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

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

Sexually Transmitted Diseases ◽

10.1097/olq.0000000000000306 ◽

2015 ◽

Vol 42 (7) ◽

pp. 393-399 ◽

Cited By ~ 4

Author(s):

Laura Hoyt DʼAnna ◽

Lee Warner ◽

Andrew D. Margolis ◽

Olga A. Korosteleva ◽

Lydia OʼDonnell ◽

...

Keyword(s):

Condom Use ◽

Anal Intercourse ◽

Receptive Anal Intercourse ◽

Sex With Men

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Lubricants and rectal douching: associations with rectal gonorrhea, chlamydia, and/or syphilis infection among men who have sex with men

International Journal of STD & AIDS ◽

10.1177/0956462420938485 ◽

2020 ◽

Vol 31 (11) ◽

pp. 1040-1046

Author(s):

Cheríe S Blair ◽

Marjan Javanbakht ◽

W Scott Comulada ◽

E India Richter ◽

Robert Bolan ◽

...

Keyword(s):

Los Angeles ◽

Anal Intercourse ◽

Receptive Anal Intercourse ◽

Predominantly Black ◽

Syphilis Infection ◽

Barrier Methods ◽

Sexually Transmitted ◽

Latino Msm ◽

Rectal Douching ◽

Sex With Men

Despite widespread prevalence of lubricant use and rectal douching for receptive anal intercourse (RAI) among men who have sex with men (MSM), research evaluating the association of these behaviors with sexually transmitted infections (STIs) is limited. This is an observational analysis of a longitudinal cohort of predominantly Black/Latino MSM in Los Angeles. Every six months from August 2014 to January 2018, participants received STI screening and surveys evaluating lubricant use, douching, substance use, and sexual risk behaviors. General estimating equations evaluated the association between consistent lubricant use and douching for RAI with positive rectal Neisseria gonorrhoeae, Chlamydia trachomatis, and/or syphilis (positive STI). Among 313 participants across 552 study visits, 16.5% (91/552) had positive STI. Consistent lubricant use was reported in 52.7% (243/552) and rectal douching in 57.6% (318/552) of study visits. Consistent lubricant use was associated with STI diagnosis (adjusted OR [AOR] 1.81; 95% CI 1.11–2.96; p = 0.018). Each episode of rectal douching before RAI was associated with 2% increased odds of positive STI (AOR 1.02; 95% CI 1.00–1.04; p = 0.041). Among this cohort of HIV-positive and high-risk HIV-negative MSM, lubricant use and douching was common and independently associated with an STI, suggesting the utility of prevention messaging around barrier methods/condoms for sexual encounters involving douching/lubricant use.

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Sexual Event-Level Characteristics of Condom Use During Anal Intercourse Among HIV-Negative Men Who Have Sex With Men

Sexually Transmitted Diseases ◽

10.1097/olq.0b013e31824f1da4 ◽

2012 ◽

Vol 39 (7) ◽

pp. 550-555 ◽

Cited By ~ 22

Author(s):

Devon J. Hensel ◽

Joshua G. Rosenberger ◽

David S. Novak ◽

Michael Reece

Keyword(s):

Condom Use ◽

Anal Intercourse ◽

Sex With Men ◽

Hiv Negative

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

American Journal of Men s Health ◽

10.1177/1557988312463417 ◽

2012 ◽

Vol 7 (3) ◽

pp. 186-197 ◽

Cited By ~ 13

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.

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Short Communication: Anatomic Site of Sampling and the Rectal Mucosal Microbiota in HIV Negative Men Who Have Sex with Men Engaging in Condomless Receptive Anal Intercourse

AIDS Research and Human Retroviruses ◽

10.1089/aid.2017.0206 ◽

2018 ◽

Vol 34 (3) ◽

pp. 277-281 ◽

Cited By ~ 6

Author(s):

Nicole A. Pescatore ◽

Rebecca Pollak ◽

Colleen S. Kraft ◽

Jennifer G. Mulle ◽

Colleen F. Kelley

Keyword(s):

Short Communication ◽

Anal Intercourse ◽

Receptive Anal Intercourse ◽

Anatomic Site ◽

Sex With Men ◽

Hiv Negative

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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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Food Insecurity Partially Mediates the Association Between Drug Use and Depressive Symptoms among Men who have Sex with Men in Los Angeles, California

Public Health Nutrition ◽

10.1017/s1368980021002494 ◽

2021 ◽

pp. 1-26

Author(s):

David A. Wiss ◽

Marjan Javanbakht ◽

Michael J. Li ◽

Michael Prelip ◽

Robert Bolan ◽

...

Keyword(s):

Food Security ◽

Depressive Symptoms ◽

High Risk ◽

Los Angeles ◽

Drug Use ◽

Food Insecurity ◽

Hiv Positive ◽

Sex With Men ◽

The Relationship ◽

Hiv Negative

Abstract Objective: To understand the relationship between drug use, food insecurity (FI), and mental health among men who have sex with men (MSM). Design: Cohort study (2014-2019) with at least one follow-up. Setting: Visits at 6-month intervals included self-assessment for FI and depressive symptoms. Urine testing results confirmed drug use. Factors associated with FI were assessed using multiple logistic regression with random effects for repeated measures. General structural equation modeling tested whether FI mediates the relationship between drug use and depressive symptoms. Participants: Data were from HIV-positive and high-risk HIV negative MSM in Los Angeles, CA (n=431; 1,192 visits). Results: At baseline, FI was reported by 50.8% of participants, depressive symptoms in 36.7%, and 52.7% of urine screening tests were positive for drugs (i.e., marijuana, opioids, methamphetamine, cocaine, ecstasy). A positive drug test was associated with a 96% increase in the odds of being food insecure (95% CI: 1.26-3.07). Compared to those with high food security, individuals with very low food security have a nearly 7-fold increase in the odds of reporting depressive symptoms (95% CI: 3.71-11.92). Findings showed 14.9% of the association between drug use (exposure) and depressive symptoms (outcome) can be explained by FI (mediator). Conclusion: The prevalence of FI among this cohort of HIV-positive and high-risk HIV-negative MSM was high; the association between drug use and depressive symptoms was partially mediated by FI. Findings suggest that enhancing access to food and nutrition may improve mood in the context of drug use, especially among MSM at risk for HIV-transmission.

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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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