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Personality Traits and Adaptive HIV Disease Management: Relationships with Engagement in Care and Condomless Anal Intercourse Among Highly Sexually Active Sexual Minority Men Living with HIV.
O'Cleirigh, Conall; Perry, Nicholas S; Taylor, S Wade; Coleman, Jessica N; Costa, Paul T; Mayer, Kenneth H; Safren, Steven A.
Afiliação
  • O'Cleirigh C; 1 Behavioral Medicine Program, Department of Psychiatry, Massachusetts General Hospital , Boston, Massachusetts.
  • Perry NS; 2 Department of Psychiatry, Harvard Medical School , Boston, Massachusetts.
  • Taylor SW; 3 The Fenway Institute , Fenway Health, Boston, Massachusetts.
  • Coleman JN; 1 Behavioral Medicine Program, Department of Psychiatry, Massachusetts General Hospital , Boston, Massachusetts.
  • Costa PT; 4 Department of Psychology, University of Utah , Salt Lake City, Utah.
  • Mayer KH; 3 The Fenway Institute , Fenway Health, Boston, Massachusetts.
  • Safren SA; 5 Department of Social Work, Wheelock College , Boston, Massachusetts.
LGBT Health ; 5(4): 257-263, 2018.
Article em En | MEDLINE | ID: mdl-29694262
ABSTRACT

PURPOSE:

The purpose of this study was to identify systematic relationships between personality domains and engagement in HIV care and secondary HIV prevention among sexual minority men living with HIV.

METHODS:

This cross-sectional study examined the relationships between general personality traits of the Five-Factor Model of personality (e.g., Neuroticism and Conscientiousness) and engagement in medical care and condomless anal intercourse among a sample of highly sexually active sexual minority men living with HIV (N = 60).

RESULTS:

Conscientiousness (B = -0.01, P < 0.05), Openness (B = -0.03, P < 0.05), and Extraversion (B = -0.03, P < 0.001) were each associated with engaging in fewer episodes of condomless anal intercourse and Conscientiousness alone was significantly related to having fewer sexual partners (B = -0.04, P < 0.001). Conscientiousness (odds ratio [OR] = 1.07, confidence interval [CI] 1.01-1.13) and Extraversion (OR = 1.13, CI 1.04-1.22) were both associated significantly with prevention service use. Conscientiousness alone was related to engagement in HIV medical case management (B = -0.11, P < 0.05), whereas both Conscientiousness (B = 0.41, P < 0.0001) and Neuroticism (B = -0.64, P < 0.001) were associated with perceived health. Furthermore, compared with the normative sample for the NEO-Personality Inventory-Revised, men in our sample scored significantly higher on Neuroticism and significantly lower on Conscientiousness (Ps < 0.05).

CONCLUSION:

These findings suggest that enduring individual differences may account, in part, for some of the high levels of condomless anal intercourse reported by this group, as well as engagement in and use of prevention services. We suggest strategies for engaging this group in secondary HIV prevention programs and initiatives.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Personalidade / Autocuidado / Infecções por HIV / Sexo sem Proteção / Minorias Sexuais e de Gênero Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Personalidade / Autocuidado / Infecções por HIV / Sexo sem Proteção / Minorias Sexuais e de Gênero Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article