odds ratio = 2.9, 95%CI = 2.2–3.8). HIV treatment optimism-skepticism scores moderated the relationship: for GBM engaging in high-risk sexual behavior, higher HIV treatment optimism-skepticism scores increased perceived HIV risk. Promoting awareness around advances related to HIV prevention and treatment is important for appropriate risk assessment and for increased engagement in prevention interventions. | en_US |
| xmlui.metadata.dc.description.abstractes | Evaluamos la asociación entre el comportamiento sexual y la percepción de riesgo entre los participantes VIH negativos y si el optimismo sobre el tratamiento del VIH moderó esta asociación. Definimos comportamiento sexual de alto riesgo en los últimos seis meses como cualquier sexo anal sin condón con una pareja casual con un estado de VIH descono cido donde ninguno utilizó profilaxis previa a la exposición o con una pareja que vive con el VIH y que tiene una carga viral detectable/desconocida. Se evaluó el optimismo sobre el tratamiento del VIH mediante una escala de 12 ítems. Los modelos de regresión logística ajustados examinaron las asociaciones con la percepción del riesgo ("Riesgo no percibido" vs. “Riesgo percibido”). De 1961 participantes, 155 (17,0%), 62 (12,4%), 128 (17,2%) de los participantes en Montreal, Toronto y Vancouver, informaron comportamiento sexual de alto riesgo. El comportamiento sexual de alto riesgo se mostró asociado con riesgo percibido. El optimismo sobre el tratamiento modero la asociación. Promover la conciencia sobre los avances relacionados con la prevención y el tratamiento del VIH es importante para una evaluación adecuada de los riesgos y una mayor participación en las intervenciones de prevención. | en_US |
| Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. STD and AIDS Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil. | en_US |
| Affilliation | Research Institute of the McGill University Health Centre. Montréal, QC, Canada. | en_US |
| Affilliation | Direction Régionale de Santé Publique de Montréal. CIUSSS Centre-Sud-de-l'Ile-de-Montréal. Montréal, QC, Canada / Institut National de Santé Publique du Québec. Montréal, QC, Canada. | en_US |
| Affilliation | Research Institute of the McGill University Health Centre. Montréal, QC, Canada. | en_US |
| Affilliation | Research Institute of the McGill University Health Centre. Montréal, QC, Canada. | en_US |
| Affilliation | University of Toronto. Dalla Lana School of Public Health. Toronto, ON, Canada. | en_US |
| Affilliation | University of Victoria. Health & Social Policy. School of Public. Victoria, BC, Canada. | en_US |
| Affilliation | University of Toronto. Dalla Lana School of Public Health. Toronto, ON, Canada / Toronto Metropolitan University. Department of Psychology. Toronto, ON, Canada. | en_US |
| Affilliation | BC Centre for Excellence in HIV/AIDS. Vancouver, BC, Canada. | en_US |
| Affilliation | Toronto Metropolitan University. Department of Psychology. Toronto, ON, Canada / University of Guelph. Psychology Department. Guelph, ON, Canada. | en_US |
| Affilliation | Research Institute of the McGill University Health Centre. Montréal, QC, Canada / Direction Régionale de Santé Publique de Montréal. CIUSSS Centre-Sud-de-l'Ile-de-Montréal. Montréal, QC, Canada / McGill University. Biostatistics & Occupational Health. Department of Epidemiology. Montréal, QC, Canada. | en_US |
| Subject | HIV | en_US |
| Subject | Sexual behavior | en_US |
| Subject | Risk perception | en_US |
| Subject | Optimism | en_US |
| Subject | Men who have sex with men | en_US |
| Subject | Canada | en_US |
| Subject in Spanish | VIH | en_US |
| Subject in Spanish | Comportamiento sexual | en_US |
| Subject in Spanish | Percepción del riesgo | en_US |
| Subject in Spanish | Optimismo | en_US |
| Subject in Spanish | Hombres que tienen sexo con hombres | en_US |
| Subject in Spanish | Canadá | en_US |
| e-ISSN | 1573-3254 | |
| Embargo date | 2030-12-31 | |
| xmlui.metadata.dc.subject.ods | 05 Igualdade de gênero | |
