Partnership-level correlates of sexual risk taking within the sexual partnerships of young transwomen in San Francisco, California

2019 ◽  
Vol 96 (1) ◽  
pp. 58-61
Author(s):  
Maximo Robert Prescott ◽  
Glenn-Milo Santos ◽  
Sean Arayasirikul ◽  
Erin Wilson
Keyword(s):  
San Francisco ◽  
Secondary Data ◽  
Anal Intercourse ◽  
Estimating Equation ◽  
Injection Drug ◽  
Sexual Practices ◽  
Sexual Risk Taking ◽  
Anal Sex ◽  
Sexual Partnerships ◽  
Insertive Anal Intercourse

ObjectivesLittle is known about the sexual networks of young transwomen, leaving a major gap in what we know about transmission dynamics and the elevated rates of HIV in this population. The objective of this study was to understand partnership-level factors associated with condomless anal sex among young transwomen.MethodsA secondary data analysis of the sexual partnerships of young transwomen was conducted using baseline data from the SHINE study. Generalised estimating equation logistic regressions were used to assess for partnership-level associations between partnership type, age, injection drug use and racial concordance, HIV seroconcordance, sexual role and condomless receptive (CRAI) and insertive anal intercourse (CIAI).ResultsOur analysis included 187 young transwomen that reported a total of 464 sexual partnerships where they had at least one episode of anal sex in the past 6 months. We found casual (n=232 or 50%) and commercial partnerships (n=106 or 22.8%) to be significantly associated with a lower odds of CIAI (OR=0.53, 95% CI 0.32 to 0.86 and OR=0.39, 95% CI 0.18 to 0.82) and CRAI (OR=0.30, 95% CI 0.19 to 0.47 and OR=0.35, 95% CI 0.2 to 0.62) compared with main partnerships (n=126 or 27.2%). Additionally, HIV-positive seroconcordant (n=25 or 5.4%, OR=4.05, 95% CI 1.44 to 11.40) and injection-drug using partnerships (n=25 or 5.4%, OR=3.66, 95% CI 1.34 to 9.95) were found to be significantly associated with an increased odds of CIAI among participants compared with HIV-negative seroconcordant (n=330 or 71.1%) and non-using partnerships (n=338 or 72.8%), respectively.ConclusionYoung transwomen, like other populations, engage in condomless sex more often with main than casual and commercial partners, suggesting a need for interventions that address sexual practices with steady main partners.

scholarly journals Risky sexual practices among men who have sex with men in Northeast Brazil: results from four sequential surveys

2009 ◽  
Vol 25 (6) ◽  
pp. 1390-1398 ◽  
Author(s):  
Rogério Costa Gondim ◽  
Ligia Regina Franco Sansigolo Kerr ◽  
Guilherme L. Werneck ◽  
Raimunda Hermelinda Maia Macena ◽  
Marta Kerr Pontes ◽  
...  
Keyword(s):  
Anal Intercourse ◽  
Sexual Practices ◽  
Anal Sex ◽  
Cross Sectional ◽  
Time Space ◽  
Insertive Anal Intercourse ◽  
Study Population ◽  
Recent Trends ◽  
Risky Sexual Practices ◽  
Sex With Men

This paper focuses on recent trends in risky sexual practices for HIV/AIDS among men who have sex with men (MSM) in Fortaleza, Ceará State, Brazil. Four cross-sectional surveys were conducted (1995, 1998, 2002, and 2005) among MSM 14 years or older who reported oral or anal sex in the previous 12 months. Sexual practices were considered risky whenever the respondent reported unprotected receptive or insertive anal intercourse in the six months preceding the interview. Different selection techniques were used to recruit the study population: snowball (1995, 1998, 2002 - 32%); time-space sampling (2002 - 68%); and respondent-driven sampling (2005). Analyses were based on the comparison between proportions. High rates of risky sexual practices were reported in 1995 (49.9%), decreasing in 1998 (32.6%), increasing again in 2002 (51.3%), and showing the lowest level in 2005 (31.4%). Participants with more schooling increased their risky practices from 1998 to 2002, decreasing in 2005. Among individuals with medium or low schooling, risky behavior declined from 2002 to 2005. The article highlights the need for behavioral surveillance to properly address STD/HIV prevention.

