The impact of meeting locations for men having sex with men on the risk for bacterial sexually transmitted infections: analyses from a cross-sectional online survey

Abstract Introduction Limited comprehensive data exist on risk behavior associated with sexually transmitted infections (STI) among ship-assigned US military personnel during the predeployment time period (PDT). This study examined whether sexual risk behaviors, alcohol use, involuntary drug consumption (IDC), posttraumatic stress disorder (PTSD), and depression during the 12 months prior to deployment were associated with provider-diagnosed STIs in this population. Materials and Methods Using cross-sectional data collected during 2012–2014 among sexually active personnel, multivariable regression assessed factors associated with STIs among all men (n = 1,831). Stratified analyses were conducted among men who have sex with women (MSW, n = 1,530), men who have sex with men or men and women (MSM, n = 83), and excluded those not reporting sexual partner gender (n = 218). Results Among MSW, transactional sex (AOR 3.8, 95% CI 1.5–9.4) meeting sexual partners at work (AOR 4.3, 95% CI 2.0–9.2), IDC (AOR 6.6, 95% CI 3.0–14.5), and incomplete mental health assessments (AOR 4.4, 95% CI 1.6–12.0) were significantly associated with STIs after adjustment. Among all men, those who identified as MSM (AOR 4.6, 95% CI 1.9–11.2) and drug screen positive (AOR 3.3, 95% CI 1.3–8.6) were significantly more likely to report an STI. Conclusions Previously unreported factors significantly associated with STIs at the PDT among MSW in the adjusted analysis were meeting sexual partners at work and IDC. IDC during the PDT warrants further exploration. These results can inform tailored STI reduction interventions among shipboard personnel and similarly aged civilians undergoing similar transition/travel experiences.

Download Full-text

Risky sexual behavior and sexually transmitted infections among men who have sex with men and purchase sex attending an Israeli sexually transmitted infection clinic

International Journal of STD & AIDS ◽

10.1177/0956462419830856 ◽

2019 ◽

Vol 31 (3) ◽

pp. 236-243 ◽

Cited By ~ 1

Author(s):

Rivka S Rich ◽

Alex Leventhal ◽

Rivka Sheffer ◽

Zohar Mor

Keyword(s):

High Risk ◽

Sexually Transmitted Infections ◽

Sexual Behaviors ◽

Risky Sexual Behavior ◽

Laboratory Data ◽

Cross Sectional Study ◽

Transmitted Infection ◽

Cross Sectional ◽

Sexually Transmitted ◽

Sex With Men

Men who have sex with men (MSM) and purchase sex (MPS) are a sub-group potentially at high risk for acquiring and transmitting sexually transmitted infections (STIs). This is a hard-to-reach population resulting in a scarcity of studies covering the issue. This cross-sectional study aimed to assess the association between purchasing sex and high-risk behaviors related to HIV/STI transmission and appraise the STI prevalence among MSM. All MSM who attended the STI clinic in Tel Aviv between 2003 and 2010 were included. Demographics, behavioral, clinical, and laboratory data were compared between MPS and non-MPS to identify high-risk sexual behaviors and STI prevalence associated with purchasing sex. Of the first visits of 2694 MSM who attended the STI clinic during the study period, 151 (5.6%) paid for sex. MPS were more commonly older and married than non-MPS. MPS were more likely to engage in behaviors associated with high risk for HIV/STI transmission, including infrequent condom use during anal sex, substance use during sex, and selling sex themselves. MPS had a higher STI prevalence than non-MPS, although this was not statistically significant ( p = 0.05). These findings highlight the need to establish culturally tailored interventions for MPS addressing the potential risks associated with purchasing sex.

Download Full-text

The effects of free condom distribution on HIV and other sexually transmitted infections in men who have sex with men

10.31219/osf.io/n7ach ◽

2018 ◽

Author(s):

Reinier Bom ◽

Kalja van der Linden ◽

Amy Matser ◽

Nicolas Poulin ◽

Maarten Schim van der Loeff ◽

...

Keyword(s):

