scholarly journals Favourable attitudes towards serosorting are associated with overall less frequent condom use among young Black men having sex men

Sexual Health ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 91 ◽  
Author(s):  
Richard A. Crosby ◽  
Leandro Mena ◽  
Angelica Geter

This study determined whether YBMSM endorsing serosorting are less likely to use condoms. A questionnaire assessed men’s attitudes towards serosorting with a three-item scale; various sexual risk behaviours were measured using a 90-day recall period. Favourable attitudes toward serosorting were associated with a greater likelihood of condomless sex as a top (P < 0.001) and as a bottom (P < 0.001), as well as a lower likelihood of using condoms with main partners (P = 0.003). Findings suggest that YBMSM having favourable attitudes toward serosorting may be more likely to report condomless sex than their counterparts without favourable attitudes.

2015 ◽  
Vol 52 (4) ◽  
pp. 484-496 ◽  
Author(s):  
Wilson N Chialepeh ◽  
A Sathiya Susuman

This study examines the risk associated with inconsistent use of condoms as a risk factor for human immunodeficiency virus/sexually transmitted infections (HIV/STIs) and sexual risk behaviours. The Malawi Demographic Health Survey 2010 data were used. Out of a sample of 2987 males and 9559 females aged 15–24 years, 511 males and 675 females were filtered in the present study. A Chi square test and logistic regression techniques were performed. About 147(28.7%) males and 240(35.6%) females reported inconsistent condom use. The likelihood of inconsistent condom use was higher among females with secondary/higher education (odds ratio’s (OR)=1.46), with more than one partner (OR=4.27), and married males (OR=8.76), with more than one sex partner (OR=1.78).There is a need to raise condom use awareness and improve sexual education about consistent condom use, especially among females, in order to curb the spread of HIV/STIs and reduce sexual risk behaviours.


Sexual Health ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 363 ◽  
Author(s):  
Winston E. Abara ◽  
Emeka Oraka ◽  
William L. Jeffries IV ◽  
Pollyanna Chavez ◽  
Muazzam Nasrullah ◽  
...  

Background: Men who have sex with men (MSM) are disproportionately at risk of contracting HIV and other sexually transmissible infections (STIs). Correct and consistent condom use is the most effective method to prevent HIV and other STIs among sexually active MSM. Methods: Using data from the 2002, 2006–10, 2011–13 cycles of the National Survey of Family Growth (NSFG), the overall prevalence of condom use at last sex and by sexual risk behaviours (sex with ≥2 same-sex partners, sex with ≥2 opposite sex partners, sex with a person who injects drugs, sex with an HIV-positive person and exchanged sex for money or drugs) among sexually active MSM (reported oral or anal sex with a male in the preceding 12 months) was estimated. The association between condom use at last sex and demographic and sexual behaviour variables was also evaluated. Results: Approximately 31% of all respondents (n = 618; weighted n = 1 596 702) reported condom use at last sex. Among MSM who reported ≥1 sexual risk behaviour in the past year, prevalence of condom use at last sex ranged from 30 to 38%. After adjusting for covariates, Hispanic MSM [adjusted prevalence ratio (APR) = 1.81, 95%CI = 1.27–2.58] were more likely than White MSM to report condom use at last sex; MSM with a recently diagnosed STI (APR = 1.71, 95%CI = 1.04–2.80) were more likely than MSM without a recently diagnosed STI to report condom use at last sex; and married or cohabitating MSM (APR = 0.29, 95%CI = 0.13–0.66) were less likely than unmarried and not cohabitating MSM to report condom use at last sex. There was no difference in temporal trends in condom use at last sex across the three NSFG cycles [2002 (33.8%); 2006–10 (25.6%); 2011–13 (40.6%), P = 0.926]. Conclusions: This study data suggest that prevalence of condom use among MSM is low, even among MSM who report sexual risk behaviours. The continued promotion of consistent condom use as an effective primary HIV/STI risk-reduction strategy is important because it mitigates HIV and STI risk and also complements the effectiveness of newer HIV prevention approaches such as pre-exposure prophylaxis.


2013 ◽  
Vol 89 (Suppl 3) ◽  
pp. iii45-iii48 ◽  
Author(s):  
Lisa Grazina Johnston ◽  
Kamal Alami ◽  
M Houssine El Rhilani ◽  
Mehdi Karkouri ◽  
Othoman Mellouk ◽  
...  

2018 ◽  
Vol 29 (11) ◽  
pp. 1066-1075
Author(s):  
Pradeep Kumar ◽  
Bhavna Sangal ◽  
Shreena Ramanathan ◽  
Savina Ammassari ◽  
Srinivasa Raghavan Venkatesh

In India, while an overall reduction in HIV is achieved among most key populations, the continued higher prevalence among people who inject drugs (PWIDs) is an area of concern. This paper analyses unsafe injecting and sexual risk behaviours in male PWIDs according to HIV status and also examines the determinants of HIV infection in this high-risk group. Data from India’s Integrated Biological and Behavioural Surveillance, conducted across 29 Indian states and Union Territories among 19,902 male PWIDs, were used. Informed consent was obtained and men aged 15 years or more, who used psychotropic substances or drugs in the past three months for non-medical reasons were recruited for the survey. Results from the multivariable analysis suggest that drug use debut at age 25 years or above (adjusted odds ratio [AOR]: 1.41, confidence interval [CI]: 1.05–1.88), engagement in drug use for a longer duration (AOR: 1.81, CI: 1.32–2.48), injecting three times or more per day (AOR: 1.53, CI: 1.1–2.12), sharing of needle/syringes (AOR: 1.34, CI: 1.02–1.76), self-reported sexually transmitted infections (AOR: 1.55, CI: 1.12–2.14) and higher self-risk perception for exposure to HIV (AOR: 2.08, CI: 1.58–2.75) increase the likelihood of HIV infection. Sustained higher prevalence, unsafe injecting and risky sexual practices are major challenges which may prevent India from reaching the ‘end of AIDS’ by 2030. This underscores the need for adoption of a tailored, evidence-driven HIV prevention approach that adequately addresses local needs to limit the spread of HIV within this population, and thereby prevents the onward transmission of HIV to the general population.


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