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      Age Cohort Differences in the Effects of Gay-Related Stigma, Anxiety and Identification with the Gay Community on Sexual Risk and Substance Use

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          Abstract

          Different cohorts of gay/bisexual men experience unique developmental factors given their distinct socio-historical contexts. This study examined the moderating effects of age on three psychosocial predictors of HIV risk behavior and substance use. Analyses drew on data from a study of substance using HIV-negative and unknown status gay/bisexual men (N= 302) at risk for HIV infection. Anxiety was a strong independent predictor of sexual risk and substance use, and its effects on the sex risk outcomes were moderated by age, such that older and more anxious participants had more frequent instances of sexual risk. Identification with the gay community protected against HIV risk, and its effects on sex risk outcomes were moderated by age, such that younger participants who identified with the gay community reported less sexual risk. Understanding HIV risk within socio-historical contexts is essential in tailoring prevention by taking into account recipients' ages.

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          Most cited references40

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          Emerging adulthood. A theory of development from the late teens through the twenties.

          J Arnett (2000)
          Emerging adulthood is proposed as a new conception of development for the period from the late teens through the twenties, with a focus on ages 18-25. A theoretical background is presented. Then evidence is provided to support the idea that emerging adulthood is a distinct period demographically, subjectively, and in terms of identity explorations. How emerging adulthood differs from adolescence and young adulthood is explained. Finally, a cultural context for the idea of emerging adulthood is outlined, and it is specified that emerging adulthood exists only in cultures that allow young people a prolonged period of independent role exploration during the late teens and twenties.
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            The analysis of count data: a gentle introduction to poisson regression and its alternatives.

            Count data reflect the number of occurrences of a behavior in a fixed period of time (e.g., number of aggressive acts by children during a playground period). In cases in which the outcome variable is a count with a low arithmetic mean (typically < 10), standard ordinary least squares regression may produce biased results. We provide an introduction to regression models that provide appropriate analyses for count data. We introduce standard Poisson regression with an example and discuss its interpretation. Two variants of Poisson regression, overdispersed Poisson regression and negative binomial regression, are introduced that may provide more optimal results when a key assumption of standard Poisson regression is violated. We also discuss the problems of excess zeros in which a subgroup of respondents who would never display the behavior are included in the sample and truncated zeros in which respondents who have a zero count are excluded by the sampling plan. We provide computer syntax for our illustrations in SAS and SPSS. The Poisson family of regression models provides improved and now easy to implement analyses of count data. [Supplementary materials are available for this article. Go to the publisher's online edition of Journal of Personality Assessment for the following free supplemental resources: the data set used to illustrate Poisson regression in this article, which is available in three formats-a text file, an SPSS database, or a SAS database.].
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              The timeline followback reports of psychoactive substance use by drug-abusing patients: psychometric properties.

              The Timeline Followback (TLFB; L. C. Sobell & M. B. Sobell, 1996) interview, which uses a calendar method developed to evaluate daily patterns and frequency of drinking behavior over a specified time period, has well-established reliability and validity for assessing alcohol consumption. Although several investigators have used the TLFB to evaluate drug-using behavior, few studies have examined the psychometric properties of the interview for this purpose. The authors conducted TLFB interviews with a sample of adult drug-abusing patients seeking treatment for substance abuse (n = 113) at baseline, posttreatment, and quarterly thereafter for 12 months. It was found that the patients' reports about their drug consumption using this method generally had high (a) retest reliability, (b) convergent and discriminant validity with other measures, (c) agreement with collateral informants' reports of patients' substance use, and (d) agreement with results from patients' urine assays.
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                Author and article information

                Journal
                AIDS and Behavior
                AIDS Behav
                Springer Nature
                1090-7165
                1573-3254
                January 2013
                October 30 2011
                : 17
                : 1
                : 340-349
                Article
                10.1007/s10461-011-0070-4
                3549001
                22038078
                cca0f31e-dd39-450a-bf7e-ac9a5fb3a948
                © 2011
                History

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