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Stigmatizing Policies Interact with Mental Health and Sexual Behaviours to Structurally Induce HIV Diagnoses Among European Men Who Have Sex with Men.
- Source :
- AIDS & Behavior; Oct2022, Vol. 26 Issue 10, p3400-3410, 11p, 4 Charts, 2 Graphs
- Publication Year :
- 2022
-
Abstract
- Structural stigma shapes men who have sex with men's (MSM's) mental health and sexual behaviours. The aim of this study was to examine how stigmatizing policies interact with downstream anxiety/depression and sexual behaviours to structurally pattern HIV disparities among European MSM. We conducted a secondary data analysis of the European Men-who-have-sex-with-men Internet Survey (EMIS) from 2017. We included a total of 98,600 participants living in 39 European countries. We used the Rainbow Index, a score given to countries based on their sexual and gender minority policies as the predictor of HIV diagnosis. We conducted adjusted random intercept and slope multi-level logistic regressions. In adjusted models, higher Rainbow Index scores was associated with lower predictive probabilities of diagnosed HIV, regardless of the number of condomless intercourse partners. The predictive probability of HIV diagnosis was also lower, regardless of severity of anxiety/depression, where the Rainbow Index score was better. Country-level policies interact with downstream sexual behaviours and anxiety/depression to structurally influence HIV diagnosis among MSM in Europe. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of HIV infections
HIV prevention
HEALTH policy
SOCIAL determinants of health
HUMAN sexuality
MENTAL health
SURVEYS
SEX customs
SEXUAL minorities
LGBTQ+ people
HEALTH behavior
MENTAL depression
RESEARCH funding
MEN who have sex with men
LOGISTIC regression analysis
ANXIETY
SECONDARY analysis
UNSAFE sex
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 26
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 159103109
- Full Text :
- https://doi.org/10.1007/s10461-022-03683-9