Co-Occurring Psychosocial Problems and Multiple Sexual Partners among Men Who Have Sex with Men in Shanghai, China: A Syndemic Approach

2017 ◽  
Vol 55 (7) ◽  
pp. 892-901 ◽  
Author(s):  
Zezhou Wang ◽  
Xu Zhao ◽  
Zhan Zhang ◽  
Mengyun Luo ◽  
Qiuming Shen ◽  
...  
Keyword(s):  
Psychosocial Problems ◽  
Sexual Partners ◽  
Multiple Sexual Partners ◽  
Sex With Men

scholarly journals Sexually transmitted infections and sexual behaviors of men who have sex with men in an American Deep South PrEP clinic

2020 ◽  
Vol 31 (2) ◽  
pp. 127-135 ◽  
Author(s):  
Ronnie M Gravett ◽  
Andrew O Westfall ◽  
Edgar T Overton ◽  
Kachina Kudroff ◽  
Christina A Muzny ◽  
...  
Keyword(s):  
High Risk ◽  
Sexually Transmitted Infections ◽  
Incidence Rate ◽  
Sexual Behaviors ◽  
The United States ◽  
Sexual Partners ◽  
Deep South ◽  
Multiple Sexual Partners ◽  
Sexually Transmitted ◽  
Sex With Men

HIV pre-exposure prophylaxis (PrEP) effectively prevents HIV acquisition among men who have sex with men (MSM), but PrEP uptake has been associated with sexually transmitted infections (STIs). The effect of PrEP on STIs in MSM in the Deep South of the United States is unknown. We performed a retrospective analysis of adult MSM at an American Deep South PrEP clinic to calculate the prevalence and incidence rate of bacterial STIs (chlamydia, gonorrhea, and syphilis) and identify associated risk factors by linking incident STI to patient-reported outcomes; 139 MSM accessed the clinic between 2014 and 2018 with baseline bacterial STI prevalence of 11%. Twenty-six of 81 eligible MSM on PrEP had incident STIs with an incidence rate of 33.1 cases per 100 person-years. Significantly higher proportions of high PrEP adherence, multiple sexual partners, and inconsistent condom use were seen in those with incident STI, and we identified MSM with both high PrEP adherence and multiple sexual partners as being at especially high risk for bacterial STIs (hazard ratio: 7.57, 95% confidence interval: 1.75–32.74). Bacterial STIs are common after initiating PrEP in this clinic, and MSM reporting high PrEP adherence and multiple sexual partners have a significant risk for incident STI. High-risk sexual behaviors persisted after starting PrEP, highlighting the importance of ongoing, intensive sexual health screening and interventions.

scholarly journals Factors Associated with Having Multiple Sexual Partners among Men Who Have Sex with Men University Students in Northern Thailand

2021 ◽  
Vol 14 (1) ◽  
pp. 371-379
Author(s):  
Eakasit Chaipin ◽  
Penprapa Siviroj ◽  
Thaworn Lorga ◽  
Natthapol Kosashunhanan ◽  
Kriengkrai Srithanaviboonchai
Keyword(s):  
University Students ◽  
Binary Logistic Regression ◽  
Sexual Partners ◽  
Outcome Variable ◽  
Binary Logistic Regression Analysis ◽  
Northern Thailand ◽  
Multiple Sexual Partners ◽  
Factors Associated ◽  
Number Of Sexual Partners ◽  
Sex With Men

Background: Men who have sex with men (MSM) university students were more likely to be infected with HIV than the general population due to various reasons, including having multiple sexual partners, having anal sex without a condom, and using alcohol and drugs. The objective of this study was to investigate the factors associated with multiple sexual partners among MSM university students in northern Thailand. Methods: The participants of this study were 139 MSM university students. The number of sexual partners in the last 12 months was used as the main outcome variable. Information was collected using an online self-administered questionnaire. The number of sexual partners for categories of participants was described as median and interquartile range. Factors that were independently associated with multiple sexual partners were identified using binary logistic regression analysis. Results: Findings showed that seeking sexual partners online (AOR = 1.72; 95% CI 3.10 - 44.29), drinking alcohol within the last 12 months (AOR=9.73; 95% CI 1.38 - 68.47), and having a self-perception of HIV risk (AOR=3.63; 95% CI 1.15 - 11.50) were independently associated with having multiple sexual partners. Conclusion: Health agencies and universities should develop strategies to promote life skills related to sexual responsibility, appropriate use of online media, and reduction of alcohol consumption among MSM university students.

