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Generational analysis of trends in unprotected sex in France among men who have sex with men: The major role of context-driven evolving patterns
- Source :
- PLoS ONE, Vol 12, Iss 2, p e0171493 (2017), PLoS ONE
- Publication Year :
- 2017
- Publisher :
- Public Library of Science (PLoS), 2017.
-
Abstract
- Objective Using a generational approach, this study analyses how unprotected anal intercourse has evolved since 1991 in France across different generations of men who have sex with men (MSM) whose sexual lives began at different periods in the history of the HIV epidemic. Design Data were collected from 18–59 year-old respondents to the French Gay Press surveys Enquêtes Presse Gay, conducted repeatedly between 1991 and 2011 (N = 32,196) using self-administered questionnaires distributed in gay magazines and over the internet. Methods Trends in unprotected anal intercourse (i.e. condomless anal sex) with casual partners of unknown or different HIV serostatus (hereafter “UAId” in this manuscript) were studied. Responses were analysed according to year and then reorganised for age-cohort analyses by generation, based on the year respondents turned 18. Results UAId rates fell from 1991 to 1997, and then rose from 13.4% in 1997 to 25.5% in 2011 among seronegative respondents, and from 24.8% to 63.3%, respectively, among seropositive respondents. Both in seropositive and seronegative respondents, UAId increased over time for all generations, indicative of a strong period effect. Conclusion Analyses of data from several generations of MSM who started their sexual lives at different time points in the HIV epidemic, revealed very similar trends in UAId between generations, among both seropositive and seronegative respondents. This strong period effect suggests that sexual behaviours in MSM are influenced more by contextual than generational factors. The fact that prevention practices are simultaneously observed in different generations and that there are most likely underlying prevention norms among MSM, suggests that PrEP could become widely accepted by all generations of MSM exposed to the risk of HIV.
- Subjects :
- RNA viruses
Male
Casual
Epidemiology
Hiv epidemic
Human immunodeficiency virus (HIV)
Unprotected sex
lcsh:Medicine
HIV Infections
Surveys
Pathology and Laboratory Medicine
medicine.disease_cause
Men who have sex with men
Geographical Locations
0302 clinical medicine
Immunodeficiency Viruses
Surveys and Questionnaires
HIV Seropositivity
Public Health Surveillance
030212 general & internal medicine
Computer Networks
lcsh:Science
Multidisciplinary
virus diseases
Viral Load
Middle Aged
Europe
HIV epidemiology
Research Design
Medical Microbiology
Viral Pathogens
Viruses
France
Pathogens
0305 other medical science
Psychology
Anal sex
Research Article
Adult
Computer and Information Sciences
Adolescent
HIV prevention
Men WHO Have Sex with Men
Context (language use)
Research and Analysis Methods
Microbiology
Young Adult
03 medical and health sciences
Virology
Retroviruses
medicine
Humans
Homosexuality, Male
Microbial Pathogens
Medicine and health sciences
Preventive medicine
Internet
Survey Research
030505 public health
Unsafe Sex
Lentivirus
lcsh:R
Organisms
Biology and Life Sciences
HIV
Public and occupational health
Socioeconomic Factors
People and Places
Population Groupings
lcsh:Q
Serostatus
Viral Transmission and Infection
Sexuality Groupings
Demography
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 12
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....be6c21a68180a7a48b8629f00bd0c7e4