Social anxiety as a risk factor for unprotected intercourse among gay and bisexual male youth

AIDS and Behavior

Volumn 9, Issue 4, 2005, Pages 505-512

  Hart, Trevor A ^a   Heimberg, Richard G ^b  

^a YORK UNIVERSITY   (Canada)

^b TEMPLE UNIVERSITY   (United States)

Author keywords

Adolescents; Anal intercourse; Bisexual; Gay; HIV prevention; Sexual behavior; Social anxiety; Youth

Indexed keywords

ADOLESCENT; ADULT; ANXIETY; ARTICLE; BISEXUALITY; CLINICAL EXAMINATION; CONDOM; CONTROLLED STUDY; GENDER; HUMAN; HUMAN EXPERIMENT; JUVENILE; MALE; NORMAL HUMAN; PREDICTION; PROBABILITY; PROTECTION; RISK FACTOR; SEXUAL INTERCOURSE; SOCIAL BEHAVIOR; SOCIAL SUPPORT;

ADOLESCENT; ADULT; ANXIETY; BISEXUALITY; HIV INFECTIONS; HOMOSEXUALITY, MALE; HUMANS; MALE; RISK FACTORS; UNSAFE SEX;

EID: 32144448920     PISSN: 10907165     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10461-005-9021-2     Document Type: Article

References (43)

1. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed. - text revision). Washington, DC: Author.
2. Baron, R. M., and Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182.
3. Brooks-Gunn, J., and Rotherman-Borus, M. J. (1994). Rights to privacy in research: Adolescents versus parents. Ethics and Behavior, 4, 102-121.
4. Brown, E. J., Turovsky, J., Heimberg, R. G., Juster, H. R., Brown, T. A., and Barlow, D. H. (1997). Validation of the Social Interaction Anxiety Scale and the Social Phobia Scale across the anxiety disorders. Psychological Assessment, 9, 21-27.
5. Carballo-Dieguez, A., Dolezal, C., Nieves Rosa, L., Díaz, F., Decena, C., and Balan, I. (2004). Looking for a tall, dark, macho man. Sexual-role behavior variations according to partner characteristics in Latino gay and bisexual men. Culture, Health and Sexuality, 6, 159-171.
6. Carey, M. P., Braaten, L. S., Maisto, S. A., Gleason, J. R., Forsyth, A. D., Durant, L. E., and Jaworski, B. C. (2000). Using information, motivational enhancement, and skills training to reduce the risk of HIV infection among low-income women: A second randomized clinical trial. Health Psychology, 19, 3-11.
7. Carrigan, M. H., and Randall, C. L. (2003). Self-medication in social phobia: A review of the alcohol literature. Addictive Behaviors, 28, 269-284.
8. Compas, B. E., Slavin, L. A., Wagner, B. M., and Vannatta, K. (1986). Relationship of life events and social support with psychological dysfunction among adolescents. Journal of Youth and Adolescence, 15, 205-221.
9. Crick, N. R., and Ladd, G. W. (1993). Children's perceptions of their peer experiences: Attributions, loneliness, social anxiety, and social avoidance. Developmental Psychology, 29, 244-254.
10. D'Attilio, J. P., Campbell, B. M., Lubold, P., Jacobson, T., and Richard, J. A. (1992). Social support and suicide potential: Preliminary findings for adolescent populations. Psychological Reports, 70, 76-78.
11. Fisher, C. B. (1993). Integrating science and ethics in research with high-risk children and youth. Social Policy Report: Society for Research in Child Development, 7, 1-26.
12. Hart, T. A., Jack, M. S., Turk, C. L., and Heimberg, R. G. (1999). Issues for the measurement of social phobia. In H. G. M. Westenberg and J. A. den Boer (Eds.), Social phobia: Recent trends and progress (pp. 133-155) Amsterdam: Syn-Thesis Publishers.
13. Hays, R. B., Kegeles, S. M., and Coates, T. J. (1997). Unprotected sex and HIV risk taking among young gay men within boyfriend relationships. AIDS Education and Prevention, 9, 314-329.
14. Heimberg, R. G., Horner, K. J., Juster, H. R., Safren, S. A., Brown, E. J., Schneier, F. R., and Liebowitz, M. R. (1999). Psychometric properties of the Liebowitz Social Anxiety Scale. Psychological Medicine, 29, 199-212.
15. Heimberg, R. G., Mueller, G. P., Holt, C. S., Hope, D. A., and Liebowitz, M. R. (1992). Assessment of anxiety in social interaction and being observed by others: The Social Interaction Anxiety Scale and the Social Phobia Scale. Behavior Therapy, 23, 53-73.
16. Hingson, R. W., Strunin, L., Berlin, B. M., and Heeren, T. (1990). Beliefs about AIDS, use of alcohol and drugs, and unprotected sex among Massachusetts adolescents. American Journal of Public Health, 80, 295-299.
17. Ishiyama, F. I. (1984). Shyness: Anxious social sensitivity and self-isolating tendency. Adolescence, 19, 903-911.
18. Kelly, J. A., and Kalichman, S. C. (1998). Reinforcement value of unsafe sex as a predictor of condom use and continued HIV/AIDS risk behavior among gay and bisexual men. Health Psychology, 17, 328-335.
19. Kelly, J. A., Murphy, D. A., Washington, C. D., Wilson, T. S., Koob, J. J., Davis, D. R., Ledezma, G., and Davantes, B. (1994). The effects of HIV/AIDS intervention groups for high-risk women in urban clinics. American Journal of Public Health, 84, 1918-1922.
20. La Greca, A. M., and Lopez, N. (1998). Social anxiety among adolescents: Linkages with peer relations and friendships. Journal of Abnormal Child Psychology, 26, 83-94.
21. Leary, M. R., and Dobbins, S. E. (1983). Social anxiety, sexual behavior, and contraceptive use. Journal of Personality and Social Psychology, 45, 1347-1354.
22. Leary, M. R., and Kowalski, R. M. (1995). Social anxiety. New York: Guilford.
23. Leitenberg, H. (1990). Introduction. In H. Leitenberg (Ed.), Handbook of social and evaluation anxiety (pp. 1-8). New York: Plenum.
24. Lemp, G. F., Hirozawa, A. M., Givertz, D., Nieri, G. N., Anderson, L., Lindegren, M. L., Janssen, R. S., and Katz, M. (1994). Seroprevalence of HIV and risk behaviors among young homosexual and bisexual men: The San Francisco/Berkeley Young Men's Survey. Journal of the American Medical Association, 272, 449-454.
25. Lo Conte, J. S., O'Leary, A., and Labouvie, E. (1997). Psychosocial correlates of HIV-related sexual behavior in an inner city STD clinic. Psychology and Health, 12, 589-601.
26. Mansergh, G., and Marks, G. (1998). Age and risk of HIV infection in men who have sex with men. AIDS, 12, 1119-1128.
27. Mattick, R. P., and Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455-470.
28. McNeil, D. W., Ries, B. J., and Turk, C. L. (1995). Behavioral assessment: Self-report, physiology, and overt behavior. In: R. G. Heimberg, M. R. Liebowitz, D.A. Hope, and F. R. Schneier (Eds.), Social phobia: diagnosis, assessment, and treatment (pp. 202-231). New York: Guilford.
29. Molitor, F., Facer, M., and Ruiz, J. D. (1999). Safer sex communication and unsafe sexual behavior among young men who have sex with men in California. Archives of Sexual Behavior, 28, 335-343.
30. Offir, J. T., Fisher, J. D., Williams, S. S., and Fisher, W. A. (1993). Reasons for inconsistent AIDS-preventive behaviors among gay men. Journal of Sex Research, 30, 62-69.
31. Ries, B. J., McNeil, D. W., Boone, M. L., Turk, C. L., Carter, L. E., and Heimberg, R G. (1998). Assessment of contemporary social phobia verbal report instruments. Behaviour Research and Therapy, 36, 983-994.
32. Safren, S. A., and Heimberg, R. G. (1999). Depression, hopelessness, suicidality, and related factors in sexual minority and heterosexual adolescents. Journal of Consulting and Clinical Psychology, 67, 859-866.
33. Safren, S. A., and Pantalone, D. (2005). Social anxiety and barriers to resilience in lesbian, gay, and bisexual adolescents. In Omoto, A. M., and Kurtzman, H. (Eds.), Sexual Orientation and Mental Health: Examining Identity and Development in Lesbian, Gay, and Bisexual People(pp. 55-71). Washington, DC: American Psychological Association.
34. Sarason, I. G., Levine, H. M., Basham, R. B., and Sarason, B. R. (1983). Assessing social support: The Social Support Questionnaire. Journal of Personality and Social Psychology, 44, 127-139.
35. Sarason, I. G., Sarason, B. R., Shearin, E. N., and Pierce, G. R. (1987). A brief measure of social support: Practical and theoretical implications. Journal of Social and Personal Relationships, 4, 497-510.
36. Siegel, K., Krauss, B. J., and Karus, D. (1994). Reporting recent sexual practices: Gay men's disclosure of HIV risk by questionnaire and interview. Archives of Sexual Behavior, 23, 217-239.
37. Society for Adolescent Medicine (1995). Guidelines for adolescent health research. Journal of Adolescent Health, 17, 264-269.
38. Strathdee, S.A., Hogg, R. S., Martindale, S. L., Cornelisse, P. G., Craib, K. J., Montaner, J. S., O'Shaughnessy, M. V., and Schechter, M. T. (1998). Determinants of sexual risk-taking among young HIV-negative gay and bisexual men. Journal of AIDS and Human Retrovirology, 19, 61-66.
39. Stueve, A., O'Donnell, L., Duran, R., San Doval, A., Geier, J., and the Community Intervention Trial for Youth Study Team (2002). Being high and taking sexual risks: Findings from a multisite survey of urban young men who have sex with men. AIDS Education and Prevention, 14, 482-495.
40. Turk, C. L., Coles, M., and Heimberg, R. G. (2002). Psychotherapy for social phobia. In D. J. Stein and E. Hollander (Eds.), Textbook of anxiety disorders (pp. 323-339). Washington, DC: American Psychiatric Press.
41. Valleroy, L. A. MacKellar, D. A., Karon, J. M., Rosen, D. H., McFarland, W., Shehan, D. A., Stoyanoff, S. R., LaLota, M., Celentano, D. D., Koblin, B. A., Thiede, H., Katz, M. H., Torian, L. V., and Janssen, R. S. (2000). HIV prevalence and associated risks in young men who have sex with men. Journal of the American Medical Association, 284, 198-204.
42. Vittinghoff, E., Douglas, J., Judson, F., McKirnan, D., MacQueen, K., and Buchbinder, S. P. (1999). Per-contact risk of Human Immunodeficiency Virus transmission between male sexual partners. American Journal of Epidemiology, 150, 306-311.
43. Wight, R. G., Rotheram-Borus, M. J., Klosinski, L., Ramos, B., Calabro, M., and Smith, R. (2000). Screening for transmission behaviors among HIV-infected adults. AIDS Education and Prevention, 12, 431-441.