Consistency of Condom Use During Receptive Anal Intercourse Among Women and Men Who Have Sex With Men

Objective. To classify the infection risk of human papillomavirus (HPV) among human immunodeficiency virus- (HIV-) negative men who have sex with men (MSM) using group-based trajectory modeling (GBTM). Methods. This study collected data on demographic and sexual behavior characteristics by questionnaires at semiannual visits from March 1st, 2016 to December 31th, 2017. Researchers collected anal exfoliated cells to finish HPV testing and blood samples to finish HIV testing at baseline and follow-up visits. Accumulative infection numbers of different types of HPV as the primary outcome and the follow-up visits as the independent predicator to build a GBTM model. Results. There were 500 potentially eligible HIV-negative participants at baseline, 361 (72.2%) of whom were included in this study after screening. Three trajectory groups were identified as the best-fitted GBTM model. Trajectory 1, defined as decreased group (DG) accounted for 44.6% (161/361) of the sample, showed a declining pattern with visits. Trajectory 2, defined as flat group (FG) accounted for 49.6% (179/361) of the sample, showed a flat pattern with visits. Trajectory 3, regarded as the increased group (IG) accounted for 5.8% (21/361) of the sample, showed an uptrend. Compared to the DG, risk factors for the FG included receptive anal intercourse (AOR, 2.24; 95% CI, 1.36-3.71), occasional condom use in anal sex during the past six months (AOR, 1.90; 95% CI, 1.16-3.14), experience of transactional sex with males in the past year (AOR, 3.60; 95% CI, 1.12-11.54), and substance use (AOR, 1.81; 95% CI, 1.08-3.04). Risk factors for the IG included receptive anal intercourse (AOR, 2.81; 95% CI, 1.04-7.70), occasional condom use in anal sex during the past six months (AOR, 3.93; 95% CI, 1.40-11.01), and history of other STIs (AOR, 5.72; 95% CI, 1.40-23.46). Conclusion. The MSM data in this study showed three distinct developmental trajectories (DG, FG, and IG) of HPV infection among HIV-negative MSM, with receptive anal intercourse and occasional condom use in anal sex during the past six months being the risk factors associated with FG and IG.

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Factors Associated with Condom Use in Anal Intercourse Among Spanish Men Who Have Sex with Men: Proposal for an Explanatory Model

AIDS and Behavior ◽

10.1007/s10461-021-03282-0 ◽

2021 ◽

Author(s):

Vicente Morell-Mengual ◽

M. Dolores Gil-Llario ◽

Olga Fernádez-García ◽

Rafael Ballester-Arnal

Keyword(s):

Condom Use ◽

Anal Intercourse ◽

Explanatory Model ◽

Factors Associated ◽

Sex With Men

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How condom use, number of receptive anal intercourse partners and history of external genital warts predict risk for external anal warts

International Journal of STD & AIDS ◽

10.1258/0956462053420176 ◽

2005 ◽

Vol 16 (3) ◽

pp. 203-211 ◽

Cited By ~ 9

Author(s):

D J Wiley ◽

Diane M Harper ◽

David Elashoff ◽

Michael J Silverberg ◽

Christine Kaestle ◽

...

Keyword(s):

