An Event-Level Comparison of Risk-Related Sexual Practices Between Black and Other-Race Men Who Have Sex with Men: Condoms, Semen, Lubricant, and Rectal Douching

ObjectivesIn the 2010s, there has been an increase in sexually transmitted infections (STI) in men who have sex with men (MSM) in Australia, and since 2015 also in urban heterosexuals. Men who have sex with both men and women (MSMW) have characteristics that may differ from both men who have sex with men only (MSMO) and heterosexual men. We aimed to compare the sexual practices and the trends in HIV/STI positivity between MSMO and MSMW.DesignRepeated cross-sectional study.SettingA sexual health centre in Melbourne, Australia.ParticipantsMSM aged 18 years and above who attended the Melbourne Sexual Health Centre for the first time between 2011 and 2018. This includes 12 795 MSMO and 1979 MSMW.Primary outcome measuresDemographic characterics, sexual practices and HIV/STI positivity.ResultsCompared with MSMW, MSMO were more likely to practice anal sex and to have condomless receptive anal sex with casual male partners, and less likely to have a current regular relationship. Over the 8-year period, there was an increase in condomless receptive anal sex with casual male partners for both groups (MSMO: from 46.2% to 63.3%, ptrend <0.001; MSMW: from 41.3% to 57.9%, ptrend=0.011). Syphilis positivity increased in MSMO (from 5.5% to 7.9%, ptrend=0.012) and MSMW (from 0.9% to 6.4%, ptrend=0.004) and HIV remained stable. Gonorrhoea increased among MSMO from 2011 to 2014 (from 6.7% to 9.6%, ptrend=0.002), and remained stable from 2015 to 2018. MSMO had higher odds of testing positive for gonorrhoea (adjusted OR (aOR) 1.36, 95% CI 1.13 to 1.64), chlamydia (aOR 1.39, 95% CI 1.16 to 1.67), syphilis (aOR 1.74, 95% CI 1.37 to 2.22) and HIV (aOR 4.60, 95% CI 2.43 to 8.70) than MSMW.ConclusionsMSMW have overall lower condomless sex and lower HIV/STI positivity. In the last years, changes in sexual practices in MSM have affected both MSMW and MSMO leading to an increased STI risk.

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Unprotected Sexual Practices Among Men Who Have Sex with Women and Men Who Have Sex with Men Living with HIV/AIDS in Rio de Janeiro

Archives of Sexual Behavior ◽

10.1007/s10508-014-0357-4 ◽

2014 ◽

Vol 44 (2) ◽

pp. 357-365 ◽

Cited By ~ 9

Author(s):

Renata Siqueira Julio ◽

Ruth Khalili Friedman ◽

Cynthia B. Cunha ◽

Raquel Brandini De Boni ◽

Sandra Wagner Cardoso ◽

...

Keyword(s):

Rio De Janeiro ◽

Sexual Practices ◽

Sex With Men ◽

Living With Hiv ◽

Hiv Aids

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Correlates of Rectal Douching Practices Among Men Who Have Sex With Men in Kenya

Sexually Transmitted Diseases ◽

10.1097/olq.0000000000000890 ◽

2018 ◽

Vol 45 (11) ◽

pp. e94-e97 ◽

Cited By ~ 1

Author(s):

Jessica Londeree Saleska ◽

Abigail Norris Turner ◽

Jennifer Syvertsen ◽

Jesse Nakhumwa ◽

Leonard Soo ◽

...

Keyword(s):

Rectal Douching ◽

Sex With Men

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Differences in Neisseria gonorrhoeae population structure and antimicrobial resistance pattern between men who have sex with men and heterosexuals

Epidemiology and Infection ◽

10.1017/s095026881600234x ◽

2016 ◽

Vol 145 (2) ◽

pp. 379-385 ◽

Cited By ~ 7

Author(s):

J. SERRA-PLADEVALL ◽

M. J. BARBERÁ ◽

A. E. CALLARISA ◽

R. BARTOLOMÉ-COMAS ◽

A. ANDREU

Keyword(s):

Population Structure ◽

Antimicrobial Resistance ◽

Neisseria Gonorrhoeae ◽

Antimicrobial Susceptibility ◽

Sexual Practices ◽

Resistance Pattern ◽

High Prevalence ◽

Sex With Men ◽

Resistance Rates ◽

Sequence Types

SUMMARYThis study compared the antimicrobial susceptibility and genotypes of strains of Neisseria gonorrhoeae isolated from men who have sex with men (MSM) and from heterosexuals. One hundred and eleven strains were characterized from 107 patients, comprising 57 strains from 54 heterosexuals and 54 strains from 53 MSM. Antimicrobial resistance rates were higher in strains from heterosexual patients, with resistance to cefixime (P = 0·0159) and ciprofloxacin (P = 0·002) being significantly higher. Typing by N. gonorrhoeae multi-antigen sequence typing (NG-MAST) showed that the most prevalent sequence types (ST) and genogroups (G) respectively were ST2400, ST2992, and ST5793, and G1407, G2992, and G2400. A statistically significant association was observed for MSM and genogroups G2400 (P = 0·0005) and G2992 (P = 0·0488), and G1407 with heterosexuals (P = 0·0002). We conclude that in our region distinct populations of gonococci are circulating among subjects with different sexual practices, with their corresponding transmission patterns. Furthermore, the high prevalence of genotype G2400 in MSM, has not to our knowledge been previously described.