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

Sexual Health ◽  
2010 ◽  
Vol 7 (2) ◽  
pp. 186 ◽  
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.

Risk behaviors for HIV in sexual partnerships of San Francisco injection drug users

AIDS Care ◽  
2013 ◽  
Vol 26 (5) ◽  
pp. 554-558 ◽  
Author(s):  
Yea-Hung Chen ◽  
Willi McFarland ◽  
Henry Fisher Raymond
Keyword(s):  
Risk Behaviors ◽  
San Francisco ◽  
Injection Drug Users ◽  
Drug Users ◽  
Injection Drug ◽  
Sexual Partnerships

Is anal sex a marker for sexual risk-taking? Results from a population-based study of young Croatian adults

Sexual Health ◽  
2011 ◽  
Vol 8 (3) ◽  
pp. 384 ◽  
Author(s):  
Aleksandar Štulhofer ◽  
Valerio Baćak
Keyword(s):  
Condom Use ◽  
Sexual Risk ◽  
Low Income ◽  
Risk Taking ◽  
Sensation Seeking ◽  
Anal Intercourse ◽  
Sexual Risk Taking ◽  
Anal Sex ◽  
The Past ◽  
Sexually Transmissible Infections

Background There is evidence that anal sex is becoming increasingly popular among heterosexual women and men. Several studies carried out in especially vulnerable populations (e.g. sex workers and low-income youth) suggested that anal sex may indicate a more general propensity to sexual risk-taking. Methods: To assess whether this epidemiologically important finding holds in the case of young adults from the general population, we analysed data from a cross-sectional probability survey carried out in 2010 on 1005 Croatian women and men aged 18–25. Results: Anal intercourse was reported by 36.5% of 861 sexually experienced participants (42.7% of men and 29.8% of women). About one-third of them (34%) used a condom at most recent anal intercourse. The experience of anal sex was significantly associated (P < 0.001) with all four indicators of sexual risk-taking (condom use at most recent vaginal intercourse, number of sexual partners in the past year, concurrent sexual relationships and anonymous sex in the past year), as well as with negative attitudes and beliefs about condom use (P < 0.01). Sexual sensation-seeking mediated the relationship between anal sex and some of the sexual risk-taking behaviours. Conclusion: According to the findings, heterosexual anal sex is directly and indirectly associated with increased behavioural risks of acquiring HIV and other sexually transmissible infections (STI). Sex education and STI prevention programs should focus on the importance of using protection when practicing anal sex.

scholarly journals The Psycho-Social and Socio-Cultural Factors of Crystal Methamphetamine Use Among the Gay, Bi and MSM (GBM) Population

2021 ◽  
Author(s):  
Christian Hui
Keyword(s):  
Hiv Infections ◽  
Anal Intercourse ◽  
The United States ◽  
Cultural Factors ◽  
Incidence Rates ◽  
Receptive Anal Intercourse ◽  
Sexual Risk Taking ◽  
Crystal Methamphetamine ◽  
Methamphetamine Use ◽  
Insertive Anal Intercourse

In the United States, men who have sex with men (MSM) remain as the demographic group with the highest HIV incidence rates and account for 53% of new HIV infections in 2006 (Rajasingham, Mimiaga, White, Pinkston, Baden, & Mitty, 2012). One of the reasons accounting for such high rates of HIV transmission between gay, bisexual and MSM (GBM) can be attributed to poly-substance use and the use of crystal methamphetamine (Solomon, Halkitis, Moeller, & Pappas, 2012; Rajasingham et al., 2012). The U.S. Centre for Disease Control and Prevention (2007) reported methamphetamine use in the MSM community is of particular concern due to the high prevalence of HIV and the use of the stimulant. Meanwhile, researchers have found methamphetamine use is closely corrleated to sexual risk taking among GBM and such intimate link between risky sexual behaviour and methamphetamine use have led to a possible double epidemic (Halkitis, Green, & Carragher, 2006). In particular, the use of methamphetamine has been found to be correlated to the frequency of unprotected insertive anal intercourse (UIAI) and unprotected receptive anal intercourse (URAI) among HIV positive and persons with unknown serostatus causal partners over time (Halkitis, Mukherjee, & Palamar, 2009). As an effort to better understand this social pheonemon, this paper focuses on the exploration and identification of the psycho-social and socio-cultural factors of crystal methamphetamine use among the GBM population.

