scholarly journals Use of poppers and HIV risk behaviours among men who have sex with men in Paris, France: an observational study

Sexual Health ◽  
2018 ◽  
Vol 15 (4) ◽  
pp. 370 ◽  
Author(s):  
H. Rhodes Hambrick ◽  
Su Hyun Park ◽  
Joseph J. Palamar ◽  
Anthony Estreet ◽  
John A. Schneider ◽  
...  
Keyword(s):  
Relative Risk ◽  
Smartphone Application ◽  
Anal Intercourse ◽  
Relative Risk Ratio ◽  
Adjusted Relative Risk ◽  
Condomless Anal Intercourse ◽  
Hiv Seroconversion ◽  
Sex With Men ◽  
Group Sex ◽  
Sexually Transmissible Infection

The use of inhaled nitrites, or poppers, among men who have sex with men (MSM) is prevalent, yet has been associated with HIV seroconversion. We surveyed 580 MSM from a geosocial networking smartphone application in Paris, France, in 2016. Of the respondents, 46.7% reported popper use within the previous 3 months. Regression models adjusted for sociodemographic characteristics found that the use of poppers was significantly (P < 0.05) associated with the following during the prior 3 months: condomless anal intercourse (adjusted relative risk (aRR) 1.27, 95% confidence interval (CI) 1.07–1.50), use of alcohol and/or drugs during sex once or twice (adjusted relative risk ratio (aRRR) 2.33, 95% CI 1.44–2.03), three to five times (aRRR 5.41, 95% CI 2.98–9.84) or six or more times (aRRR 4.09, 95% CI 2.22–7.56), participation in group sex (aRRR 3.70, 95% CI 2.33–5.90) and self-reported diagnosis with any sexually transmissible infection over the previous year (aRR 1.63, 95% CI 1.18–2.27), specifically chlamydia (aRR 2.75, 95% CI 1.29–4.29) and syphilis (aRR 2.27, 95% CI 1.29–4.29).

Partner meeting venue typology and sexual risk behaviors among French men who have sex with men

2018 ◽  
Vol 29 (13) ◽  
pp. 1282-1288 ◽  
Author(s):  
Yazan A Al-Ajlouni ◽  
Su H Park ◽  
John A Schneider ◽  
William C Goedel ◽  
H Rhodes Hambrick ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Sexual Risk ◽  
Risk Behaviors ◽  
Sexual Risk Behaviors ◽  
Anal Intercourse ◽  
Adjusted Relative Risk ◽  
Condomless Anal Intercourse ◽  
Geosocial Networking ◽  
Sex With Men ◽  
Group Sex

Previous research has given considerable attention to venues where men who have sex with men (MSM) meet their sex partners. However, no previous study examined a vast range of sexual risk behaviors. The objective of this study was to examine the association between the types of venues for meeting sexual partners, condomless anal intercourse, engagement in group sex, and HIV and sexually transmitted infection (STI) risk among a sample of MSM. Users of a popular geosocial-networking app in Paris were provided an advertisement with text encouraging them to complete an anonymous web-based survey ( n = 580), which included questions about sex-seeking venues, condomless anal intercourse, HIV status and STI history, and sociodemographic characteristics. A log-binomial model was used to assess association between venues (i.e. public venues [gay clubs, bars, and discos], cruising venues [such as gay saunas, beaches, and parks], and internet-based venues [internet chat sites and geosocial-networking apps]), condomless anal intercourse, engagement in group sex, and HIV infection as well as infection with other STIs, after adjustment for sociodemographics. In multivariable models, attending cruising venues was associated with condomless receptive anal intercourse (adjusted relative risk [aRR] = 1.47; 95% confidence interval [CI] = 1.20–1.81), any kind of condomless anal intercourse (aRR = 1.34; 95% CI = 1.14–1.58), an STI (aRR = 1.50; 95% CI = 1.09–2.05), engagement in group sex (aRR = 1.42; 95% CI = 1.27–1.59), and multiple partners for both condomless insertive (aRR = 2.00; 95% CI = 1.38–2.88), and receptive (aRR = 1.70; 95% CI = 1.23–2.36) anal intercourse, STI infection (aRR = 1.50, 95% CI = 1.09–2.05) and HIV infection (aRR = 1.76; 95% CI = 1.05–2.96). No associations were found with other venue types and sexual risk behaviors, STIs, and HIV infection, except for group sex, which was associated with all venue types. Use of cruising where the primary aim is to have sex was found to be associated with risky sexual behavior. Risky behavior reduction strategies such as preexposure prophylaxis campaigns should be targeted to MSM who frequent cruising venues.

