Evidence of Multiple Mediating Pathways in Associations Between Constructs of Stigma and Self-Reported Suicide Attempts in a Cross-Sectional Study of Gay and Bisexual Men

ObjectivesA mathematical model suggested that a significant proportion of oropharyngeal gonorrhoea cases are acquired via oropharynx-to-oropharynx transmission (ie, tongue-kissing), but to date, no empirical study has investigated this. This study aimed to examine the association between kissing and oropharyngeal gonorrhoea among gay and bisexual men who have sex with men (MSM).MethodsMSM attending a public sexual health centre in Melbourne, Australia, between March 2016 and February 2017 were invited to participate in a brief survey that collected data on their number of male partners in the last 3 months, in three distinct categories: kissing-only (ie, no sex including no oral and/or anal sex), sex-only (ie, any sex without kissing), and kissing-with-sex (ie, kissing with any sex). Univariable and multivariable logistic regression analyses were performed to examine associations between oropharyngeal gonorrhoea positivity by nucleic acid amplification tests and the three distinct partner categories.ResultsA total of 3677 men completed the survey and were tested for oropharyngeal gonorrhoea. Their median age was 30 (IQR 25–37) and 6.2% (n=229) had oropharyngeal gonorrhoea. Men had a mean number of 4.3 kissing-only, 1.4 sex-only, and 5.0 kissing-with-sex partners in the last 3 months. Kissing-only and kissing-with-sex were associated with oropharyngeal gonorrhoea, but sex-only was not. The adjusted odds for having oropharyngeal gonorrhoea were 1.46-fold (95% CI 1.04 to 2.06) for men with ≥4 kissing-only partners and 1.81-fold (95% CI 1.17 to 2.79) for men with ≥4 kissing-with-sex partners.ConclusionsThese data suggest that kissing may be associated with transmission of oropharyngeal gonorrhoea in MSM, irrespective of whether sex also occurs.

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Exploring the role of sex-seeking apps and websites in the social and sexual lives of gay, bisexual and other men who have sex with men: a cross-sectional study

Sexual Health ◽

10.1071/sh16150 ◽

2017 ◽

Vol 14 (3) ◽

pp. 229 ◽

Cited By ~ 14

Author(s):

Kiffer G. Card ◽

Nathan J. Lachowsky ◽

Zishan Cui ◽

Susan Shurgold ◽

Maya Gislason ◽

...

Keyword(s):

Sensation Seeking ◽

Gay And Bisexual Men ◽

Cross Sectional Study ◽

Bisexual Men ◽

Cross Sectional ◽

Social Interventions ◽

Gay Community ◽

Social Time ◽

And Bisexual ◽

Sex With Men

Background The objective of this study was to explore the relationship between online sex-seeking, community/social attachment and sexual behaviour. Methods: Respondent-driven sampling was used to recruit 774 sexually active gay and bisexual men in Vancouver, Canada, aged ≥16 years. Multivariable logistic regression compared men who had used online sex-seeking apps/websites in the past 6 months (n = 586) with those who did not (n = 188). Results: Multivariable results showed that online sex seekers were more likely to be younger [adjusted odds ratio (aOR) = 0.95, 95% CI: (0.93–0.96)], college educated [aOR = 1.60, 95% CI: (1.07, 2.40)], have more Facebook friends [aOR = 1.07, 95% CI: (1.01, 1.13)], spend more social time with other gay men [aOR = 1.99, 95% CI: (1.33–2.97)], and were less likely to identify emotionally with the gay community [aOR = 0.93, 95% CI: (0.86–1.00)]. Further, they had displayed high sensation-seeking behaviour [aOR = 1.08, 95% CI: (1.03–1.13)], were more likely to engage in serodiscordant/unknown condomless anal sex [aOR = 2.34, 95% CI: (1.50–3.66)], use strategic positioning [aOR = 1.72, 95% CI: (1.08–2.74)], ask their partner’s HIV-status prior to sex [aOR = 2.06, 95% CI: (1.27–3.37)], and have ever been tested for HIV [aOR = 4.11, 95% CI: (2.04–8.29)]. Conclusion: These findings highlight the online and offline social behaviour exhibited by gay and bisexual men, pressing the need for pro-social interventions to promote safe-sex norms online. We conclude that both Internet and community-based prevention will help reach app/web users.

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Condomless Group Sex Is Associated With HIV Pre-Exposure Prophylaxis Knowledge and Interest Uptake: A Cross-Sectional Study of Gay and Bisexual Men in Paris, France

AIDS Education and Prevention ◽

10.1521/aeap.2019.31.2.127 ◽

2019 ◽

Vol 31 (2) ◽

pp. 127-135 ◽

Cited By ~ 1

Author(s):

Denton Callander ◽

Su Hyun Park ◽

Yazan A. Al-Ajlouni ◽

John A. Schneider ◽

Maria R. Khan ◽

...

