{"doi":"10.17615/2nz3-fa32","title":"Psychosocial Characteristics and Sexual Behaviors of People in Care for HIV Infection: An Examination of Men Who Have Sex with Men, Heterosexual Men and Women","abstract":"Few studies have examined the psychosocial factors associated with sexual transmission behaviors among HIV-positive men who have sex with men (MSM), heterosexual men (MSW) and women. We enrolled 1,050 sexually active HIV-positive patients at seven HIV clinics in six US cities as part of a clinic-based behavioral intervention. We describe the sexual transmission behaviors and examine demographic, clinical, psychosocial, and clinic prevention variables associated with unprotected anal or vaginal intercourse (UAVI). Twenty-three percent of MSM, 12.3% of MSW and 27.8% of women engaged in UAVI with partners perceived to be HIV-negative or of unknown serostatus. Among MSM and MSW, having multiple partners and lower self-efficacy were associated with increased odds of UAVI. Self-rating one’s health status as excellent/very good was a risk factor for UAVI among MSM. Among women, binge drinking and stressful life events were associated with UAVI. These findings identify variables that warrant attention in targeted interventions.","journal":"UNC Libraries","year":2020,"id":141406,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9531,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":606932,"name":"Mark Thrun","orcid":"0000-0001-8368-496X","position":1,"is_corresponding":false},{"id":597617,"name":"Hsiao Chuan Tien","orcid":null,"position":2,"is_corresponding":false},{"id":607448,"name":"Stephen Raffanti","orcid":null,"position":3,"is_corresponding":false},{"id":607449,"name":"Marks, Gary","orcid":null,"position":4,"is_corresponding":false},{"id":402355,"name":"Tracey E. Wilson","orcid":"0000-0002-2087-8545","position":5,"is_corresponding":false},{"id":454277,"name":"E. Byrd Quinlivan","orcid":"0000-0002-1213-8707","position":6,"is_corresponding":false},{"id":607450,"name":"Lytt I. Gardner","orcid":null,"position":7,"is_corresponding":false},{"id":606933,"name":"Julie Wright","orcid":"0000-0002-5115-7011","position":8,"is_corresponding":false},{"id":607451,"name":"Christine O’Daniels","orcid":null,"position":9,"is_corresponding":false},{"id":499427,"name":"Melanie Thompson","orcid":"0009-0005-0341-2400","position":10,"is_corresponding":false},{"id":520785,"name":"Carol E. Golin","orcid":"0000-0002-5546-3163","position":11,"is_corresponding":false},{"id":377826,"name":"Shilpa N. Patel","orcid":null,"position":12,"is_corresponding":false},{"id":450515,"name":"Mary M. Gerkovich","orcid":null,"position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-18T23:17:24.429854Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}