scholarly journals Characteristics and Longitudinal Patterns of Erectile Dysfunction Drug Use Among Men Who Have Sex with Men in the U.S.

2021 ◽  
Author(s):  
Jee Won Park ◽  
Adrian S. Dobs ◽  
Ken S. Ho ◽  
Frank J. Palella ◽  
Eric C. Seaberg ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Drug Use ◽  
Sexual Behaviors ◽  
Anal Intercourse ◽  
Behavioral Factors ◽  
Sexual Activities ◽  
Multiple Partners ◽  
Insertive Anal Intercourse ◽  
Sex With Men ◽  
Over Time

AbstractWe investigated the longitudinal relationship between erectile dysfunction (ED) drug use with behavioral factors, including substance use and sexual activities in men who have sex with men from the Multicenter AIDS Cohort Study during 1998–2016 (n = 1636). We used a bivariate random-intercept model to evaluate ED drug use along with other behavioral factors to assess relationships between the two outcomes over time on a population level and also at the individual level. Average ED drug use among men who have sex with men (MSM) with HIV was positively correlated with average use of marijuana (r = .19), poppers (r = .27), and stimulants (r = .25). In this group, testosterone use (r = .32), multiple partners (r = .41), insertive anal intercourse with condom (r = .40), and insertive anal intercourse without condom (r = .43) all showed moderate correlations over time with average ED use (p < .001). Associations among MSM without HIV were similar, with average marijuana use (r = .19) and stimulant use (r = .22) being positively correlated with average ED drug use, and were also correlated with having multiple partners (r = .36), insertive anal intercourse with condom (r = .22), and insertive anal intercourse without condom (r = .18) over time. Positive within-individual associations between ED drug use and multiple partners and insertive anal intercourse with and without condom were observed regardless of HIV serostatus. This study showed that MSM who reported use of ED drugs were also, on average, more likely to use recreational drugs and engage in sexual activities, such as having multiple partners and insertive anal intercourse. Within individuals, average ED drug use was also positively correlated with sexual behaviors.

AIDS and the Adolescent

1994 ◽  
Vol 5 (5) ◽  
pp. 305-309 ◽  
Author(s):  
C A Graham
Keyword(s):  
Sex Education ◽  
Interpersonal Skills ◽  
Safer Sex ◽  
Anal Intercourse ◽  
Sexual Activities ◽  
Multiple Partners ◽  
Adolescent Behaviour ◽  
Safer Sex Practices ◽  
Perceived Relevance ◽  
Hiv Aids

Recent findings on young people's response to HIV/AIDS and its perceived relevance to their sexual lives are reviewed. Research into adolescent sexual behaviour suggests a trend, over the last 2 decades, for an earlier age of first intercourse and a greater number of recent and lifetime sexual partners. Older cohorts of adolescents and those with either multiple partners or more ‘steady’ partners have been found to have lower rates of condom use. Data on the prevalence of specific sexual activities such as anal intercourse, while sparse, suggests a considerable number of young people engaging in behaviours carrying some risk of HIV infection. It is clear that sex education programmes which simply advocate ‘safer sex’ practices without addressing the interpersonal skills and emotional implications of negotiating such practices, and which do not provide a positive view of sexual health, are failing to influence adolescent behaviour. Recent research has highlighted a number of issues that need addressing if sex education and HIV/AIDS prevention campaigns are to be effective.

scholarly journals Self-Reported Sexual Behavioral Similarities and Differences Among Young Men Who Have Sex With Men With Childhood Sexual Abuse Histories: A Qualitative Exploratory Study

2020 ◽  
Vol 14 (4) ◽  
pp. 155798832094935
Author(s):  
Roberta E. Emetu ◽  
William L. Yarber ◽  
Catherine M. Sherwood-Laughlin ◽  
Alexis S. Brandt
Keyword(s):  
Sexual Abuse ◽  
Sexual Behavior ◽  
Childhood Sexual Abuse ◽  
Sexual Behaviors ◽  
Young Men ◽  
Anal Intercourse ◽  
Casual Sex ◽  
Unprotected Sex ◽  
History Of ◽  
Sex With Men

