ABSTRACT

Sexual risk behaviors among men who have sex with men (MSM) have been linked to diverse demographic, psychosocial, and behavioral factors. This study assessed the association between internalized homophobia and sexual risk behavior among HIV-infected MSM and the mediating effects of safe-sex self-efficacy and depression on this association, using a theoretical framework based on the Theory of Social Action. Data were collected from 124 HIV-infected MSM attending an AIDS clinic in Israel.

No significant association was found between internalized homophobia and sexual risk behavior (unprotected anal intercourse). Examination of mediation effects revealed full mediation by depression, but not by self-efficacy. Depression and self-efficacy were the only significant explanatory variables of sexual risk behavior. Diverse social work interventions with HIV-infected MSM aimed at reducing sexual risk behaviors should include routine screening of IH and its association with depression, and address depression and self-efficacy in CBT and other interventions.

摘要

男男性行为者 (MSM) 的性风险行为与不同的人口统计学、社会心理和行为因素有关。本研究使用基于社会行为理论的理论框架，评估了感染 HIV 的 MSM 内化恐同症和性风险行为之间的关联，以及安全性行为自我效能感和抑郁对这种关联的中介作用。数据是从 124 名在以色列艾滋病诊所就诊的 HIV 感染 MSM 收集的。

内化恐同症和性风险行为（无保护肛交）之间没有发现显着关联。对中介效应的检验表明，抑郁完全中介，而不是自我效能。抑郁和自我效能感是性风险行为的唯一重要解释变量。旨在减少性风险行为的 HIV 感染 MSM 的多样化社会工作干预措施应包括常规筛查 IH 及其与抑郁症的关联，并在 CBT 和其他干预措施中解决抑郁症和自我效能问题。