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

ObjectivesThe objectives are to analyse social determinants of sexual health behaviour (condom use and HIV testing) among young, internet-active, cis men who have sex with men (MSM) in a high-income country. The aspects of sexual health behaviour analysed here are condomless anal intercourse with one or more new or casual partner(s), condomless anal intercourse during the most recent sex with a man and HIV testing.MethodsA randomised sample of men active on Sweden’s main online community for Lesbian, Gay, Bisexual and Trans people responded to an online survey (response rate 19%). A subsample of young people, aged 15–29, was analysed (effective sample 597–669) using multivariable logistic regression with respect to factors associated with condomless anal intercourse with one or more new or casual partner(s), condomless anal intercourse at most recent sex and not having had a test for HIV.ResultsLow education, being single and living in a metropolitan area were found to be independently associated with condomless anal intercourse with new or casual partner(s). Sex with a steady partner was associated with condomless anal intercourse during the most recent sex. Knowledge of where to get tested, high education, being born outside Sweden and condomless anal intercourse with new or casual sex partner(s) were independently associated with having been tested for HIV.ConclusionsThe factors associated with sexual health behaviour among young MSM are complex, and preventive messages need to be tailored accordingly.

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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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Pre-exposure Prophylaxis Uptake and Discontinuation Among Young Black Men Who Have Sex With Men in Atlanta, Georgia: A Prospective Cohort Study

Clinical Infectious Diseases ◽

10.1093/cid/ciz894 ◽

2019 ◽

Vol 71 (3) ◽

pp. 574-582 ◽

Cited By ~ 7

Author(s):

David P Serota ◽

Eli S Rosenberg ◽

Patrick S Sullivan ◽

Annie L Thorne ◽

Charlotte-Paige M Rolle ◽

...

Keyword(s):

Black Men ◽

Prospective Cohort ◽

Anal Intercourse ◽

Hiv Incidence ◽

Transmitted Infection ◽

Factors Associated ◽

Preexposure Prophylaxis ◽

Condomless Anal Intercourse ◽

Sex With Men ◽

Additional Support

Abstract Background Human immunodeficiency virus (HIV) preexposure prophylaxis (PrEP) has great potential to reduce HIV incidence among young black men who have sex with men (YBMSM); however, initiation and persistence for this group remain low. We sought to understand the patterns and predictors of PrEP uptake and discontinuation among YBMSM in Atlanta, Georgia. Methods PrEP was offered to all participants in a prospective cohort of YBMSM aged 18–29 years not living with HIV. Time to PrEP uptake, first discontinuation, and final discontinuation were assessed using the Kaplan-Meier method. Cox proportional hazard models were used to identify predictors of uptake and discontinuation. Results After 440 person-years of follow-up, 44% of YBMSM initiated PrEP through the study after a median of 122 days. Of PrEP initiators, 69% had a first discontinuation and 40% had a final discontinuation during the study period. The median time to first PrEP discontinuation was 159 days. Factors associated with PrEP uptake included higher self-efficacy, sexually transmitted infection (STI), and condomless anal intercourse. Factors associated with discontinuation included younger age, cannabis use, STI, and fewer sex partners. HIV incidence was 5.23/100 person-years (95% confidence interval [CI], 3.40–7.23), with a lower rate among those who started PrEP (incidence rate ratio, 0.39; 95% CI, .16–.92). Conclusions Persistent PrEP coverage in this cohort of YBMSM was suboptimal, and discontinuations were common despite additional support services available through the study. Interventions to support PrEP uptake and persistence, especially for younger and substance-using YBMSM, are necessary to achieve full PrEP effectiveness. Clinical Trials Registration NCT02503618.

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Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey

Journal of Public Health ◽

10.1093/pubmed/fdz052 ◽

2019 ◽

Vol 42 (2) ◽

pp. e174-e186 ◽

Cited By ~ 1

Author(s):

N S Sherriff ◽

A M Jones ◽

M Mirandola ◽

L Gios ◽

U Marcus ◽

...