Young men who have sex with men (YMSM) have the highest burden of sexually transmitted infections (STIs), including HIV. Childhood sexual abuse (CSA) is a risk factor for high-risk sexual behavior and STI acquisition. Studies that have explored sexual behavior based on the type of reported sexual abuse are limited. This study aimed to further understand current sexual behaviors and perceptions among YMSM that have experienced different types of CSA. Sixteen YMSM who were survivors of CSA were interviewed utilizing a phenomenological conceptual framework and methodology. Thematic findings were divided into two parts. Part I gave an overview of the entire sample, and themes were as follows: unprotected oral sex used to evaluate penile abnormalities, trust promoting unprotected sex, and alcohol and other drugs not cited as the reason for casual sex. Part II demonstrated the differences among those with a history of CSA involving non-penile–anal intercourse and those with a history of CSA involving penile–anal intercourse. The major themes in Part II were that victims of CSA involving penile–anal intercourse reported the following: a hypersexual self-definition, an STI diagnosis and noncondom use history, and a third sexual partner during sexual activity. Based on the findings, early life experiences such as CSA should be considered when developing preventative sexual health strategies and individuals who experienced penetrative sexual abuse may have different needs which should be further explored.

App use frequency and condomless anal intercourse among men who have sex with men in Beijing, China: a cross-sectional study

2019 ◽  
Vol 30 (12) ◽  
pp. 1146-1155 ◽  
Author(s):  
Qianqian Luo ◽  
Zunyou Wu ◽  
Zihuang Chen ◽  
Yue Ma ◽  
Guodong Mi ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Sexual Behaviors ◽  
Anal Intercourse ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Condomless Anal Intercourse ◽  
Adjusted Logistic Regression ◽  
Sex With Men ◽  
Beijing China

Gay dating applications (apps) are popular among men who have sex with men (MSM) in China. This study examined the relationship between gay dating app use frequency and condomless anal intercourse (CAI) in a sample of MSM in Beijing. In October 2017, a web-based, cross-sectional survey was conducted among MSM from Beijing, China. Demographics, frequency of app use, and sexual behaviors were collected and analyzed. Multivariable logistic regression and restricted cubic splines were used to evaluate the association between app use frequency and CAI. Of the 9280 participants, the proportion of CAI within one month prior to the survey was 43.3%, and 43.7% logged onto the app ≥11 times per week. In adjusted logistic regression analysis, logging onto the app 6–10 times per week and ≥11 times per week were inversely associated with CAI (adjusted odds ratio [AOR] =0.88 [95%CI, 0.78–0.99]; AOR = 0.88 [95%CI, 0.82–0.97], respectively). Among those 40 years of age or older, logging onto the app ≥11 times per week was associated with lower rates of CAI (AOR = 0.57 [95%CI, 0.40–0.81]). Results indicate that frequent app use was associated with lower odds of CAI among MSM in Beijing, China. Innovative interventions, which take advantage of this popular media platform, should be developed as such apps have been found to reduce the odds of CAI in Beijing.

scholarly journals Drug Use and High-Risk Sexual Behaviors Among African American Men Who Have Sex With Men and Men Who Have Sex With Women

2009 ◽  
Vol 99 (6) ◽  
pp. 1062-1066 ◽  
Author(s):  
Dorothy C. Browne ◽  
Patricia A. Clubb ◽  
Yan Wang ◽  
Fernando Wagner
Keyword(s):  
African American ◽  
High Risk ◽  
Drug Use ◽  
Sexual Behaviors ◽  
African American Men ◽  
Sex With Men

scholarly journals Alcohol Use, Stigmatizing/Discriminatory Attitudes, and HIV High-Risk Sexual Behaviors among Men Who Have Sex with Men in China

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Meizhen Liao ◽  
Dianmin Kang ◽  
Xiaorun Tao ◽  
Jennifer Huang Bouey ◽  
Muktar H. Aliyu ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Drug Use ◽  
Sexual Behaviors ◽  
Unprotected Sex ◽  
Sex Partners ◽  
Anal Sex ◽  
The Past ◽  
Male Sex ◽  
Sex With Men ◽  
Hiv Aids

Objective. This research was conducted to assess the correlates of alcohol consumption and HIV/AIDS-related stigmatizing and discriminatory attitudes among men who have sex with men (MSM) in Shandong province, China.Methods. A cross-sectional survey provided demographics, sexual behaviors, illicit drug use, alcohol consumptions, and service utilization.Results. Of 1,230 participants, 82.8% were single, 85.7% aged <35 years, 47.2% had college or higher education, and 11.7% drank alcohol >3 times per week in the past six months. The average total score of stigmatizing and discriminatory attitude was 37.4 ± 4.4. More frequent episodes of alcohol use were independently associated with higher levels of HIV/AIDS-related stigma and discrimination, unprotected anal sex, bisexual identity, multiple male sex partners, drug use, and lower levels of education. Expressing higher levels of HIV/AIDS-related stigmatizing and discriminatory attitudes was independently associated with alcohol use, unprotected male anal sex, bisexuals, more male sex partners, commercial sex with men, and non-receipt of peer education in the past year.Conclusion. HIV/AIDS-related stigmatizing and discriminatory attitudes are common and associated with alcohol use and unprotected sex among MSM. The finding highlights the needs to develop programs that would reduce HIV/AIDS-related stigmatizing and discriminatory attitudes and strengthen alcohol use prevention and risk reduction initiatives among MSM.

