P517 Do sexual practices differ by age among gay and bisexual men? A cross-sectional study in melbourne, australia

ObjectivesA mathematical model suggested that a significant proportion of oropharyngeal gonorrhoea cases are acquired via oropharynx-to-oropharynx transmission (ie, tongue-kissing), but to date, no empirical study has investigated this. This study aimed to examine the association between kissing and oropharyngeal gonorrhoea among gay and bisexual men who have sex with men (MSM).MethodsMSM attending a public sexual health centre in Melbourne, Australia, between March 2016 and February 2017 were invited to participate in a brief survey that collected data on their number of male partners in the last 3 months, in three distinct categories: kissing-only (ie, no sex including no oral and/or anal sex), sex-only (ie, any sex without kissing), and kissing-with-sex (ie, kissing with any sex). Univariable and multivariable logistic regression analyses were performed to examine associations between oropharyngeal gonorrhoea positivity by nucleic acid amplification tests and the three distinct partner categories.ResultsA total of 3677 men completed the survey and were tested for oropharyngeal gonorrhoea. Their median age was 30 (IQR 25–37) and 6.2% (n=229) had oropharyngeal gonorrhoea. Men had a mean number of 4.3 kissing-only, 1.4 sex-only, and 5.0 kissing-with-sex partners in the last 3 months. Kissing-only and kissing-with-sex were associated with oropharyngeal gonorrhoea, but sex-only was not. The adjusted odds for having oropharyngeal gonorrhoea were 1.46-fold (95% CI 1.04 to 2.06) for men with ≥4 kissing-only partners and 1.81-fold (95% CI 1.17 to 2.79) for men with ≥4 kissing-with-sex partners.ConclusionsThese data suggest that kissing may be associated with transmission of oropharyngeal gonorrhoea in MSM, irrespective of whether sex also occurs.

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Exploring the role of sex-seeking apps and websites in the social and sexual lives of gay, bisexual and other men who have sex with men: a cross-sectional study

Sexual Health ◽

10.1071/sh16150 ◽

2017 ◽

Vol 14 (3) ◽

pp. 229 ◽

Cited By ~ 14

Author(s):

Kiffer G. Card ◽

Nathan J. Lachowsky ◽

Zishan Cui ◽

Susan Shurgold ◽

Maya Gislason ◽

...

Keyword(s):

Sensation Seeking ◽

Gay And Bisexual Men ◽

Cross Sectional Study ◽

Bisexual Men ◽

Cross Sectional ◽

Social Interventions ◽

Gay Community ◽

Social Time ◽

And Bisexual ◽

Sex With Men

Background The objective of this study was to explore the relationship between online sex-seeking, community/social attachment and sexual behaviour. Methods: Respondent-driven sampling was used to recruit 774 sexually active gay and bisexual men in Vancouver, Canada, aged ≥16 years. Multivariable logistic regression compared men who had used online sex-seeking apps/websites in the past 6 months (n = 586) with those who did not (n = 188). Results: Multivariable results showed that online sex seekers were more likely to be younger [adjusted odds ratio (aOR) = 0.95, 95% CI: (0.93–0.96)], college educated [aOR = 1.60, 95% CI: (1.07, 2.40)], have more Facebook friends [aOR = 1.07, 95% CI: (1.01, 1.13)], spend more social time with other gay men [aOR = 1.99, 95% CI: (1.33–2.97)], and were less likely to identify emotionally with the gay community [aOR = 0.93, 95% CI: (0.86–1.00)]. Further, they had displayed high sensation-seeking behaviour [aOR = 1.08, 95% CI: (1.03–1.13)], were more likely to engage in serodiscordant/unknown condomless anal sex [aOR = 2.34, 95% CI: (1.50–3.66)], use strategic positioning [aOR = 1.72, 95% CI: (1.08–2.74)], ask their partner’s HIV-status prior to sex [aOR = 2.06, 95% CI: (1.27–3.37)], and have ever been tested for HIV [aOR = 4.11, 95% CI: (2.04–8.29)]. Conclusion: These findings highlight the online and offline social behaviour exhibited by gay and bisexual men, pressing the need for pro-social interventions to promote safe-sex norms online. We conclude that both Internet and community-based prevention will help reach app/web users.

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Condomless Group Sex Is Associated With HIV Pre-Exposure Prophylaxis Knowledge and Interest Uptake: A Cross-Sectional Study of Gay and Bisexual Men in Paris, France

AIDS Education and Prevention ◽

10.1521/aeap.2019.31.2.127 ◽

2019 ◽

Vol 31 (2) ◽

pp. 127-135 ◽

Cited By ~ 1

Author(s):

Denton Callander ◽

Su Hyun Park ◽

Yazan A. Al-Ajlouni ◽

John A. Schneider ◽

Maria R. Khan ◽

...

Keyword(s):

Online Survey ◽

Gay And Bisexual Men ◽

Cross Sectional Study ◽

Recent Experience ◽

Bisexual Men ◽

Cross Sectional ◽

Once Daily ◽

And Bisexual ◽

Group Sex ◽

Exposure Prophylaxis

As a prevention strategy, HIV pre-exposure prophylaxis (PrEP) may benefit men who participate in group sex, but little is known about PrEP among this group internationally and virtually nothing is known of the European context. This study used an online survey of gay men living in Paris, France to assess associations between group sex and awareness of, use and interest in PrEP in its once-daily, episodic, injectable, and microbicidal forms. Men reporting recent (within 3 months) condomless group sex were much more likely to report once-daily PrEP use than men with no group sex experience (41.5% vs 7.7%, p < .001). Uptake was similarly low among men who had group sex with condoms (8.0%) and those with less-recent experience (6.43%). Overall, willingness to use PrEP—including its non-daily forms—was high among men reporting group sex, suggesting opportunities for outreach and implementation.

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Trends and differences in sexual practices and sexually transmitted infections in men who have sex with men only (MSMO) and men who have sex with men and women (MSMW): a repeated cross-sectional study in Melbourne, Australia

BMJ Open ◽

10.1136/bmjopen-2020-037608 ◽

2020 ◽

Vol 10 (11) ◽

pp. e037608

Author(s):

Mario Martín-Sánchez ◽

Richard Case ◽

Christopher Fairley ◽

Jane S Hocking ◽

Catriona Bradshaw ◽

...

Keyword(s):

Health Centre ◽

Cross Sectional Study ◽

Sexual Practices ◽

Sectional Study ◽

Anal Sex ◽

Cross Sectional ◽

Men And Women ◽

Sexually Transmitted ◽

Receptive Anal Sex ◽

Sex With Men

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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