scholarly journals Risk Factors for HIV/Syphilis Infection and Male Circumcision Practices and Preferences among Men Who Have Sex with Men in China

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Yali Zeng ◽  
Linglin Zhang ◽  
Tian Li ◽  
Wenhong Lai ◽  
Yujiang Jia ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Hiv Infection ◽  
Male Circumcision ◽  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Cross Sectional Survey ◽  
Syphilis Infection ◽  
Unprotected Receptive Anal Intercourse ◽  
Male Sex ◽  
Sex With Men

Objective. To investigate factors associated with HIV infection and the frequency and willingness of male circumcision among men who have sex with men (MSM) in Chengdu city, China.Methods. A cross-sectional survey provided information on participants' demographics, risk behaviors, circumcision, and uptake of HIV prevention services.Results. Of 570 participants, 13.3% were infected with HIV and 15.9% with syphilis. An estimated 43.0% of respondents reported having unprotected receptive anal intercourse, and 58.9% reported having ≥2 male sexual partners in the past 6 months. Multivariable logistic regression revealed that syphilis, more male sex partners, predominantly receptive anal intercourse, and exclusively receptive male sex were associated with HIV infection. Higher level of education and peer education service were inversely associated with HIV infection. Nearly a fifth (18.0%) of participants were circumcised. More than half of uncircumcised participants expressed willingness to be circumcised.Conclusion. This study reveals a high prevalence of HIV and syphilis among MSM in Chengdu province of China. The frequency of unprotected receptive anal intercourse and multiple male sexual partnerships highlight the urgency for an effective comprehensive HIV prevention strategy. Although the willingness to accept male circumcision (MC) is high, further research is needed to assess the protective effective of MC among MSM.

scholarly journals Enhancing HIV Prevention Services: Exploring Psychosocial Associations of HIV Antibody Testing Frequency among Sexually Active Men who have Sex with Men

2021 ◽  
Vol 9 (4) ◽  
Author(s):  
Todd Sabato
Keyword(s):  
Hiv Prevention ◽  
Hiv Testing ◽  
Internalized Homophobia ◽  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Sexually Active ◽  
Antibody Testing ◽  
Prevention Services ◽  
Testing Frequency ◽  
Sex With Men

Despite recommendations of annual HIV testing for high-risk individuals, one-third of infected men who have sex with men (MSM) are unaware of their serostatus. In an effort to improve HIV prevention services and subsequently decrease prevalence, this study aimed to examine the HIV testing patterns and factors associated with testing frequency among MSM. Utilizing eight reliable and validated instruments and a sample of 374 sexually active MSM, this study examined a series of demographic, behavioral and psychosocial associations of antibody testing frequency, including substance use/abuse, depression levels, internalized homophobia, unprotected anal intercourse, sexual regulation and attribution, and HIV knowledge, . MSM who tested for HIV frequently were more likely to be older, have higher levels of educational attainment, and self-identify as gay. Respondents who reported never having been tested and irregularly tested had higher levels of internalized homophobia, depression, and alcohol use and abuse patterns. Respondents who had never been tested or infrequently tested engaged in lower levels of sexual risk, particularly unprotected receptive anal intercourse. Those with no or irregular histories of testing also exhibited greater external sexual loci of control, and were significantly more likely to attribute life events to external, unstable, and pessimistic causes.

scholarly journals Predictive factors for HIV infection among men who have sex with men and who are seeking PrEP: a secondary analysis of the PROUD trial

2019 ◽  
Vol 95 (6) ◽  
pp. 449-454 ◽  
Author(s):  
Ellen White ◽  
David T Dunn ◽  
Monica Desai ◽  
Mitzy Gafos ◽  
Peter Kirwan ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Incidence Rate ◽  
Secondary Analysis ◽  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Hiv Incidence ◽  
Open Label ◽  
Eligibility Criteria ◽  
Sex With Men ◽  
Hiv Acquisition

ObjectivesPre-exposure prophylaxis (PrEP) is a highly effective method of HIV prevention for men who have sex with men (MSM). However, uncertainty remains around the optimal eligibility criteria for PrEP, specifically whether there are subgroups at low risk of HIV for whom PrEP might not be warranted.MethodsPROUD was an open-label waitlist trial design that randomised MSM attending participating sexual health centres in England to receive PrEP immediately (IMM) or after a deferral period of 1 year (DEF). This analysis is based on participants who were randomised to the deferred arm, when they did not have access to PrEP. HIV incidence was compared between subgroups defined by baseline characteristics.ResultsOverall, 21 participants acquired HIV infection over 239.3 person-years (PY) follow-up, yielding an incidence rate of 8.8/100 PY (95% CI 5.4 to 13.4). Two highly significant predictors for HIV acquisition were identified. Men with a self-reported diagnosis of syphilis, rectal chlamydia (CT) or rectal gonorrhoea (GC) in the previous 12 months had an incidence of 17.2/100 PY (95% CI 9.7 to 28.5); those reporting receptive anal intercourse without a condom (ncRAI) with two or more partners in the previous 3 months had an incidence of 13.6/100 PY (95% CI 7.9 to 21.7). The incidence rate among participants lacking both of these risk factors was 1.1/100 PY (1/87.6, 95% CI 0.03 to 6.4).ConclusionsThe high HIV incidence in PROUD suggests that most participants appropriately judged their need for PrEP. Eligibility criteria for a PrEP programme can therefore be broad, as in the current guidelines. However, a recent history of syphilis or rectal CT/GC, or multiple ncRAI partners indicates a high imminent risk of HIV infection. MSM with any of these characteristics should be offered PrEP as a matter of urgency.

