ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2015
Latent class profiles of internalizing and externalizing psychosocial health indicators are differentially associated with sexual transmission risk: Findings from the CFAR network of integrated clinical systems (CNICS) cohort study of HIV-infected men engaged in primary care in the United States.
Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Associations Between Anxiety and Adherence to Antiretroviral Medications in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis.AIDS and behavior · 2019Pooled it
- Facilitators and barriers to anal cancer screening among men with HIV and their providers in Alabama.AIDS care · 2026Article
- HIV transmission risk among people living with HIV in Zhejiang Province, China: data from a large cross-sectional study, 2022.Frontiers in public health · 2025Article
- Psychosocial Distress Among Young Men Who Have Sex With Men: A Scoping Review.Journal of psychosocial nursing and mental health services · 2024Article
- Sexual risk characteristics, social vulnerability, and anal cancer screening uptake among men living with HIV in the deep south.AIDS care · 2024Article
- Longitudinal Associations of Syndemic Conditions with Antiretroviral Therapy Adherence and HIV Viral Suppression Among HIV-Infected Patients in Primary Care.AIDS patient care and STDs · 2021Article
- Estimating HIV transmissions in a large U.S. clinic-based sample: effects of time and syndemic conditions.Journal of the International AIDS Society · 2021Article
- Gay-Specific and General Stressors Predict Gay Men's Psychological Functioning Over Time.Archives of sexual behavior · 2020Article
- Human Immunodeficiency Virus Transmission Risk in Analytical Treatment Interruption Studies: Relational Factors and Moral Responsibility.The Journal of infectious diseases · 2019Article
- The relationship of discrimination related to sexual orientation and HIV-relevant risk behaviors among men who have sex with men.Psychiatry research · 2018Article
- Gender Moderates the Association of Depressive Symptoms to Sexual Risk Behavior Among HIV-Positive African-American Outpatients.AIDS and behavior · 2018Article
- Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment.AIDS and behavior · 2017Article
- The Usefulness of the CRAFFT in Screening for Problematic Drug and Alcohol Use Among Youth Living with HIV.AIDS and behavior · 2017Article
- Mental health in 2020 for men who have sex with men in the United States.Sexual health · 2017Review
- Anxiety symptoms and disorders among adults living with HIV and AIDS: A critical review and integrative synthesis of the empirical literature.Clinical psychology review · 2017Review
- Prevalence of Substance Use in an HIV Primary Care Safety Net Clinic: A Call for Screening.The Journal of the Association of Nurses in AIDS Care : JANACArticle
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo examine whether latent class indicators of negative affect and substance use emerged as distinct psychosocial risk profiles among HIV-infected men, and if these latent classes were associated with high-risk sexual behaviors that may transmit HIV.
methodsData were from HIV-infected men who reported having anal intercourse in the past 6 months and received routine clinical care at 4 U.S. sites in the Centers for AIDS Research Network of Integrated Clinical Systems cohort (n = 1,210). Latent class membership was estimated using binary indicators for anxiety, depression, alcohol and/or drug use during sex, and polydrug use. Generalized estimating equations modeled whether latent class membership was associated with HIV sexual transmission risk in the past 6 months.
resultsThree latent classes of psychosocial indicators emerged: (a) internalizing (15.3%; high probability of anxiety and major depression); (b) externalizing (17.8%; high probability of alcohol and/or drug use during sex and polydrug use); (c) low psychosocial distress (67.0%; low probability of all psychosocial factors examined). Internalizing and externalizing latent class membership were associated with HIV sexual transmission risk, compared to low psychosocial class membership; externalizing class membership was also associated with higher sexual transmission risk compared to internalizing class membership.
conclusionsDistinct patterns of psychosocial health characterize this sexually active HIV-infected male patient population and are strongly associated with HIV sexual transmission risk. Public Health intervention efforts targeting HIV sexual risk transmission may benefit from considering symptom clusters that share internalizing or externalizing properties.
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Registered trials
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