Qualitative exploration of HIV-related sexual behaviours and multiple partnerships among Chinese men who have sex with men living in a rural area of Yunnan Province, China

Sexual Health ◽  
2013 ◽  
Vol 10 (6) ◽  
pp. 533 ◽  
Author(s):  
Eric P. F. Chow ◽  
Liangmin Gao ◽  
Fung Kuen Koo ◽  
Liang Chen ◽  
Xiaoxing Fu ◽  
...  
Keyword(s):  
Yunnan Province ◽  
Social Stigma ◽  
Rural China ◽  
High Mobility ◽  
Casual Sex ◽  
Sexual Partners ◽  
Sexual Practices ◽  
Multiple Sexual Partners ◽  
Sex With Men ◽  
Multiple Sexual Partnerships

BackgroundThe HIV epidemic has been spreading rapidly among men who have sex with men (MSM) in China. The present study explored the pattern of HIV-related high-risk sexual practices among MSM in a rural Chinese setting. Methods: Data were collected by semistructured in-depth interviews conducted among 15 MSM in Yuxi Prefecture, Yunnan Province, China. Fifteen respondents were recruited through a local non-governmental organisation via purposive sampling. Thematic analysis was used. Results: Technological changes, risk behaviours, social stigma and high migration rates have played a significant role in the spread of HIV among MSM in rural China. The Internet has become the primary channel for soliciting casual sex partners in the MSM community. Bisexuality and having concurrent and multiple sexual partners were common among rural MSM. A large number of sexual partners and low condom use in all MSM partnership types were noted. Due to Chinese cultural traditions and social stigma, Chinese rural MSM were reluctant to disclose their homosexuality. Rural-to-urban migrant MSM were often engaged in the commercial sex trade. Conclusions: Rural MSM is a distinctive and complex population with multiple identities in China. Concurrent multiple sexual partnerships, high mobility and low disclosure rate are the major challenges for HIV prevention and intervention programs in MSM.

Prospective Predictors of Multiple Sexual Partners Among African American Men Who Have Sex with Men

2018 ◽  
Vol 47 (7) ◽  
pp. 2081-2090
Author(s):  
Deepti Chittamuru ◽  
Larry D. Icard ◽  
John B. Jemmott ◽  
Ann O’Leary
Keyword(s):  
African American ◽  
African American Men ◽  
Sexual Partners ◽  
Multiple Sexual Partners ◽  
Sex With Men

scholarly journals The Effects of Multiple Sexual Partners and Condoms Use on the Incidence of HIV in Men Having Sex with Men

2018 ◽  
Vol 3 (3) ◽  
pp. 150-154
Author(s):  
Evi Erlinda Wati ◽  
◽  
Rahayu Lubis ◽  
R. Kintoko Rochadi ◽  
◽  
...  
Keyword(s):  
Sexual Partners ◽  
Multiple Sexual Partners ◽  
Sex With Men

Sexual Health Communication of Black Men Who Have Sex With Men Who Met On or Offline: A Secondary Data Analysis (Preprint)

2020 ◽  
Author(s):  
Jacob D Gordon ◽  
Andre L Brown ◽  
Darren L Whitfield
Keyword(s):  
Sexual Health ◽  
Health Communication ◽  
Black Men ◽  
Sexual Partner ◽  
Secondary Data ◽  
Sexual Partners ◽  
Hiv Status ◽  
Sexual Health Communication ◽  
Sex With Men ◽  
Traditional Masculinity

BACKGROUND Black men who have sex with men (BMSM) continue to experience disproportionate rates of HIV/STI infection despite advances in effective prevention tools. Over the last decade the method of finding sexual partners has evolved, with BMSM increasingly using geospatial dating applications to find sexual partners. Sexual health communication between partners has been associated with safer sex practices by previous scholars, but it is unclear how sexual health communication of BMSM differs for sex partners found on or offline. OBJECTIVE The current study explored sexual health communication in relationship to how one found their last sexual partner and factors associated with poorer sexual health communication. METHODS This study used secondary data in the form of a self-administered national survey. BMSM were recruited online and in-person and answered questions about their sexual health behaviors regarding their last sexual partner. RESULTS In total, 403 individuals were included in the analysis. The majority of respondents 55.8% (225/403) were more likely to have found their last sexual partner through geospatial dating applications and online websites than offline venues 44.3% (178/225). There was not a significant difference in scores of sexual health communication between those who found their last sexual partner on or offline (P=.49). Additionally, sexual health communication was also not significantly associated (P = .25) based on the venue of their last sexual partner after controlling for covariates. Significant predictors of lower sexual health communication of BMSM were found: positive HIV status (P = .003), a casual partner type (P < .001), and endorsement of traditional masculinity ideologies (P = .01). CONCLUSIONS Findings from this study confirm high rates of sexual partner seeking via online venues among BMSM. The significant predictors of lower sexual health communication, endorsement of traditional masculinity ideologies and positive HIV status, suggest that stigma is a barrier to effective sexual health communication of BMSM.

scholarly journals Sexual behaviour patterns and STI risk: results of a cluster analysis among men who have sex with men in Portugal

