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Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey.
- Source :
- Journal of Public Health; Jun2020, Vol. 42 Issue 2, pe174-e186, 13p
- Publication Year :
- 2020
-
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]
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 17413842
- Volume :
- 42
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 143456343
- Full Text :
- https://doi.org/10.1093/pubmed/fdz052