Alcohol and Condomless Insertive Anal Intercourse Among Black/Latino Sexual-Minority Male Non-PrEP Users

2021 ◽  
Vol 5 (1) ◽  
pp. 43-59
Author(s):  
Thomas Alex Washington ◽  
Jo Brocato ◽  
Sheldon Applewhite ◽  
Yarneccia D. Dyson ◽  
Angel Ramos
Keyword(s):  
Los Angeles ◽  
Alcohol Use ◽  
Hiv Transmission ◽  
Anal Intercourse ◽  
Self Report ◽  
Anal Sex ◽  
Research Attention ◽  
Insertive Anal Intercourse ◽  
Condomless Anal Intercourse ◽  
Hiv Negative

ObjectiveThis study examined factors associated with alcohol use and condomlessinsertive anal sex among a sample of BLMSM (N = 188), self-identified as HIV- negative, ages 18–40. The influence of alcohol use on sexual positioning during condomless anal intercourse among Black and Latino men who have sex with men (BLMSM) warrants research attention because of the pervasive misinformation regarding the risk of HIV transmission and the disproportionate impact of the HIV epidemic for this population.MethodsSelf-report survey questionnaires were administered in real time at bars/clubs; public organized events; local colleges/universities; social media advertisements; private men's groups; and organized events in Los Angeles County.ResultsLogistic regression predicted those reporting risky sex when using alcohol were seven times more likely to report condomless insertive anal sex.ConclusionClear messaging about alcohol moderation, dispelling the myths about strategic positioning, and pre-exposure prophylaxis (PrEP) use among HIV negative BLMSM could potentially reduce HIV acquisition/transmission.

scholarly journals Sexual practices, partner concurrency and high rates of sexually transmissible infections among male sex workers in three cities in Vietnam

Sexual Health ◽  
2015 ◽  
Vol 12 (1) ◽  
pp. 39 ◽  
Author(s):  
Michael C. Clatts ◽  
Lloyd A. Goldsamt ◽  
Le Minh Giang ◽  
Gary Yu
Keyword(s):  
Sex Workers ◽  
Anal Intercourse ◽  
Sexual Practices ◽  
Ho Chi Minh City ◽  
Anal Sex ◽  
Male Sex Workers ◽  
Male Client ◽  
Sexually Transmissible Infections ◽  
Male Sex ◽  
Partner Concurrency

Background This paper examines sexual practices, partner concurrency and sexually transmissible infections (STI)/HIV infection among male sex workers (MSWs) in Vietnam. Methods: Six hundred and fifty-four MSWs, aged 16–35 years, were recruited in Hanoi, Nha Trang and Ho Chi Minh City between 2009 and 2011. Survey measures included demographic characteristics, drug use, types of sexual partners and sexual practices. Subjects were screened for STIs, including HIV. Results: MSWs in Ho Chi Minh City (33%) were more likely than those from the other two sites to be current users of one or more types of illegal drugs (P < 0.001). MSWs with both male and female elective partners (compared with other partnership types) were more likely to have anal sex with male client partners (P < 0.001), elective male partners (P = 0.045) and elective female partners (P = 0.025). At last sex with a male client partner, only 30% used a condom during anal intercourse. At last sex with an elective female partner, only 31% used a condom during vaginal sex and only 3% during anal sex. Although rates of HIV are low (4%), other STIs are high, including chlamydia (17%), gonorrhoea (29%) and human papillomavirus (33%). Most (57.3%) have never been tested for HIV and only 17% have ever disclosed to a healthcare provider that they have sex with men. Conclusions: Complex patterns of sexual concurrency, coupled with high rates of STIs, signal the urgent need for health services interventions among MSWs, both to improve individual health outcomes and to reduce secondary STI/HIV transmission among sexual partner networks.

