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Record W4412603264 · doi:10.1080/00918369.2025.2534557

Relationship Breakup Impact on Mental Health and Safer Sex Among Men Who Have Sex with Men in the United Kingdom

2025· article· en· W4412603264 on OpenAlexafffund
Francesco Avallone, Kim Engler, Bertrand Lebouché, Ford Hickson

Bibliographic record

VenueJournal of Homosexuality · 2025
Typearticle
Languageen
FieldMedicine
TopicHIV/AIDS Research and Interventions
Canadian institutionsRoyal Victoria HospitalMcGill UniversityRoyal Victoria Regional Health CentreMcGill University Health Centre
FundersConsumers, Health, Agriculture and Food Executive AgencyFonds de Recherche du Québec - SantéKoch Institute for Integrative Cancer Research, Massachusetts Institute of TechnologyRobert Koch InstitutEuropean CommissionLondon School of Hygiene and Tropical Medicine
KeywordsMental healthPsychologySafer sexMen who have sex with menHomosexualityGender studiesDemographyPsychiatrySociologyMedicineCondomHuman immunodeficiency virus (HIV)Family medicine

Abstract

fetched live from OpenAlex

This study investigated the impact of breakup recency and relationship status on mental health (anxiety, depression, suicidal ideation, possible alcohol dependence, sexual unhappiness, worry about drug use) and safer sex (sexual assertiveness and non-steady condomless partners) among men who have sex with men (MSM) in the United Kingdom (UK). We analyzed data from 11,763 UK-based MSM in the European MSM Internet Survey. ANOVAs were run to explore differences in mental health across breakup recency (< 6 months, 6–12 months, 1–5 years, and >5 years ago). Logistic regressions (adjusting for age and HIV status) were used to compare partnered MSM on mental health and safer sex with MSM who had broken up in the last 6 months. ANOVAs revealed significant downward trends for anxiety/depression (F(1) = 11.384, G = −0.061, p < 0.001) and alcohol dependence (F(1) = 10.679, G = −0.084, p < 0.001), decreasing as time passed since the breakup. Sexual unhappiness followed a reverse pattern (F(1) = 82.15, G = 0.137, p < 0.001). Logistic regressions showed that compared to partnered MSM, those who broke up within the past 6 months reported significantly higher levels of anxiety/depression (aOR = 1.55, p < 0.001), suicidal ideation (aOR = 1.63, p < 0.001), alcohol dependence (aOR = 1.21, p < 0.001), and sexual unhappiness (aOR = 1.66, p < 0.001). MSM who have recently experienced breakups may face temporary mental/sexual health challenges, warranting targeted support.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.103
Threshold uncertainty score0.343

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.053
GPT teacher head0.413
Teacher spread0.360 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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