caa a22 4500 60623280X CHVBK 20210128101229.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10508-014-0464-2 doi (NATIONALLICENCE)springer-10.1007/s10508-014-0464-2 Psychological Symptoms Are Associated with Both Abstinence and Risky Sex Among Men with HIV [Elektronische Daten] [Carol Miller, Sondra Solomon, Janice Bunn, Susan Varni, James Hodge] Sexual abstinence is often deemed the "safest behavior” in HIV prevention, but is sometimes associated with psychological symptoms (e.g., depression) just as sexually risky behavior is. This study explored whether sexual abstinence and risky sexual behavior among men with HIV were associated with similar constellations of psychological symptoms. Prior research has not addressed this issue because abstinent people often are not included in the sample or, when data are analyzed, researchers combine abstinent people with sexually active people who practice safer sex. Past research also neglects the co-morbidity of psychological symptoms. A latent class analysis of the psychological symptoms (assessed with the Symptom Check List 90-R; Derogatis, 1994) of 140 men with HIV, mostly from rural New England, revealed three latent classes: men who were asymptomatic on all symptom domains (28.8%), men who were symptomatic on all domains (34.1%), and men who were symptomatic on internalizing domains (37.1%), but were asymptomatic on the externalizing symptoms of hostility and paranoid ideation. Logistic regression showed that sexual behavior during the past 90days of men in the all symptom class and the internalizing symptoms class was similar, with abstinence and risky sex predominating, and safer sex being relatively uncommon for both classes. The sexual behavior of men in the asymptomatic class differed, with safer sex being relatively more likely to occur compared to the symptomatic classes. These findings suggest that the psychological symptom profile of sexually abstinent people places them at risk for inconsistent condom use should they engage in sexual behavior. Springer Science+Business Media New York, 2015 Sexual abstinence nationallicence HIV nationallicence Sexual risk taking nationallicence Psychological symptoms nationallicence Latent class analysis nationallicence Sexual orientation nationallicence Miller Carol Department of Psychological Science, University of Vermont, 360 John Dewey Hall, 2 Colchester Ave., 05405, Burlington, VT, USA aut Solomon Sondra Department of Psychological Science, University of Vermont, 360 John Dewey Hall, 2 Colchester Ave., 05405, Burlington, VT, USA aut Bunn Janice Department of Medical Biostatistics, University of Vermont, Burlington, VT, USA aut Varni Susan Department of Pediatrics, University of Vermont, Burlington, VT, USA aut Hodge James Department of Psychological Science, University of Vermont, 360 John Dewey Hall, 2 Colchester Ave., 05405, Burlington, VT, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 453-465 0004-0002 44:2<453 2015 44 10508 https://doi.org/10.1007/s10508-014-0464-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0464-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Miller Carol Department of Psychological Science, University of Vermont, 360 John Dewey Hall, 2 Colchester Ave., 05405, Burlington, VT, USA aut NATIONALLICENCE 700 1- Solomon Sondra Department of Psychological Science, University of Vermont, 360 John Dewey Hall, 2 Colchester Ave., 05405, Burlington, VT, USA aut NATIONALLICENCE 700 1- Bunn Janice Department of Medical Biostatistics, University of Vermont, Burlington, VT, USA aut NATIONALLICENCE 700 1- Varni Susan Department of Pediatrics, University of Vermont, Burlington, VT, USA aut NATIONALLICENCE 700 1- Hodge James Department of Psychological Science, University of Vermont, 360 John Dewey Hall, 2 Colchester Ave., 05405, Burlington, VT, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 453-465 0004-0002 44:2<453 2015 44 10508