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e033290
Author(s):  
Karel Blondeel ◽  
Sonia Dias ◽  
Martina Furegato ◽  
Armando Seuc ◽  
Ana Gama ◽  
...  
Keyword(s):  
Cluster Analysis ◽  
Sexual Behaviour ◽  
Hierarchical Cluster ◽  
Risk Behaviour ◽  
Sexual Partners ◽  
Hiv Positive ◽  
Research Approach ◽  
Cross Sectional ◽  
Combination Prevention ◽  
Sex With Men

ObjectivesPortugal has the highest HIV incidence rate in Western Europe. The proportion assigned to sexual contact between men recently increased to more than 30% of all HIV infections. Men who have sex with men (MSM) are vulnerable to the acquisition of other sexually transmitted infections (STIs), increasing the per-contact risk of HIV infection. Building on syndemic theory, the aim of this analysis was to identify patterns of current sexual behaviour in MSM, and explore their relationship with self-reported current, past STI diagnoses and HIV positive serostatus.DesignA cross-sectional behavioural survey was conducted in Portugal among MSM, using a community-based participatory research approach. Hierarchical cluster analysis was used to identify patterns including behavioural and demographic factors.ResultsThe analysis resulted in six clusters. Three clusters showed higher rates of current STI diagnosis (ranging from 11.7% to 17.1%), past STI diagnosis (ranging from 25.5% to 41.5%) and HIV positive serostatus (ranging from 13.0% to 16.7%). From the three clusters scoring lower on current and past STI and HIV diagnoses, one was characterised by a high number of sexual partners (62% had more than 12 partners in the last year), a high proportion (94.6%) of frequent visits to gay venues to meet sexual partners and high alcohol use (46.1%). The other two clusters scored lower on high risk sexual behaviour.ConclusionFactors other than sexual behaviour appear to reinforce the vulnerability to STIs and HIV of some MSM in this study, suggesting a syndemic of STIs, HIV and other adverse conditions. More research is needed to better understand the drivers of the STI/HIV epidemic in Portuguese MSM, using a concept that goes beyond risk behaviour, to develop effective combination prevention interventions.

Feasibility of Indirect Secondary Distribution of HIV Self-Test Kits via WeChat Among Men Who Have Sex with Men: A National Cross-Sectional Study in China (Preprint)

2021 ◽  
Author(s):  
Li Shangcao ◽  
Jing Zhang ◽  
Xiang Mao ◽  
Tianyi Lu ◽  
Yangyang Gao ◽  
...  
Keyword(s):  
Social Media ◽  
Online Survey ◽  
Sexual Partners ◽  
Cross Sectional ◽  
Self Testing ◽  
Hiv Test ◽  
Condomless Anal Intercourse ◽  
Secondary Distribution ◽  
Self Test ◽  
Sex With Men

BACKGROUND The use of HIV self-test (HST) kits is commonplace in key sexually active populations. The direct secondary distribution of HST kits (DSDHK) is effective in improving the uptake of HIV self-testing. However, there are concerns about various limitations of DSDHK, including limited geographic location, payment problems, and face-to-face interaction. OBJECTIVE We evaluated the feasibility and characteristics of the indirect secondary distribution of HST kits (ISDHK) via WeChat (distributing HST application links and follow-up HST kits to partners) among men who have sex with men (MSM). METHODS From October 2017 to September 2019, an HIV self-testing (HIVST) recruitment advertisement was disseminated on the WeChat social media platform to invite MSM to apply for HST kits (referred to as “index participants” [Ips]). All of the MSM participants were encouraged to distribute the HST application link to their friends and sexual partners (referred to as “Alters”) through their social networks. All Alters were further encouraged to continue to distribute the HST application link. All participants paid a deposit (USD 7), refundable upon completion of the questionnaire and uploading of the test result via an online survey system. RESULTS 2,263 MSM met the criteria and successfully applied for HST. Of these, 1,816 participants returned their HST test results, including 1,422 (88.3%) IPs and 394 (21.7%) Alters. Compared with the IPs, the Alters practiced more condomless anal intercourse (CAI), a higher proportion of them never previously had an HIV test, and they had a greater willingness to distribute HST kits to sexual partners (all p < 0.05). After controlling for age, education, and income, the Alters had a greater proportion of MSM who had never tested for HIV before (aOR = 1.29, 95% CI 1.00–1.68), were more willing to distribute the HST application link (aOR = 1.71, 95% CI 1.21–2.40), had a lower number of sexual partners (aOR = 0.71, 95% CI 0.57–0.90), and were less likely to search for sexual partners via online means (aOR = 0.78, 95% CI 0.60–1.02). In comparison, the rates of reactive HST results, conducting HIV confirmatory tests, HIV seropositivity, and initiation of HIV antiretroviral therapy (ART) were similar for IPs and Alters. CONCLUSIONS The ISDHK mode of distributing HST application links via social media is feasible among the MSM population. The ISDHK mode should be used to supplement the DSDHK mode in order to enable a greater proportion of the MSM population to know their HIV infection status.

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