Condom Use, Disclosure, and Risk for Unprotected Sex in HIV-Negative Midlife and Older Men Who Have Sex With Men

2012 ◽  
Vol 7 (3) ◽  
pp. 186-197 ◽  
Author(s):  
Robin J. Jacobs ◽  
Michael N. Kane ◽  
Raymond L. Ownby
Keyword(s):  
Sexual Risk ◽  
Anal Intercourse ◽  
Unprotected Sex ◽  
Receptive Anal Intercourse ◽  
Sexual Risk Taking ◽  
Cross Sectional ◽  
Insertive Anal Intercourse ◽  
Sex With Men ◽  
Older Msm ◽  
Hiv Negative

Sexual risk behaviors account for most HIV infections in men who have sex with men (MSM), and the risk of exposure from each sexual encounter increases with age. The focus of this study was to investigate which behaviors in midlife and older MSM influence their sexual risk/protection. Cross-sectional data were collected from a community-based sample of 802 MSM aged 40 years and older from community venues (e.g., bars) who completed an anonymous questionnaire. Data from a subset of 420 MSM who were HIV-negative (aged 40-81 years) were used to investigate which behaviors were associated with greater risk for unprotected anal sex. Regression analyses indicated that erection difficulties (odds ratio [OR] = 4.7; 95% confidence interval [CI] = 1.8-12.2), practicing safe sex with outside partners but not with one’s primary partner (OR = 0.54; 95% CI = 0.3-0.94), and recreational drug use (OR = 2.6; 95% CI = 1.3-5.1) were associated with higher risk for unprotected receptive anal intercourse. Younger age (OR = 0.96; 95% CI = 0.9- 0.9), not telling partners about HIV status (OR = 3.2; 95% CI = 1.5-6.5), finding partners in backrooms/sex clubs (OR = 2.8; 95% CI = 1.1- 6.8), and erection difficulties (OR = 10.3; 95% CI = 2.8-37.8) were associated with higher risk for unprotected insertive anal intercourse. These data indicate there may be certain factors specific to older MSM that influence their sexual risk taking behaviors. Programs may be more effective if they are tailored for older cohorts of MSM and address interpersonal communication, erection problems, and substance use to reduce health risks and promote healthier lifestyles.

scholarly journals The Psycho-Social and Socio-Cultural Factors of Crystal Methamphetamine Use Among the Gay, Bi and MSM (GBM) Population

2021 ◽  
Author(s):  
Christian Hui
Keyword(s):  
Hiv Infections ◽  
Anal Intercourse ◽  
The United States ◽  
Cultural Factors ◽  
Incidence Rates ◽  
Receptive Anal Intercourse ◽  
Sexual Risk Taking ◽  
Crystal Methamphetamine ◽  
Methamphetamine Use ◽  
Insertive Anal Intercourse

In the United States, men who have sex with men (MSM) remain as the demographic group with the highest HIV incidence rates and account for 53% of new HIV infections in 2006 (Rajasingham, Mimiaga, White, Pinkston, Baden, & Mitty, 2012). One of the reasons accounting for such high rates of HIV transmission between gay, bisexual and MSM (GBM) can be attributed to poly-substance use and the use of crystal methamphetamine (Solomon, Halkitis, Moeller, & Pappas, 2012; Rajasingham et al., 2012). The U.S. Centre for Disease Control and Prevention (2007) reported methamphetamine use in the MSM community is of particular concern due to the high prevalence of HIV and the use of the stimulant. Meanwhile, researchers have found methamphetamine use is closely corrleated to sexual risk taking among GBM and such intimate link between risky sexual behaviour and methamphetamine use have led to a possible double epidemic (Halkitis, Green, & Carragher, 2006). In particular, the use of methamphetamine has been found to be correlated to the frequency of unprotected insertive anal intercourse (UIAI) and unprotected receptive anal intercourse (URAI) among HIV positive and persons with unknown serostatus causal partners over time (Halkitis, Mukherjee, & Palamar, 2009). As an effort to better understand this social pheonemon, this paper focuses on the exploration and identification of the psycho-social and socio-cultural factors of crystal methamphetamine use among the GBM population.

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.

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