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Orientador(es)
Resumo(s)
Background/Objectives: Men who have sex with men (MSM) carry a disproportionate share of the HIV burden in Portugal, yet the psychosocial characteristics of MSM living with HIV remain insufficiently described. This cross-sectional study examined how compulsive sexual behavior, internalized homonegativity, psychological distress, emotion regulation difficulties, and substance use relate to HIV serostatus, independent of sociodemographic characteristics. Methods: A convenience sample of 480 cisgender MSM (66 living with HIV) completed validated self-report measures online. Because the measures departed from normality, group differences were tested with Mann–Whitney U tests, and associations with serostatus were estimated with a parsimonious binary logistic regression, re-estimated with Firth penalization and evaluated with discrimination diagnostics. Results: Participants living with HIV showed small but significant differences on four indicators: higher compulsive sexual behavior and internalized homonegativity and lower scores on one emotion regulation subscale; depression, anxiety, and stress did not differ. In the adjusted model, compulsive sexual behavior, internalized homonegativity, and problematic substance use were associated with higher odds and the emotion regulation subscale with lower odds of living with HIV. In sensitivity analyses, the substance use association depended on how the construct was defined and was specific to chemsex with core drugs. Model discrimination was limited. Conclusions: HIV serostatus was associated with a small set of psychosocial and behavioral correlates rather than sociodemographic characteristics. These group-level associations describe correlates of serostatus, not a clinical profile of men living with HIV; they cannot establish direction and generate hypotheses, for longitudinal and structurally informed research, about stigma and social context.
Descrição
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Palavras-chave
HIV serostatus Portugal chemsex compulsive sexual behavior emotion regulation internalized homonegativity men who have sex with men (MSM) minority stress psychological distress sexual health substance use syndemics Health Policy Health Informatics Health Information Management SDG 3 - Good Health and Well-being SDG 5 - Gender Equality
Contexto Educativo
Citação
Alckmin-Carvalho, F, Teixeira, I, Guedes, F L, Bú, E D, Pereira, H, Santos, M & Wendt, G 2026, 'Psychosocial and Behavioral Correlates of HIV Serostatus Among Men Who Have Sex with Men in Portugal : A Cross-Sectional Study', Healthcare (Switzerland), vol. 14, no. 14, 2164. https://doi.org/10.3390/healthcare14142164
Editora
Multidisciplinary Digital Publishing Institute (MDPI)