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1. Factors related to condomless anal intercourse between men who have sex with men

Author

Sherriff, Nigel Stuart, Jones, Anna Marie, Mirandola, Massimo, Gios, Lorenzo, Marcus, Ulrich, Llewellyn, Carrie D., Rosinska, Magdalena, Folch, Cinta, Dias, Sónia, Toskin, Igor A., Alexiev, Ivailo, Kühlmann-Berenzon, Sharon, Piedade, João Mário Brás da Piedade, Network, Sialon II, Escola Nacional de Saúde Pública (ENSP), Centro de Investigação em Saúde Pública (CISP/PHRC), Global Health and Tropical Medicine (GHTM), and Instituto de Higiene e Medicina Tropical (IHMT)

Subjects
Respondent-driven sampling, Time-location sampling, SDG 3 - Good Health and Well-being, Public Health, Environmental and Occupational Health, virus diseases, HIV, MSM, Relationships
Abstract

© The Author(s) 2019. Published by Oxford University Press on behalf of Faculty of Public Health. BACKGROUND: Relationship status is an important factor associated with condomless anal intercourse (CAI) amongst men who have sex with men (MSM). METHODS: A multi-centre bio-behavioural survey with MSM was conducted in 13 European cities (n = 4901) exploring factors associated with CAI via bivariate and multivariate multilevel logistic regression analyses. RESULTS: Likelihood of CAI with casual partners was associated with being 'out' to a majority (AOR = 1.19;95% CI 1,1.42); knowing their HIV status (AOR = 1.86; 95% CI 1.25,2.76); using substances (1-2 AOR = 1.39; 95% CI 1.16,1.63, 2+ AOR = 1.81; 95% CI 1.35,2.42); being older (AOR = 0.98; 95% CI 0.97,0.99); successful sero-communication (AOR = 0.79; 95% CI 0.67,0.94); and, not having a recent HIV test (AOR = 0.78; 95% CI 0.66,0.92). CAI with steady partners was associated with successful sero-communication (AOR = 2.72; 95% CI 2.72,3.66); not having a recent HIV test (AOR = 1.26; 95% CI 1.09,1.46), and; being older (AOR = 0.99; 95% CI 0.98,0.99). CONCLUSIONS: Understandings of partner type and/or relationship status in relation to CAI amongst MSM can potentially play an important role in the development of culturally appropriate HIV/STI prevention and risk-reduction efforts targeting at-risk MSM. Our results speak to the need to consider segmented and tailored public health and health promotion initiatives for MSM with differing CAI behaviours and relationship profiles. publishersversion published

Published
2020

2. Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey.

Author

Sherriff, N S, Jones, A M, Mirandola, M, Gios, L, Marcus, U, Llewellyn, C, Rosinska, M, Folch, C, Dias, S, Toskin, I, Alexiev, I, Kühlmann-Berenzon, S, and Network, Sialon II

Subjects
AGE distribution, CHI-squared test, CONFIDENCE intervals, HIV infections, MULTIVARIATE analysis, QUESTIONNAIRES, RISK-taking behavior, SUBSTANCE abuse, ANAL sex, MULTIPLE regression analysis, HARM reduction, UNSAFE sex, CROSS-sectional method, DATA analysis software, MEN who have sex with men, SEXUAL partners, STATISTICAL models, DESCRIPTIVE statistics, ODDS ratio
Abstract

Background Relationship status is an important factor associated with condomless anal intercourse (CAI) amongst men who have sex with men (MSM). Methods A multi-centre bio-behavioural survey with MSM was conducted in 13 European cities (n = 4901) exploring factors associated with CAI via bivariate and multivariate multilevel logistic regression analyses. Results Likelihood of CAI with casual partners was associated with being 'out' to a majority (AOR = 1.19;95% CI 1,1.42); knowing their HIV status (AOR = 1.86; 95% CI 1.25,2.76); using substances (1–2 AOR = 1.39; 95% CI 1.16,1.63, 2+ AOR = 1.81; 95% CI 1.35,2.42); being older (AOR = 0.98; 95% CI 0.97,0.99); successful sero-communication (AOR = 0.79; 95% CI 0.67,0.94); and, not having a recent HIV test (AOR = 0.78; 95% CI 0.66,0.92). CAI with steady partners was associated with successful sero-communication (AOR = 2.72; 95% CI 2.72,3.66); not having a recent HIV test (AOR = 1.26; 95% CI 1.09,1.46), and; being older (AOR = 0.99; 95% CI 0.98,0.99). Conclusions Understandings of partner type and/or relationship status in relation to CAI amongst MSM can potentially play an important role in the development of culturally appropriate HIV/STI prevention and risk-reduction efforts targeting at-risk MSM. Our results speak to the need to consider segmented and tailored public health and health promotion initiatives for MSM with differing CAI behaviours and relationship profiles. [ABSTRACT FROM AUTHOR]

Published
2020
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