Keyword(s):

Anal Intercourse ◽

Relationship Status ◽

Culturally Appropriate ◽

Regression Analyses ◽

Hiv Status ◽

Sti Prevention ◽

Factors Associated ◽

Hiv Test ◽

Condomless Anal Intercourse ◽

Sex With Men

Abstract Background Relationship status is an important factor associated with condomless anal intercourse (CAI) amongst men who have sex with men (MSM). Methods A multi-centre bio-behavioural survey with MSM was conducted in 13 European cities (n = 4901) exploring factors associated with CAI via bivariate and multivariate multilevel logistic regression analyses. Results Likelihood of CAI with casual partners was associated with being ‘out’ to a majority (AOR = 1.19;95% CI 1,1.42); knowing their HIV status (AOR = 1.86; 95% CI 1.25,2.76); using substances (1–2 AOR = 1.39; 95% CI 1.16,1.63, 2+ AOR = 1.81; 95% CI 1.35,2.42); being older (AOR = 0.98; 95% CI 0.97,0.99); successful sero-communication (AOR = 0.79; 95% CI 0.67,0.94); and, not having a recent HIV test (AOR = 0.78; 95% CI 0.66,0.92). CAI with steady partners was associated with successful sero-communication (AOR = 2.72; 95% CI 2.72,3.66); not having a recent HIV test (AOR = 1.26; 95% CI 1.09,1.46), and; being older (AOR = 0.99; 95% CI 0.98,0.99). Conclusions Understandings of partner type and/or relationship status in relation to CAI amongst MSM can potentially play an important role in the development of culturally appropriate HIV/STI prevention and risk-reduction efforts targeting at-risk MSM. Our results speak to the need to consider segmented and tailored public health and health promotion initiatives for MSM with differing CAI behaviours and relationship profiles.

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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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Prevalence of and factors associated with unprotected anal intercourse with regular and nonregular male sexual partners among newly diagnosed HIV-positive men who have sex with men in China

HIV Medicine ◽

10.1111/hiv.12500 ◽

2017 ◽

Vol 18 (9) ◽

pp. 635-646 ◽

Cited By ~ 11

Author(s):

Z Wang ◽

X Wu ◽

JTF Lau ◽

PKH Mo ◽

WWS Mak ◽

...

Keyword(s):

Anal Intercourse ◽

Unprotected Anal Intercourse ◽

Sexual Partners ◽

Hiv Positive ◽

Newly Diagnosed ◽

Factors Associated ◽

Male Sexual Partners ◽

Sex With Men ◽

Hiv Positive Men

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Low use of condom and high STI incidence among men who have sex with men in PrEP programs

PLoS ONE ◽

10.1371/journal.pone.0245925 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0245925

Author(s):

Oskar Ayerdi Aguirrebengoa ◽

Mar Vera García ◽

Daniel Arias Ramírez ◽

Natalia Gil García ◽

Teresa Puerta López ◽

...

Keyword(s):

Condom Use ◽

Anal Intercourse ◽

Sexual Partners ◽

Behavioral Changes ◽

Risk Compensation ◽

Preexposure Prophylaxis ◽

High Incidence ◽

Number Of Sexual Partners ◽

Sex With Men ◽

Very High

Objective Since the recent introduction of preexposure prophylaxis (PrEP), several studies have reported a decrease in the use of condoms and a rise in STIs among users. This rise in risk behavior associated with the advent of PrEP is known as “risk compensation.” The aim of this study is to measure clinical and behavioral changes associated with the introduction of PrEP by analyzing condom use for anal intercourse, number of sexual partners, sexualized drug use and STI incidence. Methods We performed a retrospective descriptive study of PrEP users followed every 3months over a 2-year period spanning 2017–2019 in a referral clinic specializing in STI/HIV in Madrid, Spain. One hundred ten men who have sex with men and transgender women underwent regular screening for STIs and hepatitis C virus (HCV) infection. Sociodemographic, clinical, and behavioral data were gathered for all subjects studied. Results The risk compensation observed in this study consisted primarily of a lower rate of condom use, while the number of sexual partners and recreational drug consumption remained stable. We observed a very high incidence of STIs in this sample, particularly rectal gonorrhea and chlamydia. The factors shown to be independently associated with the presence of an STI on multivariate analysis were age below 30 years and over 10 sexual partners/month. Conclusion The incidence of STI acquisition was higher than expected, indicating a need for strategies to minimize this impact, particularly among younger individuals with a higher number of sexual partners.

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