Keyword(s):

Online Survey ◽

Gay And Bisexual Men ◽

Cross Sectional Study ◽

Recent Experience ◽

Bisexual Men ◽

Cross Sectional ◽

Once Daily ◽

And Bisexual ◽

Group Sex ◽

Exposure Prophylaxis

As a prevention strategy, HIV pre-exposure prophylaxis (PrEP) may benefit men who participate in group sex, but little is known about PrEP among this group internationally and virtually nothing is known of the European context. This study used an online survey of gay men living in Paris, France to assess associations between group sex and awareness of, use and interest in PrEP in its once-daily, episodic, injectable, and microbicidal forms. Men reporting recent (within 3 months) condomless group sex were much more likely to report once-daily PrEP use than men with no group sex experience (41.5% vs 7.7%, p < .001). Uptake was similarly low among men who had group sex with condoms (8.0%) and those with less-recent experience (6.43%). Overall, willingness to use PrEP—including its non-daily forms—was high among men reporting group sex, suggesting opportunities for outreach and implementation.

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Suicide attempt and its associated factors amongst women who were pregnant as adolescents in Bangladesh: a cross-sectional study

Reproductive Health ◽

10.1186/s12978-021-01127-6 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Jie Li ◽

Syeda Zerin Imam ◽

Zhengyue Jing ◽

Yi Wang ◽

Chengchao Zhou

Keyword(s):

Social Support ◽

Health Status ◽

Adolescent Pregnancy ◽

Young Women ◽

Associated Factors ◽

Suicide Attempts ◽

Perceived Social Support ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Abstract Background Adolescent pregnancy is a risk factor for suicide. We aimed to assess the prevalence of suicide attempts among young women with adolescent pregnancy in Bangladesh and to explore its associated factors. Methods In this cross-sectional study, we surveyed young women with adolescent pregnancy in urban and rural areas in Bangladesh to assess suicide attempts, socio-demographic and pregnancy-related characteristics, perceived health status, and perceived social support. Binary logistic regression analysis was conducted to explore the relationship between potentially related factors and suicide attempts. Results Of the participants, 6.5% (61/940) reported suicide attempts in the past 12 months, and the majority (88.5%) of the attempts happened within one year after the pregnancy. Participants with more years after first pregnancy (odds ratio (OR) = 0.47, 95% CI: 0.37–0.61) and more perceived social support from friends (OR = 0.69, 95% CI: 0.55–0.86) were less likely to have suicide attempts, and those perceived bad health status compared with good/fair health status (OR = 8.38, 95% CI: 3.08–22.76) were more likely to attempt suicide. Conclusions Women with adolescent pregnancy were at high risk of suicide attempts, especially those during the first postnatal year. The risk of suicide attempts attenuated with the time after pregnancy, and perceived social support from friends was a protective factor and perceived bad health status was a risk factor for suicide attempts among young women who have experienced adolescent pregnancy.

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Abstract P001: LGB Health Disparities: Examining the Status of Ideal Cardiovascular Health From the 2011-2012 NHANES Survey

Circulation ◽

10.1161/circ.137.suppl_1.p001 ◽

2018 ◽

Vol 137 (suppl_1) ◽

Author(s):

Anshul Saxena ◽

Muni Rubens ◽

Sankalp Das ◽

Tanuja Rajan ◽

Gowtham Grandhi ◽

...

Keyword(s):

Sexual Orientation ◽

Cardiovascular Health ◽

Cross Sectional Study ◽

Minority Populations ◽

Sectional Study ◽

Cross Sectional ◽

Ideal Cardiovascular Health ◽

The Status ◽

Nationally Representative ◽

And Bisexual

Objectives: Extensive data suggests that lesbian, gay and bisexual (LGB) adults are more likely to experience adverse cardiovascular outcomes relative to heterosexuals. However, evidence regarding cardiovascular health (CVH) disparities and sexual orientation is scarce. The aim of this study was to examine the distribution of CVH metrics in a US nationally representative population of heterosexual (HT), and LGB adults. Methods: This cross-sectional study analyzed 2445 participants (representing 115 million) adults aged 18 or over years in the 2011-2012 NHANES survey. The CVH factors of smoking, body mass index (BMI), physical activity (PA), diet, blood pressure (BP), total cholesterol (TC) and glucose (GLU) were measured. Each CVH factor was then classified as ideal; intermediate; or poor. Ideal CVH was defined as presence of >=5 ideal CVH metrics. Results: 95.1% of the weighted sample self-identified as HT (95% CI: 93.5%, 96.6%) compared to 4.9% (95%: 3.3%, 6.5%) LGB. The figure illustrates the distribution of each of the 7 CVH categories according to sexual orientation. In age, gender, and race adjusted analysis, LGB individuals were 36% (AOR: 0.64; 95%: 0.29, 1.4; p > 0.05) less likely to have ideal CVH compared to HT. These proportions go higher after adjusting for age. Conclusions: The results suggest that LGB individuals face a higher risk of being in the category for poor cardiovascular health compared to heterosexuals. Evidence suggests that there are sexual orientation disparities among adults. If confirmed in other studies, results point towards disproportionately higher risk for cardiovascular disease among sexual-minority populations. Figure

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