Condom Use ◽

Sexually Transmitted Infections ◽

Burden Of Disease ◽

Sensitivity Analyses ◽

Condom Distribution ◽

Sexually Transmitted ◽

Public Sex ◽

Life Years ◽

Sex With Men ◽

The Impact

HIV and other sexually transmitted infections remain a burden on men who have sex with men in the era of effective combination antiretroviral therapy. New prevention efforts are therefore needed. One of these approaches is the current country-wide free condom distribution at gay bars with darkrooms and gay saunas in the Netherlands. This study assessed the effects of free condom distribution on incidence and burden of disease of HIV and other sexually transmitted infections.A model was constructed to calculate the impact of free condom distribution on HIV, hepatitis C, chlamydia, gonorrhoea, and syphilis among men who have sex with men visiting these venues. Outcomes included new infections averted and disability-adjusted life years averted. Scenario studies were performed to predict the effects of a further increase of condom use, condom effectiveness and coverage. Lastly, cost-effectiveness and sensitivity analyses were performed.Condom use at public sex venues increased after the intervention. Our model showed decreases in annual incidence risk, ranging from 5.73% for gonorrhoea to 7.62% for HIV. The annual number of new infections averted was largest for chlamydia and gonorrhoea (261 and 394 infections, respectively), but 42 new HIV infections were averted as well. Over 98% of the decrease in burden of disease was due to HIV. In scenarios where condom use and condom effectiveness were further increased, this reduction became more extensive. The intervention was cost-effective and cost-saving (for every €1 spent on condom distribution, €5.51 was saved) and remained this in all sensitivity analyses.Free condoms at public sex venues can reduce the transmission of HIV and other sexually transmitted infections. Condom distribution is an affordable and easily implemented intervention that can reduce the burden of disease in men who have sex with men substantially.

Download Full-text

PREVALENCE OF SEXUALLY TRANSMITTED INFECTIONS AMONG MEN WHO HAVE SEX WITH MEN IN CHENNAI- A CROSS SECTIONAL STUDY

National Journal of Community Medicine ◽

10.5455/njcm.20210826070407 ◽

2021 ◽

pp. 1

Author(s):

Krishna B ◽

Mahalakshmi K ◽

Umadevi R ◽

Kalpana S ◽

Anantha VM

Keyword(s):

Sexually Transmitted Infections ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Sexually Transmitted ◽

Sex With Men

Download Full-text

Self-reported sexually transmitted infections and their correlates among men who have sex with men in Norway: an Internet-based cross-sectional survey

BMC Infectious Diseases ◽

10.1186/1471-2334-10-261 ◽

2010 ◽

Vol 10 (1) ◽

Cited By ~ 15

Author(s):

Irena Jakopanec ◽

Barbara Schimmer ◽

Andrej M Grjibovski ◽

Elise Klouman ◽

Preben Aavitsland

Keyword(s):

Sexually Transmitted Infections ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Sexually Transmitted ◽

Sex With Men

Download Full-text

Social and Behavioral Correlates of Sexually Transmitted Infections among Men who Have Sex with Men who Use Alcohol in the San Francisco Bay Area

American Journal of Men s Health ◽

10.1177/15579883211026830 ◽

2021 ◽

Vol 15 (3) ◽

pp. 155798832110268

Author(s):

Jennifer P. Jain ◽

Akua O. Gyamerah ◽

Glenda N. Baguso ◽

Carol Dawson-Rose ◽

Janet Ikeda ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

San Francisco ◽

Sexual Behaviors ◽

Cross Sectional Study ◽

Hiv Status ◽

Cross Sectional ◽

Sexually Transmitted ◽

Logistic Regression Models ◽

The Past ◽

Sex With Men

The risk of acquiring sexually transmitted infections (STIs) among men who have sex with men (MSM) is driven by various socio-behavioral factors. From 2015-2017, 247 MSM ≥ 18 years-old who reported alcohol use in the past year, were recruited into a cross-sectional study in San Francisco. Participants completed a survey assessing socio-demographics, substance use and treatment, sexual behaviors, HIV status and self-reported STI diagnosis in the past 6 months. Multivariable logistic regression models stratified by HIV status were used to identify the correlates of STIs. Of 247 MSM, the prevalence of bacterial STIs were: gonorrhea (12.9%), chlamydia (9.3%) and syphilis (6.0%). Among 177 MSM living without HIV, factors significantly associated with recent STI diagnosis were: current pre-exposure prophylaxis (PrEP) use (aOR = 3.53, 95% CI: 1.42–8.75, p ≤ .01), popper use during sex in the past 6 months (aOR = 3.16, 95% CI = 1.34–7.47, p ≤ .01) and a history of alcohol treatment (aOR = 0.17, 95% CI = 0.04–0.68, p = .01). Also, in a sensitivity analysis (removing PrEP), any receptive condomless anal sex was independently associated with recent STI diagnosis (aOR = 2.86, 95% CI = 1.15–7.08, p = .02). Among 70 MSM living with HIV, factors significantly associated with recent STI diagnosis were: White race/ethnicity (adjusted odds ratio [aOR] = 7.36, 95% confidence interval [CI] = 1.48–36.62, p = .01), younger age (aOR = 0.90, 95% CI: 0.84–0.97, p < .01) and a higher number of male sexual partners in the past 6 months (aOR = 1.03, 95% CI = 1.00–1.06, p = .02). Sexual health interventions that address the unique needs of MSM living with and without HIV who use alcohol in San Francisco are needed to reduce STI acquisition and transmission.

Download Full-text