scholarly journals Uptake and willingness to use PrEP among Chinese men who have sex with men with experience of sexualized drug use

2020 ◽  
Author(s):  
Zixin Wang ◽  
Phoenix K.H. Mo ◽  
Mary Ip ◽  
Yuan Fang ◽  
Joseph T.F. Lau
Keyword(s):  
Drug Use ◽  
Hiv Testing ◽  
Behavioral Control ◽  
Anal Intercourse ◽  
Perceived Behavioral Control ◽  
Future Health ◽  
Cross Sectional ◽  
Condomless Anal Intercourse ◽  
Sex With Men ◽  
Willingness To Use

Abstract Background Sexualized drug use (SDU, use of any psychoactive substance before/during sexual intercourse) is prevalent among men who have sex with men (MSM). This study investigated uptake and willingness to use pre-exposure prophylaxis (PrEP) among MSM with experience of SDU. Methods A total of 580 Hong Kong Chinese speaking MSM self-reported to be HIV negative/unknown sero-status completed a cross-sectional anonymous telephone interview. Results Of the participants, 107 (18.4%) and 56 (9.7%) had experience of SDU and chemsex in their lifetime. The prevalence of PrEP use was 4.0% among all participants and 12.1% among those with experience of SDU. Among MSM with experience of SDU who were not on PrEP (n=94), 59.6% were willing to use daily oral PrEP in the next six months. After adjustment for significant background variables (age group, HIV testing in the past year, and anal intercourse with non-regular male sex partners), having ≥3 episodes of SDU per month (adjusted odds ratios (AOR): 3.87, 95%CI: 1.01, 15.28), presence of condomless anal intercourse during SDU (AOR: 2.96, 95%CI: 1.03, 9.55), positive attitudes toward PrEP (AOR: 2.01, 95%CI: 1.37, 2.95), perceived support from significant others to use PrEP (AOR: 11.63, 95%CI: 3.93, 34.37)), and perceived behavioral control of using PrEP (AOR: 20.82, 95%CI: 6.51, 66.64) were significantly associated with higher willingness to use PrEP. Conclusion MSM with experience of SDU are potential good candidates of PrEP implementation. Effective strategies to increase PrEP coverage are needed even if affordable PrEP became available, future health promotion may make use of HIV testing and counseling settings and modify perception related to PrEP.

scholarly journals Screening HIV-positive men who have sex with men for hepatitis C re-infection risk: is a single question on condom-use enough? A sensitivity analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Patrizia Künzler-Heule ◽  
◽  
Sandra Engberg ◽  
Manuel Battegay ◽  
Axel J. Schmidt ◽  
...  
Keyword(s):  
At Risk ◽  
Hepatitis C ◽  
Drug Use ◽  
Sexual Risk ◽  
Anal Intercourse ◽  
The Other ◽  
Hiv Positive ◽  
Risk Behaviours ◽  
Condomless Anal Intercourse ◽  
Sex With Men

Abstract Background Hepatitis C virus (HCV) is common in men who have sex with men (MSM) with HIV. The Swiss HCVree Trial targeted a micro-elimination by using a treat and counsel strategy. Self-reported condomless anal intercourse with non-steady partners was used as the selection criterion for participation in a counselling intervention designed to prevent HCV re-infection. The purpose of this study was to assess the ability of this criterion to identify men who engaged in other sexual risk behaviours associated with HCV re-infection. Methods Men who disclosed their sexual and drug- use behaviours during the prior 6 months, at study baseline, were included in the current study. Using a descriptive comparative study design, we explored self-reported sexual and drug-use risk behaviours, compared the odds of reporting each behaviour in men who reported and denied condomless anal intercourse with non-steady partners during the prior year and calculated the sensitivity/specificity (95% CI) of the screening question in relation to the other at-risk behaviours. Results Seventy-two (61%) of the 118 men meeting eligibity criteria reported condomless anal intercourse with non-steady partners during the prior year. Many also engaged in other potential HCV transmission risk behaviours, e.g., 52 (44%) had used drugs. In participants disclosing drug use, 44 (37%) reported sexualised drug use and 17 (14%) injected drugs. Unadjusted odds ratios (95% CI) for two well-known risk behaviours were 2.02 (0.80, 5.62) for fisting and 5.66 (1.49, 37.12) for injecting drug use. The odds ratio for sexualised drug use - a potential mediator for increased sexual risk taking - was 5.90 (2.44, 16.05). Condomless anal intercourse with non-steady partners showed varying sensitivity in relation to the other risk behaviours examined (66.7–88.2%). Conclusions Although condomless anal intercourse with non-steady partners was fairly sensitive in detecting other HCV relevant risk behaviours, using it as the only screening criterion could lead to missing a proportion of HIV-positive men at risk for HCV re-infection due to other behaviours. This work also points to the importance of providing access to behavioral interventions addressing other sexual and drug use practices as part of HCV treatment. Trial registration Clinical Trial Number: NCT02785666, 30.05.2016.

