Condom Use, Disclosure, and Risk for Unprotected Sex in HIV-Negative Midlife and Older Men Who Have Sex With Men

2012 ◽  
Vol 7 (3) ◽  
pp. 186-197 ◽  
Author(s):  
Robin J. Jacobs ◽  
Michael N. Kane ◽  
Raymond L. Ownby
Keyword(s):  
Sexual Risk ◽  
Anal Intercourse ◽  
Unprotected Sex ◽  
Receptive Anal Intercourse ◽  
Sexual Risk Taking ◽  
Cross Sectional ◽  
Insertive Anal Intercourse ◽  
Sex With Men ◽  
Older Msm ◽  
Hiv Negative

Sexual risk behaviors account for most HIV infections in men who have sex with men (MSM), and the risk of exposure from each sexual encounter increases with age. The focus of this study was to investigate which behaviors in midlife and older MSM influence their sexual risk/protection. Cross-sectional data were collected from a community-based sample of 802 MSM aged 40 years and older from community venues (e.g., bars) who completed an anonymous questionnaire. Data from a subset of 420 MSM who were HIV-negative (aged 40-81 years) were used to investigate which behaviors were associated with greater risk for unprotected anal sex. Regression analyses indicated that erection difficulties (odds ratio [OR] = 4.7; 95% confidence interval [CI] = 1.8-12.2), practicing safe sex with outside partners but not with one’s primary partner (OR = 0.54; 95% CI = 0.3-0.94), and recreational drug use (OR = 2.6; 95% CI = 1.3-5.1) were associated with higher risk for unprotected receptive anal intercourse. Younger age (OR = 0.96; 95% CI = 0.9- 0.9), not telling partners about HIV status (OR = 3.2; 95% CI = 1.5-6.5), finding partners in backrooms/sex clubs (OR = 2.8; 95% CI = 1.1- 6.8), and erection difficulties (OR = 10.3; 95% CI = 2.8-37.8) were associated with higher risk for unprotected insertive anal intercourse. These data indicate there may be certain factors specific to older MSM that influence their sexual risk taking behaviors. Programs may be more effective if they are tailored for older cohorts of MSM and address interpersonal communication, erection problems, and substance use to reduce health risks and promote healthier lifestyles.

Latent classes of partner-seeking venues and sexual risk among men who have sex with men in Paris, France

2020 ◽  
pp. 095646241989901
Author(s):  
Derek T Dangerfield ◽  
Chakema C Carmack ◽  
Tamika D Gilreath ◽  
Dustin T Duncan
Keyword(s):  
Sexual Risk ◽  
Latent Class ◽  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Latent Classes ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Insertive Anal Intercourse ◽  
Sex With Men ◽  
Group Sex

In France, men who have sex with men (MSM) experience the highest HIV incidence. MSM who use multiple venues such as bars and smartphone apps to find sexual partners have greater HIV and sexually transmitted infection risk than those who use a single physical or online venue. To explore the role of venues and sexual behavior on HIV risk, we used latent class analysis to highlight underlying profiles of 580 MSM in Paris, France. Three latent classes emerged: Multi-venue Users (19%), Non-serosorting App Users (49%), and Serosorting App Users (32%). Multi-venue Users had the highest probabilities of condomless receptive anal intercourse (CRAI) and condomless insertive anal intercourse (CIAI), group sex, and meeting partners at venues such as bars or online. Non-serosorting App Users had the lowest probabilities of CRAI, CIAI, and condomless serosorting. Serosorting App Users had an 87% chance of condomless serosorting. MSM reporting a pre-exposure prophylaxis history had 14 and 5 times the odds of being classified as Multi-venue Users and Serosorting App Users than Non-serosorting App Users. MSM were 3% more likely to be Multi-venue Users than Non-serosorting App Users for every one-year increase in age. Interventions addressing sexual risk behaviors among MSM in France should consider tailored risk-reduction and prevention messaging.

scholarly journals Individual-Level, Partnership-Level, and Sexual Event-Level Predictors of Condom Use During Receptive Anal Intercourse Among HIV-Negative Men Who Have Sex with Men in Los Angeles

2015 ◽  
Vol 20 (6) ◽  
pp. 1315-1326 ◽  
Author(s):  
Heather A. Pines ◽  
Pamina M. Gorbach ◽  
Robert E. Weiss ◽  
Cathy J. Reback ◽  
Raphael J. Landovitz ◽  
...  
Keyword(s):  
Los Angeles ◽  
Condom Use ◽  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Individual Level ◽  
Sex With Men ◽  
Hiv Negative

Geosocial networking app use associated with sexual risk behavior, but also PrEP use, among gay, bisexual, and other men who have sex with men: Cross-sectional web-based survey (Preprint)