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Syphilis infection, sexual practices and bisexual behaviour among men who have sex with men and transgender women: a cross-sectional study

Sexually Transmitted Infections ◽

10.1136/sextrans-2014-051589 ◽

2014 ◽

Vol 91 (2) ◽

pp. 142-149 ◽

Cited By ~ 19

Author(s):

F. R. P. Fernandes ◽

P. B. Zanini ◽

G. R. Rezende ◽

L. S. Castro ◽

L. M. Bandeira ◽

...

Keyword(s):

Cross Sectional Study ◽

Transgender Women ◽

Sexual Practices ◽

Sectional Study ◽

Syphilis Infection ◽

Cross Sectional ◽

And Bisexual ◽

Sex With Men

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Helping a Buddy Out

10.18574/nyu/9781479801091.003.0006 ◽

2021 ◽

pp. 141-157

Author(s):

Tony Silva

Keyword(s):

Sexual Identity ◽

Small Town ◽

Gay And Bisexual Men ◽

Sexual Practices ◽

Hooking Up ◽

Bisexual Men ◽

Male Sex ◽

And Bisexual ◽

Sex With Men ◽

Three Components

The men interviewed interpreted sex with men as compatible with heterosexuality and masculinity. What the author calls “bud-sex” is the way rural and small-town, white, straight men interpret or engage in sex in ways that reinforce their heterosexuality and masculinity. While the sex these men have with other men involves acts similar to those between gay and bisexual men, the meanings they attach to these acts differ greatly. Bud-sex has three components. First is hooking up with other masculine, white, and straight or bisexual men. Second is having secretive, nonromantic sex. And third is interpreting male-male sex as largely unthreatening to masculinity, heterosexuality, or marriage. Bud-sex, with its unique understandings of gender and sexual identity, reflects and reinforces the men’s embeddedness in straight culture. Sexual identity and masculinity depend on what sex acts mean, rather than on mere mechanics. Consequently, interpretations of sexual practices, not sexual practices in and of themselves, are crucially important. For the straight men interviewed, their interpretations both reflected and reinforced their embeddedness in straight culture. Bud-sex allows straight men to enjoy male-male sex without threatening either their heterosexuality or their masculinity.

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Much a-douche about nothing? Rectal douching, HIV and STI risks among men who have sex with men

Sexually Transmitted Diseases ◽

10.1097/olq.0000000000001224 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Daniel Reeders ◽

Peiyang Li ◽

Tanwei Yuan ◽

Anping Feng ◽

Heping Zhao ◽

...

Keyword(s):

Rectal Douching ◽

Sex With Men

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Australian men's sexual practices in saunas, sex clubs and other male sex on premises venues

Sexual Health ◽

10.1071/sh09101 ◽

2010 ◽

Vol 7 (2) ◽

pp. 186 ◽

Cited By ~ 9

Author(s):

Anthony Lyons ◽

Anthony M. A. Smith ◽

Jeffrey W. Grierson ◽

Henry von Doussa

Keyword(s):

Anal Intercourse ◽

Unprotected Anal Intercourse ◽

Sexual Practices ◽

Anal Sex ◽

Sexually Transmissible Infections ◽

Younger Men ◽

Receptive Anal Sex ◽

Risky Sexual Practices ◽

Sexual Encounters ◽

Sex With Men

Background: Sex on premises venues (SOPVs) where men have sex with men have been implicated in the spread of sexually transmissible infections, but few studies have described men’s sexual encounters in SOPVs, particularly the degree to which men from different backgrounds engage in risky sexual practices. Methods: Interviewer administered surveys were conducted with 186 Australian men who have sex with men (MSM) within 48 h of visiting an SOPV. They reported their sexual practices, the characteristics of their partners and other circumstances surrounding their sexual encounters. Results: All analyses were based on the number of sexual encounters (n = 430). Oral sex was the most common practice, occurring in 74.9% of encounters, followed by massage, frottage or kissing (53.7%), solo or mutual masturbation (36.3%), and anal sex (32.1%). Multivariate analyses revealed age as a significant factor for having protected anal sex (P = 0.001), insertive anal sex (P = 0.004) and receptive anal sex (P < 0.001). These practices were more frequent in encounters among younger men, while masturbation (P = 0.03) was more frequent among older men. When men’s sexual partners were affected by alcohol, encounters were less likely to involve unprotected anal intercourse (P = 0.006) and more likely to involve massage, frottage or kissing (P = 0.009). Men disclosed their HIV status in only 7.7% of encounters. Conclusions: With the likelihood of risky sexual practices varying according to background, results from this study should be used to guide interventions aiming to promote safer sex in SOPVs.

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