P2-S6.09 Factors associated with HIV sexual risk management among HIV-negative men who have sex with men living in Quebec and who use internet to find sexual partners

(1) Background: Condomless anal sex and substance use are associated with STI risk among gay, bisexual, and other men who have sex with men (gbMSM). Our first study objective was to describe event-level sexual risk and substance use trends among gbMSM. Our second study objective was to describe substances associated with event-level sexual risk. (2) Methods: Data come from the Momentum Health Study in Vancouver, British Columbia and participants were recruited from 2012–2015, with follow-up until 2018. Stratified by self-reported HIV status, we used generalized estimating equations to assess trends of sexual event-level substance use and assessed interactions between substance use and time period on event-level higher risk sex defined as condomless anal sex with an HIV serodifferent or unknown status partner. (3) Results: Event-level higher risk anal sex increased across the study period among HIV-negative/unknown (baseline prevalence: 13% vs. study end prevalence: 29%) and HIV-positive gbMSM (baseline prevalence: 16% vs. study end prevalence: 38%). Among HIV-negative/unknown gbMSM, event-level erectile drug use increased, while alcohol use decreased over the study period. Overall, interactions between substance use and time on higher risk anal sex were not statistically significant, regardless of serostatus. However, we found a number of time-specific significant interactions for erectile drugs, poppers, Gamma-hydroxybutyrate (GHB), crystal methamphetamine and ecstasy/MDMA use among HIV-negative/unknown gbMSM. (4) Conclusion: Significant differences in substance use trends and associated risks exist and are varied among gbMSM by serostatus. These findings provide a more comprehensive understanding of the effects of event-level substance use on sexual risk through longitudinal follow-up of nearly six years.

Download Full-text

Beliefs and Perception About HIV/AIDS, Self-Efficacy, and HIV Sexual Risk Behaviors Among Young Thai Men Who Have Sex With Men

AIDS Education and Prevention ◽

10.1521/aeap.2017.29.2.175 ◽

2017 ◽

Vol 29 (2) ◽

pp. 175-190 ◽

Cited By ~ 9

Author(s):

Natawan Khumsaen ◽

Rob Stephenson

Keyword(s):

Sexual Risk ◽

Risk Behaviors ◽

Self Efficacy ◽

Sexual Risk Behaviors ◽

Hiv Sexual Risk ◽

Sex With Men ◽

Hiv Sexual Risk Behaviors ◽

Hiv Aids

Download Full-text

Affective differences in Iowa Gambling Task performance associated with sexual risk taking and substance use among HIV-positive and HIV-negative men who have sex with men

Journal of Clinical and Experimental Neuropsychology ◽

10.1080/13803395.2015.1085495 ◽

2016 ◽

Vol 38 (2) ◽

pp. 141-157 ◽

Cited By ~ 3

Author(s):

Sarit A. Golub ◽

Louisa I. Thompson ◽

William J. Kowalczyk

Keyword(s):

Substance Use ◽

Task Performance ◽

Sexual Risk ◽

Risk Taking ◽

Iowa Gambling Task ◽

Hiv Positive ◽

Sexual Risk Taking ◽

Gambling Task ◽

Sex With Men ◽

Hiv Negative

Download Full-text

Psychological Problems Mediate the Relationship Between Minority Stress and HIV Sexual Risk Among Nigerian Men Who Have Sex with Men: Testing the Minority Stress Model

Archives of Sexual Behavior ◽

10.1007/s10508-021-01943-8 ◽

2021 ◽

Author(s):

Adedotun Ogunbajo ◽

Stella Iwuagwu ◽

Rashidi Williams ◽

Katie Biello ◽

Christopher W. Kahler ◽

...

Keyword(s):

Sexual Risk ◽

Minority Stress ◽

Psychological Problems ◽

Stress Model ◽

Nigerian Men ◽

Hiv Sexual Risk ◽

Sex With Men ◽

Minority Stress Model ◽

The Relationship

Download Full-text

Adolescent and non-consensual anal sexual debut among Chinese men who have sex with men: a cross-sectional study

10.21203/rs.3.rs-25389/v4 ◽

2020 ◽

Author(s):

Weiming Tang ◽

Yehua Wang ◽

Wenting Huang ◽

Dan Wu ◽

Fan Yang ◽

...

Keyword(s):

Sexual Risk ◽

Sexual Debut ◽

Cross Sectional Study ◽

Sectional Study ◽

Anal Sex ◽

Cross Sectional ◽

Chinese Men ◽

Factors Associated ◽

Consensual Sex ◽

Sex With Men

Abstract Background: Adolescent sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection in adulthood among men who have sex with men (MSM) in high-income countries. This study aimed to examine adolescent and non-consensual anal sexual debut among Chinese MSM and to evaluate factors associated with adolescent sexual debut and non-consensual anal sex.Methods: A cross-sectional study was conducted recently among Chinese men assigned male sex at birth, ≥18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual. Factors associated with an adolescent sexual debut (<18 years old) and non-consensual sex at sexual debut were evaluated. We defined adolescent sexual debut as having anal sex with another man at 17 years old or younger, and the participants were asked whether their first male-to-male anal sex was non-consensual.Results: Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD=4.3) years old. 17.6% (358/2031) of men reported adolescent sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. The adolescent sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06–1.15) and condomless anal sex in the last three months (AOR=1.71, 95% CI 1.34-2.18). MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR=1.76, 95% CI 1.17-2.66), and to have reported an adolescent sexual debut (AOR=2.72, 95% CI 1.75-4.21).Conclusions: Many Chinese MSM reported adolescent sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for designing tailored interventions for MSM who experienced adolescent sexual debut and non-consensual sex at debut.

Download Full-text