Sexual Orientation and Behavior in HIV-infected Individuals in Southeast Asia

2012 ◽  
Vol 4 (2) ◽  
pp. 0-0
Author(s):  
Laxmi Shrikhande ◽  
Ritu Dargan
Keyword(s):  
Sexual Orientation ◽  
Sexual Behaviors ◽  
Population Level ◽  
Anal Intercourse ◽  
Care Services ◽  
Hiv Virus ◽  
Standards And Guidelines ◽  
Sex With Men ◽  
And Behavior ◽  
Asian Youth

ABSTRACT The response of sexual behavior to HIV is an important input to predicting the path of the epidemic and to focusing prevention efforts. Existing estimates suggest limited behavioral response, but fail to take into account possible differences across individuals. Transmission through sexual contact is estimated to accounts for 75 to 85% of cumulative cases of HIV/AIDS to date. Mode of transmission is important predictors of risk. The statistical risk of infection through vaginal intercourse is notably low regardless of which partner is infected. Anal intercourse has higher infectivity due to the likelihood of damage to epithelial integrity. Generally, the environment for men who have sex with men (MSM), lesbians and transgender individuals is unsupportive and unsafe. They are usually victims of discrimination or more subtly as indifference. The stress on these individuals face as they cope with sexual orientation stigma may help to explain higher rates of risky sexual behaviors and injected drug use. Very little research has focused on Asian youth with altered sexual orientation. These individuals are at a higher risk of contracting the HIV virus than their heterosexual counterparts. Until we acknowledge these behaviors and work with people involved with these behaviors, we are not going to halt and reverse the HIV epidemic. Scaling up services adequately for key populations at higher risk for HIV infection globally, particularly in concentrated epidemics, is essential to halt and reverse epidemics at the population level. It is essential that the expansion of MSM HIV prevention and care services across Asia be driven by an agreed upon set of quality standards and guidelines.

scholarly journals Findings from within-subjects comparisons of drug use and sexual risk behaviour in men who have sex with men in England

2016 ◽  
Vol 28 (3) ◽  
pp. 250-258 ◽  
Author(s):  
GJ Melendez-Torres ◽  
Ford Hickson ◽  
David Reid ◽  
Peter Weatherburn ◽  
Chris Bonell
Keyword(s):  
Drug Use ◽  
Online Survey ◽  
Multilevel Models ◽  
Risk Behaviour ◽  
Anal Intercourse ◽  
Unprotected Anal Intercourse ◽  
Social Contexts ◽  
Sexual Risk Behaviour ◽  
Within Subjects ◽  
Sex With Men

Epidemiological evidence for the encounter-level association between sexualised drug use and unprotected anal intercourse in men who have sex with men is unclear and has not examined men who have sex with men in England. To estimate this association, we compared dyadic sexual encounters within respondents. We used encounter-level data from a longitudinal online survey of men who have sex with men living in England and multilevel models to test univariate and multivariate associations between any respondent or partner drug use, specific respondent drug use, additional situational characteristics and unprotected anal intercourse. Based on 6742 encounters from 2142 men who have sex with men, respondent drug use and respondent use of certain specific drugs were associated with increased unprotected anal intercourse odds. In univariate models, partner drug use was associated with increased unprotected anal intercourse odds, but in multivariate models, only non-specific knowledge of partner drug use was associated with the same. Encounters with non-regular-and-steady partners or that were not HIV-seroconcordant were associated with decreased unprotected anal intercourse odds. This is the first within-subjects comparison of drug use and unprotected anal intercourse conducted on a sample from England, and the largest of its kind. Findings are consistent with other studies, though associations between drug use and unprotected anal intercourse are shaped by social contexts that may change over time.

Sign in / Sign up

Export Citation Format

Share Document