Condom Use ◽

Anal Intercourse ◽

Consistent Condom ◽

Prior History ◽

Receptive Anal Intercourse ◽

Protective Effects ◽

Lifetime Number ◽

History Of ◽

Anal Warts ◽

External Genital Warts

Few analytic opportunities have allowed us to evaluate the role that specific sexual acts and male latex condoms play in the acquisition of external anal warts (EAW) using longitudinal data. The acquisition of EAWs occurs from epithelial contact with other HPV-infected surfaces, and hence is dependent upon sexual behaviour. Our objectives were to classify the relative importance of condom use, receptive anal intercourse (RAI) and prior history of EGWs on acquisition of EAWs. The observational Multicenter AIDS Cohort Study followed 2925 men over nine semiannual study visits for behavioural and physical examinations with laboratory testing. The main outcome measure was the occurrence of examiner-diagnosed EAWs in a homosexual population. EAWs were diagnosed among 10% of men studied across 22,157 visits reviewed for this study. Men with history of EGWs were more likely than those previously unaffected to have developed EAWs (cOR = 2.4 (2.0, 2.9)), as were men who reported multiple anoreceptive intercourse partners (e.g., compared with men who reported no RAI partners, men with 1, 2–5, ≥6 RAI partners had crude risk ratios 1.0 (0.8, 1.3), 1.6 (1.2, 2.1), 3.9 (2.7, 5.8), respectively). These relations persisted after other demographic and sexual risk factors were controlled for in the analyses. Consistent condom usage showed no protective effect for EAWs in our crude or adjusted analyses. Patient education messages should be tailored to reflect our uncertainty about the protective nature of condoms for the development of anal warts, but to continue to assert the protective effects of a limited lifetime number of sexual partners and the heightened risk for wart recurrence once infected.

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Binge drinking concurrent with anal intercourse and condom use among men who have sex with men

AIDS Care ◽

10.1080/09540121.2016.1191616 ◽

2016 ◽

Vol 28 (12) ◽

pp. 1566-1570 ◽

Cited By ~ 12

Author(s):

Christopher Rowe ◽

Todd Liou ◽

Eric Vittinghoff ◽

Philip O. Coffin ◽

Glenn-Milo Santos

Keyword(s):

Condom Use ◽

Binge Drinking ◽

Anal Intercourse ◽

Sex With Men

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Getting to the Bottom of It: Sexual Positioning and Stage of Syphilis at Diagnosis, and Implications for Syphilis Screening

Clinical Infectious Diseases ◽

10.1093/cid/ciz802 ◽

2019 ◽

Vol 71 (2) ◽

pp. 318-322

Author(s):

Vincent J Cornelisse ◽

Eric P F Chow ◽

Rosie L Latimer ◽

Janet Towns ◽

Marcus Chen ◽

...

Keyword(s):

Health Centre ◽

Anal Intercourse ◽

Human Immunodeficiency Virus Status ◽

Secondary Syphilis ◽

Multivariable Logistic Regression Analysis ◽

Computer Assisted ◽

Receptive Anal Intercourse ◽

Primary Stage ◽

Primary Syphilis ◽

Sex With Men

Abstract Background Syphilis control among men who have sex with men (MSM) would be improved if we could increase the proportion of cases who present for treatment at the primary stage rather than at a later stage, as this would reduce their duration of infectivity. We hypothesized that MSM who practiced receptive anal intercourse were more likely to present with secondary syphilis, compared to MSM who did not practice receptive anal intercourse. Methods In this retrospective analysis of MSM diagnosed with primary or secondary syphilis at Melbourne Sexual Health Centre between 2008 and 2017, we analyzed associations between the stage of syphilis (primary vs secondary) and behavioral data collected by computer-assisted self-interviews. Results There were 559 MSM diagnosed with primary (n = 338) or secondary (n = 221) syphilis. Of these, 134 (24%) men reported not practicing receptive anal sex. In multivariable logistic regression analysis, MSM were more likely to present with secondary rather than primary syphilis if they reported practicing receptive anal intercourse (adjusted odds ratio 3.90; P < .001) after adjusting for age, human immunodeficiency virus status, and condom use. MSM with primary syphilis who did not practice receptive anal intercourse almost always (92%) had their primary syphilis lesion on their penis. Conclusions The finding that MSM who practiced receptive anal intercourse more commonly presented with secondary syphilis—and hence, had undetected syphilis during the primary stage—implies that anorectal syphilis chancres are less noticeable than penile chancres. These men may need additional strategies to improve early detection of anorectal chancres, to reduce their duration of infectivity and, hence, reduce onward transmission. Men who practiced receptive anal intercourse (AI) were more likely to present with secondary syphilis, compared to men who exclusively practiced insertive AI. Hence, men who practice receptive AI may need additional strategies to detect anal chancres, to reduce transmission.