scholarly journals Lubricants and rectal douching: associations with rectal gonorrhea, chlamydia, and/or syphilis infection among men who have sex with men

2020 ◽  
Vol 31 (11) ◽  
pp. 1040-1046
Author(s):  
Cheríe S Blair ◽  
Marjan Javanbakht ◽  
W Scott Comulada ◽  
E India Richter ◽  
Robert Bolan ◽  
...  
Keyword(s):  
Los Angeles ◽  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Predominantly Black ◽  
Syphilis Infection ◽  
Barrier Methods ◽  
Sexually Transmitted ◽  
Latino Msm ◽  
Rectal Douching ◽  
Sex With Men

Despite widespread prevalence of lubricant use and rectal douching for receptive anal intercourse (RAI) among men who have sex with men (MSM), research evaluating the association of these behaviors with sexually transmitted infections (STIs) is limited. This is an observational analysis of a longitudinal cohort of predominantly Black/Latino MSM in Los Angeles. Every six months from August 2014 to January 2018, participants received STI screening and surveys evaluating lubricant use, douching, substance use, and sexual risk behaviors. General estimating equations evaluated the association between consistent lubricant use and douching for RAI with positive rectal Neisseria gonorrhoeae, Chlamydia trachomatis, and/or syphilis (positive STI). Among 313 participants across 552 study visits, 16.5% (91/552) had positive STI. Consistent lubricant use was reported in 52.7% (243/552) and rectal douching in 57.6% (318/552) of study visits. Consistent lubricant use was associated with STI diagnosis (adjusted OR [AOR] 1.81; 95% CI 1.11–2.96; p = 0.018). Each episode of rectal douching before RAI was associated with 2% increased odds of positive STI (AOR 1.02; 95% CI 1.00–1.04; p = 0.041). Among this cohort of HIV-positive and high-risk HIV-negative MSM, lubricant use and douching was common and independently associated with an STI, suggesting the utility of prevention messaging around barrier methods/condoms for sexual encounters involving douching/lubricant use.

Active syphilis and its association with HIV and sexual risk behaviours in a multicity sample of men who have sex with men and transgender women in Peru

Sexual Health ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 304 ◽  
Author(s):  
Lia N. Pizzicato ◽  
Panagiotis Vagenas ◽  
Pedro Gonzales ◽  
Javier R. Lama ◽  
Monica Pun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Anal Intercourse ◽  
Transgender Women ◽  
Female Partner ◽  
Self Report ◽  
Receptive Anal Intercourse ◽  
Syphilis Infection ◽  
Syphilis Screening ◽  
Sex With Men ◽  
Active Syphilis

Background Syphilis in Peru is heavily concentrated in men who have sex with men (MSM) and transgender women (TGW). The aim of the present study was to understand the risk factors for active syphilis infection among MSM and TGW in Peru. Methods: Independent correlates suggestive of active syphilis infection were examined to better understand risk factors for syphilis in MSM and TGW, with separate analyses conducted based on location and among TGW. In 2011, 5101 MSM and TGW completed both self-report surveys and HIV and syphilis testing in five Peruvian cities. Results: Overall, 261 (5.1%) MSM and TGW met the criteria for active syphilis, with higher prevalence in Lima than elsewhere (7.0% vs 3.0%) and in TGW than in MSM (10.7% vs 4.2%). Significant independent correlates of active syphilis infection differed greatly by location. In Lima, they included being HIV-infected (aware or unaware of status), being a TGW, being a high school graduate, engaging in receptive anal intercourse, no recent sex with a female partner and having had any symptomatic sexually transmissible infection, including syphilis, in the previous 6 months. Outside Lima, the independent correlates included being HIV-infected and unaware of status, engaging in recent sex work, no recent sex with a female partner and age 35–44 years. Among TGW, independent correlates of active syphilis included being HIV-infected (aware or unaware of status), a recent syphilis diagnosis in the previous 6 months and recent drug use. Conclusion: The findings of the present study support the need not only for combined HIV and syphilis screening, but also for increased screening and treatment of syphilis in MSM and TGW populations. Stratified analyses suggest different syphilis epidemics throughout the country and in TGW, yet being HIV-infected and aware were consistently associated with active syphilis, suggesting higher syphilis risk in HIV-infected MSM and TGW.

scholarly journals Unprotected Receptive Anal Intercourse Among Men Who have Sex with Men in Brazil

2013 ◽  
Vol 17 (4) ◽  
pp. 1288-1295 ◽  
Author(s):  
Gustavo Machado Rocha ◽  
Lígia Regina Franco Sansigolo Kerr ◽  
Ana Maria de Brito ◽  
Ines Dourado ◽  
Mark Drew Crosland Guimarães
Keyword(s):  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Unprotected Receptive Anal Intercourse ◽  
Sex With Men
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