Contextual factors in geosocial-networking smartphone application use and engagement in condomless anal intercourse among gay, bisexual, and other men who have sex with men who use Grindr

Sexual Health ◽  
2016 ◽  
Vol 13 (6) ◽  
pp. 549 ◽  
Author(s):  
William C. Goedel ◽  
Dustin T. Duncan
Keyword(s):  
Smartphone Application ◽  
Anal Intercourse ◽  
Sexual Partners ◽  
Sexual Practices ◽  
Receptive Anal Intercourse ◽  
Sexual Behaviours ◽  
Insertive Anal Intercourse ◽  
Condomless Anal Intercourse ◽  
Geosocial Networking ◽  
Sex With Men

Background Geosocial-networking smartphone applications (apps) have been used increasingly by men who have sex with men (MSM) to meet new sexual partners. The purpose of this study was to examine associations between contexts of app use (e.g. using apps when drinking) and condomless anal intercourse among a sample of MSM who use these apps. Methods: MSM (n = 174) in New York City were recruited through Grindr, a geosocial-networking app popular among MSM, using broadcast advertisements asking MSM to complete an Internet-based survey about their app use and sexual behaviours. Log-binomial regression models were fit to assess the association between each of the six app-use contexts (e.g. using apps when lonely, when drinking) and engagement in condomless insertive and receptive anal intercourse with one or more partners in the past 3 months. Results: Engagement in condomless receptive and insertive anal intercourse with one or more partners in the preceding 3 months was common (39.7% and 43.1% respectively) and was associated with several app-use contexts. For example, significant associations (P < 0.05) were observed between alcohol and other drug use when using these apps and engagement in condomless receptive and insertive anal intercourse. Conclusion: Given that 57.5% of respondents had engaged in condomless anal intercourse in the preceding 3 months and the associations of app-use contexts with condomless sexual behaviours, these findings suggest that reductions in substance use may lead to safer sexual practices among MSM who use apps to meet sexual partners.

Sex Tourism, Condomless Anal Intercourse, and HIV Risk Among Men Who Have Sex With Men

2019 ◽  
Vol 30 (4) ◽  
pp. 405-414 ◽  
Author(s):  
Salem Harry-Hernández ◽  
Su Hyun Park ◽  
Kenneth H. Mayer ◽  
Noah Kreski ◽  
William C. Goedel ◽  
...  
Keyword(s):  
Hiv Risk ◽  
Anal Intercourse ◽  
Sex Tourism ◽  
Condomless Anal Intercourse ◽  
Sex With Men

HIV and syphilis and sexual risk behaviours among men who have sex with men attending university in China: a systematic review and meta-analysis

Sexual Health ◽  
2019 ◽  
Vol 16 (6) ◽  
pp. 554 ◽  
Author(s):  
Song Fan ◽  
Zuyao Yang ◽  
Fengsu Hou ◽  
Maohe Yu ◽  
Zhenzhou Luo ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sexual Risk ◽  
Meta Analysis ◽  
Male Partner ◽  
Anal Intercourse ◽  
Hiv Prevalence ◽  
Risk Behaviours ◽  
Sex With Men ◽  
Group Sex ◽  
Sexual Risk Behaviours