2021 ◽  
Author(s):  
Laurel Prescott Gibson ◽  
Emily B Kramer ◽  
Angela D. Bryan
Keyword(s):  
Alcohol Use ◽  
Sexual Risk ◽  
Anal Intercourse ◽  
The United States ◽  
Sexual Partners ◽  
Cannabis Use ◽  
Cross Sectional ◽  
Condomless Anal Intercourse ◽  
Geosocial Networking ◽  
Sex With Men

BACKGROUND In the United States, geosocial networking (GSN) applications (i.e., mobile dating apps) have become central to dating and sexual interactions in recent years. Among gay, bisexual, and other men who have sex with men (GBM), these apps play an important role in reducing barriers and facilitating partner-seeking. However, despite these benefits, there are concerns that these apps may facilitate risky sexual behavior and transmission of sexually transmitted infections (STIs) among GBM. OBJECTIVE The present study examined the association between GSN app use and sexual risk among a U.S. sample of GBM. METHODS Using a cross-sectional design, respondents (N = 223) completed an online survey assessing their use of GSN apps, sexual risk and protective behaviors, HIV serostatus, and previous STI diagnoses. RESULTS Respondents were ages 21-78 (M = 31.90, SD = 10.06), 69.5% Non-Hispanic White, and from 40 States and the District of Columbia. Nearly half (47%; n = 104) of the sample reported using GSN apps. GSN users were more likely to report past year condomless anal intercourse (p < .001), 3+ sexual partners in the previous year (p < .001), and a previous STI diagnosis (p = .001) relative to non-users, and also reported more frequent use of recreational drugs before sex (p = .001), alcohol use before sex (p < .001), and cannabis use before sex (p = .01). Interestingly, GSN users were also more likely to report having ever received an HIV test (p < .001) and using pre-exposure prophylaxis (PrEP; p = .03). Rates of HIV seropositivity did not significantly differ between GSN users and non-users (p = .53). Among the subset of GSN users, 38 participants reported using only GBM-specific GSN apps (e.g., Grindr), while 27 participants reported using only sexuality nonspecific GSN apps (e.g., Tinder). Exclusive users of sexual minority-specific apps reported more frequent recreational drug use before sex (p = .01) and were also more likely to report past year condomless anal intercourse (p < .001), 3+ sexual partners in the previous year (p = .004), a previous STI diagnosis (p = .002), and HIV testing (p = .003). Alcohol use before sex, cannabis use before sex, PrEP use, and HIV rates were similar between both groups (ps > .11). CONCLUSIONS Findings suggest that GSN apps may be a useful pathway for interventions aimed at reducing STI-risk among GBM. Future, prospective studies should examine how risk levels change after initiation of GSN app use.

scholarly journals Factors associated with self-reported discrimination against men who have sex with men in Brazil

2017 ◽  
Vol 51 ◽  
pp. 102 ◽  
Author(s):  
Laio Magno ◽  
Inês Dourado ◽  
Luís Augusto V da Silva ◽  
Sandra Brignol ◽  
Ana Maria de Brito ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Low Income ◽  
Community Involvement ◽  
Physical Violence ◽  
Anal Intercourse ◽  
Cross Sectional Study ◽  
Receptive Anal Intercourse ◽  
Cross Sectional ◽  
Sex With Men ◽  
Years Of Schooling

OBJECTIVE: To estimate self-reported discrimination due to sexual orientation among men who have sex with men (MSM) in Brazil and to analyze associated factors. METHODS: A cross-sectional study of 3,859 MSM recruited in 2008–2009 with respondent driven sampling. Data collection conducted in health centers in 10 Brazilian cities. A face-to-face questionnaire was used and rapid HIV and syphilis tests conducted. Aggregated data were weighted and adjusted odds ratio estimated to measure the association between selected factors and self-reported discrimination due to sexual orientation. RESULTS: The sample was predominantly young, eight plus years of schooling, pardo (brown), single, low-income, and identified themselves as gay or homosexual. The prevalence of self-reported discrimination due to sexual orientation was 27.7% (95%CI 26.2–29.1). Discrimination was independently associated with: age < 30 years, more years of schooling,community involvement and support, history of sexual and physical violence, suicidal thoughts, and unprotected receptive anal intercourse. CONCLUSIONS: The prevalence of self-reported discrimination among MSM in Brazil is high. These results challenge the assumptions that MSM-specific prevention and support programs are not required or that health professionals do not need special training to address MSM needs.

scholarly journals Depression, Loneliness, and Sexual Risk-Taking Among HIV-Negative/Unknown Men Who Have Sex with Men in China

