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Adolescent and non-consensual anal sexual debut among Chinese men who have sex with men: a cross-sectional study
- Source :
- BMC Infectious Diseases, BMC Infectious Diseases, Vol 20, Iss 1, Pp 1-9 (2020)
- Publication Year :
- 2020
- Publisher :
- Research Square Platform LLC, 2020.
-
Abstract
- Background Adolescent sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection in adulthood among men who have sex with men (MSM) in high-income countries. This study aimed to examine adolescent and non-consensual anal sexual debut among Chinese MSM and to evaluate factors associated with adolescent sexual debut and non-consensual anal sex. Methods A cross-sectional study was conducted recently among Chinese men assigned male sex at birth, ≥18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual. Factors associated with an adolescent sexual debut ( Results Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD = 4.3) years old. 17.6% (358/2031) of men reported adolescent sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. The adolescent sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06–1.15) and condomless anal sex in the last three months (AOR = 1.71, 95% CI 1.34–2.18). MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR = 1.76, 95% CI 1.17–2.66), and to have reported an adolescent sexual debut (AOR = 2.72, 95% CI 1.75–4.21). Conclusions Many Chinese MSM reported adolescent sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for designing tailored interventions for MSM who experienced adolescent sexual debut and non-consensual sex at debut.
- Subjects :
- Adult
Male
China
Adolescent
Chinese men
Cross-sectional study
media_common.quotation_subject
Sexual Behavior
education
HIV Infections
Men who have sex with men
lcsh:Infectious and parasitic diseases
Condoms
03 medical and health sciences
Young Adult
0302 clinical medicine
Risk-Taking
Asian People
Non-consensual sex
Surveys and Questionnaires
Prevalence
Odds Ratio
Medicine
Humans
lcsh:RC109-216
030212 general & internal medicine
Homosexuality
Young adult
Homosexuality, Male
reproductive and urinary physiology
media_common
030505 public health
Men who have sex with men (MSM)
business.industry
HIV
Odds ratio
Infectious Diseases
Cross-Sectional Studies
Behaviors
Tailored interventions
Sexual debut
0305 other medical science
business
Anal sex
Demography
Research Article
Subjects
Details
- ISSN :
- 14712334
- Database :
- OpenAIRE
- Journal :
- BMC Infectious Diseases, BMC Infectious Diseases, Vol 20, Iss 1, Pp 1-9 (2020)
- Accession number :
- edsair.doi.dedup.....a1642154a2037dffb07fc0d8dff6df25