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P11.03 Lubricant use during receptive anal intercourse and rectal chlamydial and gonococcal infections among men who have sex with men

Sexually Transmitted Infections ◽

10.1136/sextrans-2015-052270.453 ◽

2015 ◽

Vol 91 (Suppl 2) ◽

pp. A174.2-A174

Author(s):

C Maierhofer ◽

CE Rice ◽

KS Fields ◽

M Ervin ◽

AN Turner

Keyword(s):

Anal Intercourse ◽

Receptive Anal Intercourse ◽

Sex With Men

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Condom Use during Most Recent Anal Intercourse Event among a U.S. Sample of Men Who Have Sex with Men

Journal of Sexual Medicine ◽

10.1111/j.1743-6109.2012.02650.x ◽

2012 ◽

Vol 9 (4) ◽

pp. 1037-1047 ◽

Cited By ~ 44

Author(s):

Joshua G. Rosenberger ◽

Michael Reece ◽

Vanessa Schick ◽

Debby Herbenick ◽

David S. Novak ◽

...

Keyword(s):

Condom Use ◽

Anal Intercourse ◽

Sex With Men

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Body Mass Index, Body Esteem, and Unprotected Receptive Anal Intercourse Among Young Men Who Have Sex with Men Who Seek Partners Online

Archives of Sexual Behavior ◽

10.1007/s10508-013-0159-0 ◽

2013 ◽

Vol 43 (4) ◽

pp. 735-744 ◽

Cited By ~ 7

Author(s):

Steven Meanley ◽

Andrew Hickok ◽

Michelle Marie Johns ◽

Emily S. Pingel ◽

José A. Bauermeister

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Young Men ◽

Body Esteem ◽

Anal Intercourse ◽

Receptive Anal Intercourse ◽

Unprotected Receptive Anal Intercourse ◽

Sex With Men

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Comparing non-occupational post-exposure prophylaxis drug regimens for HIV: insights from a linked HIV surveillance system

Sexual Health ◽

10.1071/sh16132 ◽

2017 ◽

Vol 14 (2) ◽

pp. 179 ◽

Cited By ~ 2

Author(s):

Anna B. Pierce ◽

Carol El-Hayek ◽

Damien McCarthy ◽

Jude Armishaw ◽

Kerrie Watson ◽

...

Keyword(s):

Anal Intercourse ◽

Post Exposure Prophylaxis ◽

Receptive Anal Intercourse ◽

Hiv Diagnosis ◽

Hiv Surveillance ◽

Post Exposure ◽

Hiv Serostatus ◽

Drug Regimens ◽

Sex With Men ◽

Exposure Prophylaxis

Background International non-occupational post-exposure prophylaxis (NPEP) guidelines recommend routine use of three drug NPEP regimens, despite absence of evidence for greater prevention efficacy compared with two drug regimens. This study examines the potential for excess HIV seroconversions among high-risk men who have sex with men (MSM) reporting receptive anal intercourse with a source of unknown HIV serostatus (RAIU) following a two-drug versus a three-drug NPEP regimen. Methods: Data for MSM in the Victorian NPEP service database between 10 August 2005 and 31 December 2012 were linked with all Victorian HIV notifications up to 31 December 2013. The primary outcome was NPEP failure following NPEP presentation among MSM reporting RAIU, stratified by the number of drugs prescribed. Results: Among 1482 MSM reporting 2002 episodes of RAIU and prescribed two- or three-drug NPEP, 70 seroconverted to HIV, but only 19 were considered possible NPEP failures. HIV diagnosis incidence among men reporting RAIU was 1.2/100 person years (PY) (95%CI = 1.0–1.6); 1.1/100 PY (95%CI = 0.8–1.4) among MSM prescribed two drugs and 2.2/100 PY (95%CI = 1.4–3.7) among MSM prescribed three drugs (P < 0.01). Of the 19 possible NPEP failures, 13 (0.7%) were prescribed two drugs and six (2.7%) three drugs (P < 0.001). Conclusions: This study suggests that two-drug NPEP regimens do not result in excess seroconversions compared with three-drug regimens when used following RAIU. Clinical services should carefully consider their use of three drug NPEP and whether resources might be better invested in other prevention strategies, particularly pre-exposure prophylaxis (PrEP).

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