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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Contextual Correlates of Per Partner Unprotected Anal Intercourse Rates Among MSM in Soweto, South Africa</title><author><name sortKey="Arnold, Michael P" sort="Arnold, Michael P" uniqKey="Arnold M" first="Michael P." last="Arnold">Michael P. Arnold</name></author><author><name sortKey="Struthers, Helen" sort="Struthers, Helen" uniqKey="Struthers H" first="Helen" last="Struthers">Helen Struthers</name></author><author><name sortKey="Mcintyre, James" sort="Mcintyre, James" uniqKey="Mcintyre J" first="James" last="Mcintyre">James Mcintyre</name></author><author><name sortKey="Lane, Tim" sort="Lane, Tim" uniqKey="Lane T" first="Tim" last="Lane">Tim Lane</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23054039</idno><idno type="pmc">4227910</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4227910</idno><idno type="RBID">PMC:4227910</idno><idno type="doi">10.1007/s10461-012-0324-9</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001F64</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001F64</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Contextual Correlates of Per Partner Unprotected Anal Intercourse Rates Among MSM in Soweto, South Africa</title><author><name sortKey="Arnold, Michael P" sort="Arnold, Michael P" uniqKey="Arnold M" first="Michael P." last="Arnold">Michael P. Arnold</name></author><author><name sortKey="Struthers, Helen" sort="Struthers, Helen" uniqKey="Struthers H" first="Helen" last="Struthers">Helen Struthers</name></author><author><name sortKey="Mcintyre, James" sort="Mcintyre, James" uniqKey="Mcintyre J" first="James" last="Mcintyre">James Mcintyre</name></author><author><name sortKey="Lane, Tim" sort="Lane, Tim" uniqKey="Lane T" first="Tim" last="Lane">Tim Lane</name></author></analytic><series><title level="j">AIDS and behavior</title><idno type="ISSN">1090-7165</idno><idno type="eISSN">1573-3254</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Men who have sex with men (MSM) throughout the world are at high-risk of HIV acquisition and transmission. Although individual behavior remains a central feature of HIV prevention efforts in sub-Saharan Africa and beyond, contextual factors likely influence behavioral risk. We identify contextual factors at the individual, dyadic (within the partnership), and extra-dyadic (relationships external to the focal dyad) levels that are associated with increased rates of unprotected anal intercourse with a given male partner among MSM in Soweto, South Africa. Drawing on data from The Soweto Men’s Study, multilevel models were applied to 758 partnerships nested within 377 MSM respondents. Independent of overall sexual engagement, dyadic (e.g. description of partner as ‘regular’), psychosocial (e.g. experiences of homonegativity), and sociocultural (e.g. income) contextual factors were significant predictors of differential 6-month rates of UAI with a given partner. By contrast, sexual partnerships outside of the focal sexual pair were not significantly related to UAI rates within the focal pair. Our findings support the need for continuing to understand and intervene on partner-level, psychosocial, and sociocultural dimensions of sexual behavior and sexual risk among MSM in Soweto.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9712133</journal-id><journal-id journal-id-type="pubmed-jr-id">21042</journal-id><journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id><journal-title-group><journal-title>AIDS and behavior</journal-title></journal-title-group><issn pub-type="ppub">1090-7165</issn><issn pub-type="epub">1573-3254</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23054039</article-id><article-id pub-id-type="pmc">4227910</article-id><article-id pub-id-type="doi">10.1007/s10461-012-0324-9</article-id><article-id pub-id-type="manuscript">NIHMS427905</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Contextual Correlates of Per Partner Unprotected Anal Intercourse Rates Among MSM in Soweto, South Africa</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Arnold</surname><given-names>Michael P.</given-names></name><email>marnold@fhcrc.org</email><aff id="A1">Vaccine and Infectious Diseases, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N., E2-112, Seattle, WA 98109-1024, USA</aff></contrib><contrib contrib-type="author"><name><surname>Struthers</surname><given-names>Helen</given-names></name><aff id="A2">Anova Health Institute, Johannesburg, South Africa</aff></contrib><contrib contrib-type="author"><name><surname>McIntyre</surname><given-names>James</given-names></name><aff id="A3">Anova Health Institute, Johannesburg, South Africa</aff><aff id="A4">School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa</aff></contrib><contrib contrib-type="author"><name><surname>Lane</surname><given-names>Tim</given-names></name><aff id="A5">Center for AIDS Prevention Studies, University of California, San Francisco, USA</aff></contrib></contrib-group><pub-date pub-type="nihms-submitted"><day>13</day><month>12</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>5</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>11</day><month>11</month><year>2014</year></pub-date><volume>17</volume><issue>0 1</issue><fpage>S4</fpage><lpage>11</lpage><pmc-comment>elocation-id from pubmed: 10.1007/s10461-012-0324-9</pmc-comment>
<permissions><copyright-statement>© Springer Science+Business Media New York 2012</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract><p id="P1">Men who have sex with men (MSM) throughout the world are at high-risk of HIV acquisition and transmission. Although individual behavior remains a central feature of HIV prevention efforts in sub-Saharan Africa and beyond, contextual factors likely influence behavioral risk. We identify contextual factors at the individual, dyadic (within the partnership), and extra-dyadic (relationships external to the focal dyad) levels that are associated with increased rates of unprotected anal intercourse with a given male partner among MSM in Soweto, South Africa. Drawing on data from The Soweto Men’s Study, multilevel models were applied to 758 partnerships nested within 377 MSM respondents. Independent of overall sexual engagement, dyadic (e.g. description of partner as ‘regular’), psychosocial (e.g. experiences of homonegativity), and sociocultural (e.g. income) contextual factors were significant predictors of differential 6-month rates of UAI with a given partner. By contrast, sexual partnerships outside of the focal sexual pair were not significantly related to UAI rates within the focal pair. Our findings support the need for continuing to understand and intervene on partner-level, psychosocial, and sociocultural dimensions of sexual behavior and sexual risk among MSM in Soweto.</p></abstract><kwd-group><kwd>HIV</kwd><kwd>MSM</kwd><kwd>South Africa</kwd><kwd>Risk behavior</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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