Background This study was conducted to summarise the HIV epidemic, sexual behaviours and HIV testing among men who have sex with men (MSM) attending university in China. Methods: Five databases were searched for student MSM information in English and Chinese language publications. Meta-analyses were performed to calculate the pooled prevalence of HIV and syphilis, pooled mean age at first anal intercourse (AFAI) and the rate of other HIV-related behaviours among MSM attending university in China. Univariate meta-regression and subgroup analysis were conducted to explore potential sources of heterogeneity. Publication bias was measured using Egger’s test. Results: Thirty-three articles representing 31 studies were included in the analysis. The pooled HIV prevalence was 4.1% (95% CI 3.1–5.0%). The estimated AFAI was 18.7 years, but 37.5% of students had their first anal intercourse before 18 years of age. Most (88.2%) had their first sexual intercourse with a male partner. Of the MSM attending university, 4.2% of MSM engaged in commercial sex (either selling or buying sex), 10.3% had ever engaged in group sex, 13.1% had had sex with a female partner in the past month and 10.1% had ever used drugs. Most (77.7%) sought sex partners via geosocial networking gay apps or the Internet, and 42.9% had ever tested for HIV. There was a tendency for an increase in lifetime HIV testing rate from 32% in 2005–07 to 53% in 2014–16. Conclusions: This review found high HIV prevalence, early AFAI and a high prevalence of sexual risk behaviours among MSM attending university in China. Interventions aimed at increasing HIV testing and reducing sexual risk behaviours are urgently needed among this young population.

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

2019 ◽  
Vol 71 (3) ◽  
pp. 574-582 ◽  
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.

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

2019 ◽  
Vol 42 (2) ◽  
pp. e174-e186 ◽  
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.

scholarly journals Poor sleep health and its association with mental health, substance use, and condomless anal intercourse among gay, bisexual, and other men who have sex with men

Sleep Health ◽  
2016 ◽  
Vol 2 (4) ◽  
pp. 316-321 ◽  
Author(s):  
Dustin T. Duncan ◽  
William C. Goedel ◽  
Kenneth H. Mayer ◽  
Steven A. Safren ◽  
Joseph J. Palamar ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Anal Intercourse ◽  
Poor Sleep ◽  
Sleep Health ◽  
Condomless Anal Intercourse ◽  
Sex With Men

scholarly journals Multiple Social Vulnerabilities to Health Disparities and Hypertension and Death in the REGARDS Study

Hypertension ◽  
2021 ◽  
Author(s):  
Jordan B. King ◽  
Laura C. Pinheiro ◽  
Joanna Bryan Ringel ◽  
Adam P. Bress ◽  
Daichi Shimbo ◽  
...  
Keyword(s):  
Relative Risk ◽  
Racial Differences ◽  
Risk Ratio ◽  
Social Vulnerability ◽  
Economic Education ◽  
Community Context ◽  
Relative Risk Ratio ◽  
Adjusted Relative Risk ◽  
Regards Study ◽  
Social Vulnerabilities

Social vulnerabilities increase the risk of developing hypertension and lower life expectancy, but the effect of an individual’s overall vulnerability burden is unknown. Our objective was to determine the association of social vulnerability count and the risk of developing hypertension or dying over 10 years and whether these associations vary by race. We used the REGARDS study (Reasons for Geographic and Racial Differences in Stroke) and included participants without baseline hypertension. The primary exposure was the count of social vulnerabilities defined across economic, education, health and health care, neighborhood and built environment, and social and community context domains. Among 5425 participants of mean age 64±10 SD years of which 24% were Black participants, 1468 (31%) had 1 vulnerability and 717 (15%) had ≥2 vulnerabilities. Compared with participants without vulnerabilities, the adjusted relative risk ratio for developing hypertension was 1.16 (95% CI, 0.99–1.36) and 1.49 (95% CI, 1.20–1.85) for individuals with 1 and ≥2 vulnerabilities, respectively. The adjusted relative risk ratio for death was 1.55 (95% CI, 1.24–1.93) and 2.30 (95% CI, 1.75–3.04) for individuals with 1 and ≥2 vulnerabilities, respectively. A greater proportion of Black participants developed hypertension and died than did White participants (hypertension, 38% versus 31%; death, 25% versus 20%). The vulnerability count association was strongest in White participants ( P value for vulnerability count×race interaction: hypertension=0.046, death=0.015). Overall, a greater number of socially determined vulnerabilities was associated with progressively higher risk of developing hypertension, and an even higher risk of dying over 10 years.

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