2017 ◽  
Vol 47 (7) ◽  
pp. 1959-1968 ◽  
Author(s):  
Xiaoyou Su ◽  
A. Ning Zhou ◽  
Jianjun Li ◽  
Ling-en Shi ◽  
Xiping Huan ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Risk Taking ◽  
Sexual Risk Taking ◽  
Sex With Men ◽  
Hiv Negative

HIV-related Sexual Risk Taking Among HIV-negative Men Who Have Sex with Men in Zagreb, Croatia

2007 ◽  
Vol 12 (3) ◽  
pp. 505-512 ◽  
Author(s):  
Aleksandar Štulhofer ◽  
Valerio Baćak ◽  
Ivana Božičević ◽  
Josip Begovac
Keyword(s):  
Sexual Risk ◽  
Risk Taking ◽  
Sexual Risk Taking ◽  
Sex With Men ◽  
Hiv Negative

scholarly journals The relationship between pornography use and sexual behaviours among at-risk HIV-negative men who have sex with men

Sexual Health ◽  
2012 ◽  
Vol 9 (2) ◽  
pp. 166 ◽  
Author(s):  
Lisa A. Eaton ◽  
Demetria N. Cain ◽  
Howard Pope ◽  
Jonathan Garcia ◽  
Chauncey Cherry
Keyword(s):  
Risk Factors ◽  
Hiv Infection ◽  
Sexual Risk ◽  
Risk Taking ◽  
Sexual Risk Taking ◽  
Intervention Trial ◽  
Anal Sex ◽  
Sex With Men ◽  
The Relationship ◽  
Hiv Negative

Objectives Although pornography is widely available and frequently used among many adults in the USA, little is known about the relationship between pornography and risk factors for HIV transmission among men who have sex with men. Methods: Baseline assessments from a behavioural intervention trial for at-risk men who have sex with men were conducted in Atlanta, GA in 2009. Univariate and multivariate generalised linear models were used to assess the relationships between known risk factors for HIV infection, time spent viewing pornography, and sex behaviours. Results: One hundred forty-nine men reporting HIV-negative status and two or more unprotected anal sex partners in the past 6 months were enrolled in an intervention trial and completed survey assessments. Time spent viewing pornography was significantly associated with having more male sexual partners (B = 0.45, SE = 0.04, P < 0.001) and unprotected insertive anal sex acts (B = 0.28, SE = 0.04, P < 0.001). Moreover, increased substance use (drug use, B = 0.61, SE = 0.14, P < 0.001; alcohol use, B = 0.03, SE = 0.01, P < 0.01) and decreased perception of risk for HIV infection (B = –0.09, SE = 0.04, P < 0.05) were found to be significantly associated with greater time spent viewing pornography. Conclusions: This exploratory study is novel in that it sheds light on the associations between viewing pornography and sexual risk taking for HIV infection. Future studies in this area should focus on understanding how the content of pornography; in particular, the viewing of unprotected and protected sex acts, may affect sexual risk taking behaviour.

scholarly journals The Psycho-Social and Socio-Cultural Factors of Crystal Methamphetamine Use Among the Gay, Bi and MSM (GBM) Population

2021 ◽  
Author(s):  
Christian Hui
Keyword(s):  
Hiv Infections ◽  
Anal Intercourse ◽  
The United States ◽  
Cultural Factors ◽  
Incidence Rates ◽  
Receptive Anal Intercourse ◽  
Sexual Risk Taking ◽  
Crystal Methamphetamine ◽  
Methamphetamine Use ◽  
Insertive Anal Intercourse

In the United States, men who have sex with men (MSM) remain as the demographic group with the highest HIV incidence rates and account for 53% of new HIV infections in 2006 (Rajasingham, Mimiaga, White, Pinkston, Baden, & Mitty, 2012). One of the reasons accounting for such high rates of HIV transmission between gay, bisexual and MSM (GBM) can be attributed to poly-substance use and the use of crystal methamphetamine (Solomon, Halkitis, Moeller, & Pappas, 2012; Rajasingham et al., 2012). The U.S. Centre for Disease Control and Prevention (2007) reported methamphetamine use in the MSM community is of particular concern due to the high prevalence of HIV and the use of the stimulant. Meanwhile, researchers have found methamphetamine use is closely corrleated to sexual risk taking among GBM and such intimate link between risky sexual behaviour and methamphetamine use have led to a possible double epidemic (Halkitis, Green, & Carragher, 2006). In particular, the use of methamphetamine has been found to be correlated to the frequency of unprotected insertive anal intercourse (UIAI) and unprotected receptive anal intercourse (URAI) among HIV positive and persons with unknown serostatus causal partners over time (Halkitis, Mukherjee, & Palamar, 2009). As an effort to better understand this social pheonemon, this paper focuses on the exploration and identification of the psycho-social and socio-cultural factors of crystal methamphetamine use among the GBM population.

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