ArticleInternational journal of behavioral medicine2020
Gay Community Integration as Both a Source of Risk and Resilience for HIV Prevention in Beirut.
Article in International journal of behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Examining Intrapersonal and Social Environment Factors Associated with Condom Use and HIV Testing Among Young Adult MSM Living in Beirut, Lebanon.AIDS and behavior · 2026Article
- Intimate Partner Violence and its Association with Symptoms of Depression and Post-Traumatic Stress Disorder Among HIV-Negative Cisgender Sexual Minority Men in the United States.Sexual and gender diversity in social services · 2026Article
- Relationship Between Adversity Experiences and HIV Status Trajectory of Sexual Partners Among HIV-Negative Young Men Who Have Sex with Men: A Prospective Cohort Study.Journal of racial and ethnic health disparities · 2025Article
- A neural network computational structure for the fractional order breast cancer model.Scientific reports · 2023Article
- Assessment ofLe infezioni in medicina · 2023Article
- Sexual and gender minority health in the Middle East and North Africa Region: A scoping review.International journal of nursing studies advances · 2022Article
- Psychometric Properties of a Scale on Judgmental Communication with Peers About Sex Among YMSM and Their Close Friends in Lebanon.AIDS and behavior · 2022Article
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Authors and funding
8 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundAspects of sexual identity development, including integration into gay community, have been found to be associated with sexual risk behavior among men who have sex with men (MSM), but not in the Middle East.
methodDrawing on the minority stress model and integrated theory of health behavior, we examined the relationships between measures of sexual identity development and HIV protective behaviors (condomless anal sex and HIV testing) and the mediating roles of HIV knowledge, peer judgmentalism, and discrimination, in a sample of 226 young MSM in Beirut, Lebanon. A cross-sectional, mediation analysis was conducted using a bootstrapping approach and logistic regression models.
resultsFifteen percent of the sample reported recent condomless anal sex with partners whose HIV status was positive or unknown, and 82.3% had ever been tested for HIV. Multivariate logistic regression analysis showed that greater integration into the gay community was significantly associated with having recent condomless anal sex with positive/unknown HIV status partners and having any history of HIV testing, after controlling for covariates. Knowledge of HIV risk was associated with gay integration as well as both condomless anal sex with positive or unknown HIV status partners and any history of HIV testing, but it only served as a (partial) mediator of HIV testing. Peer judgmental communication about sex and sexuality-related discrimination were related in bivariate analysis to gay integration and condomless anal sex, but they too did not prove to be significant mediators of the relationship between these two constructs.
conclusionThese findings highlight the potential sexual health benefits and vulnerabilities associated with increased integration into the gay community for young MSM in Beirut and the need to better understand how to increase HIV knowledge while limiting its potential to increase sexual risk behavior.
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