Investigating Conceptual Models for the Relationship Between Depression and Condomless Sex Among Gay, Bisexual, and Other Men Who have Sex with Men: Using Structural Equation Modelling to Assess Mediation

The aim of this study is to investigate five hypothesized mechanisms of causation between depression and condomless sex with ≥ 2 partners (CLS2+) among gay, bisexual, and other men who have sex with men (GBMSM), involving alternative roles of self-efficacy for sexual safety and recreational drug use...

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Bibliographic Details
Published in:AIDS and behavior 2020-06, Vol.24 (6), p.1793-1806
Main Authors: Miltz, A. R., Rodger, A. J., Lepri, A. Cozzi, Sewell, J., Nwokolo, N. C., Allan, S., Scott, C., Ivens, D., Lascar, M., Speakman, A., Phillips, A. N., Sherr, L., Collins, S., Elford, J., Lampe, F. C.
Format: Article
Language:eng
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Sex
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Summary:The aim of this study is to investigate five hypothesized mechanisms of causation between depression and condomless sex with ≥ 2 partners (CLS2+) among gay, bisexual, and other men who have sex with men (GBMSM), involving alternative roles of self-efficacy for sexual safety and recreational drug use. Data were from the AURAH cross-sectional study of 1340 GBMSM attending genitourinary medicine clinics in England (2013–2014). Structural equation modelling (SEM) was used to investigate which conceptual model was more consistent with the data. Twelve percent of men reported depression (PHQ-9 ≥ 10) and 32% reported CLS2+ in the past 3 months. AURAH data were more consistent with the model in which depression was considered to lead to CLS2+ indirectly via low self-efficacy for sexual safety (indirect Beta = 0.158; p 
ISSN:1090-7165
1573-3254