scholarly journals Variations in Recruitment Yield and Characteristics of Participants Recruited Across Diverse Internet Platforms in an HIV Testing Study of Young Adult Men-Who-Have-Sex-With-Men (YMSM)

2017 ◽  
Vol 11 (5) ◽  
pp. 1342-1357 ◽  
Author(s):  
Roland C. Merchant ◽  
Justin Romanoff ◽  
Melissa A. Clark ◽  
Tao Liu ◽  
Joshua G. Rosenberger ◽  
...  
Keyword(s):  
Young Adult ◽  
Hiv Testing ◽  
Formal Education ◽  
Geographic Area ◽  
Anal Intercourse ◽  
The Internet ◽  
Education History ◽  
Adult Men ◽  
Condomless Anal Intercourse ◽  
Sex With Men

The Internet is a commonly used medium for recruiting geographically dispersed, smaller populations quickly, such as young adult men-who-have-sex-with-men (YMSM). One approach to improve reach and representativeness is to employ multiple Internet platforms to recruit this hard-to-reach population. The utility of this approach has not been studied adequately, and its impact on the study sample recruited is not yet known. Using data from a study of 18- to 24-year-old HIV-uninfected, Black, Hispanic, and White United States (US) YMSM, this investigation compared advertising and enrollment metrics and participant characteristics of those recruited across Internet platforms. Of the 2,444 participants, their median age was 22 years old; 21% were Black, 37% Hispanic, and 42% White; 90% had been tested for HIV at least once in their life; and 87% reported prior condomless anal intercourse (CAI) with another man. There were noticeable differences across platforms in the number of people accessing the study website, meeting study eligibility requirements, consenting to participate, consenting to participate per day of advertising and per click, as well as costs of advertising per consented participant. Participants recruited also varied across platform by race/ethnicity, geographic area of residence in the US, health-care insurance status, years of formal education, history of HIV testing, and CAI by partner type and sexual positioning. The investigation results indicate that the Internet platforms used for recruitment significantly impact not only enrollment but also diversity and characteristics of the sample obtained and consequently, the observations and conclusions rendered.

scholarly journals Uptake and willingness to use PrEP among Chinese men who have sex with men with experience of sexualized drug use

2020 ◽  
Author(s):  
Zixin Wang ◽  
Phoenix K.H. Mo ◽  
Mary Ip ◽  
Yuan Fang ◽  
Joseph T.F. Lau
Keyword(s):  
Drug Use ◽  
Hiv Testing ◽  
Behavioral Control ◽  
Anal Intercourse ◽  
Perceived Behavioral Control ◽  
Future Health ◽  
Cross Sectional ◽  
Condomless Anal Intercourse ◽  
Sex With Men ◽  
Willingness To Use

Abstract Background Sexualized drug use (SDU, use of any psychoactive substance before/during sexual intercourse) is prevalent among men who have sex with men (MSM). This study investigated uptake and willingness to use pre-exposure prophylaxis (PrEP) among MSM with experience of SDU. Methods A total of 580 Hong Kong Chinese speaking MSM self-reported to be HIV negative/unknown sero-status completed a cross-sectional anonymous telephone interview. Results Of the participants, 107 (18.4%) and 56 (9.7%) had experience of SDU and chemsex in their lifetime. The prevalence of PrEP use was 4.0% among all participants and 12.1% among those with experience of SDU. Among MSM with experience of SDU who were not on PrEP (n=94), 59.6% were willing to use daily oral PrEP in the next six months. After adjustment for significant background variables (age group, HIV testing in the past year, and anal intercourse with non-regular male sex partners), having ≥3 episodes of SDU per month (adjusted odds ratios (AOR): 3.87, 95%CI: 1.01, 15.28), presence of condomless anal intercourse during SDU (AOR: 2.96, 95%CI: 1.03, 9.55), positive attitudes toward PrEP (AOR: 2.01, 95%CI: 1.37, 2.95), perceived support from significant others to use PrEP (AOR: 11.63, 95%CI: 3.93, 34.37)), and perceived behavioral control of using PrEP (AOR: 20.82, 95%CI: 6.51, 66.64) were significantly associated with higher willingness to use PrEP. Conclusion MSM with experience of SDU are potential good candidates of PrEP implementation. Effective strategies to increase PrEP coverage are needed even if affordable PrEP became available, future health promotion may make use of HIV testing and counseling settings and modify perception related to PrEP.

scholarly journals HIV testing behaviour and associated factors in men who have sex with men by level of urbanisation: a cross-sectional study in the Netherlands

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e049175
Author(s):  
Jeanine Leenen ◽  
Juliën N A P Wijers ◽  
Chantal Den Daas ◽  
John de Wit ◽  
Christian J P A Hoebe ◽  
...  
Keyword(s):  
The Netherlands ◽  
Hiv Testing ◽  
Associated Factors ◽  
Online Survey ◽  
Anal Intercourse ◽  
Secondary Outcome ◽  
Cross Sectional ◽  
Self Testing ◽  
Condomless Anal Intercourse ◽  
Sex With Men

ObjectivesRegular HIV testing in men who have sex with men (MSM) enables timely entry into care and reduces the likelihood of HIV transmission. We aimed to assess HIV-testing behaviour and associated factors in MSM by urbanisation of place of residence.DesignData were derived from online survey (‘Men & Sexuality’) in the Netherlands, which was mainly advertised on social media (Facebook and Instagram), dating websites, apps for MSM (Grindr and PlanetRomeo) and gay media.Primary and secondary outcome measuresHIV testing was defined as recent (<1 year), not recent (≥1 year) or never. Using multinominal regression analyses, factors associated with not recent testing and never testing, compared with recent testing, were assessed among MSM living in highly (>2500 residences/km2) or non-highly (≤2500 residences/km2) urbanised areas.ParticipantsThe study sample included 3815 MSM, currently living in the Netherlands. The mean age was 36 years (SD 14.7), and 67.6% were highly educated.ResultsIn highly urbanised areas, 11.8% was never and 19.8% was not recently HIV-tested. In non-highly urbanised areas, this was 25.2% and 19.6%. Among MSM living in highly urbanised areas, independently associated with never and not recent testing were younger age, self-identification as bisexual, fewer sex partners, never notified of HIV and no recent condomless anal intercourse. Among MSM living in non-highly urbanised areas, lower perceived HIV severity, higher perceived HIV risk and a lower proportion gay friends were associated with never and not recent testing. Among never tested MSM, those in non-highly urbanised areas preferred self-sampling/self-testing over facility-based testing; those in highly urbanised areas preferred testing at healthcare facilities.ConclusionsThe proportion of never tested MSM was high (25%) in non-highly urbanised areas in the Netherlands. MSM living in non-highly urbanised areas may possibly be reached with targeted approaches to increase HIV testing uptake such as self-testing/self-sampling strategies.

Correlates of recent HIV testing among substance-using men who have sex with men

2016 ◽  
Vol 28 (6) ◽  
pp. 594-601 ◽  
Author(s):  
Christopher Rowe ◽  
Tim Matheson ◽  
Moupali Das ◽  
Erin DeMicco ◽  
Jeffrey H Herbst ◽  
...  
Keyword(s):  
Substance Use ◽  
Hiv Testing ◽  
San Francisco ◽  
Multivariable Analysis ◽  
Anal Intercourse ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hiv Test ◽  
Condomless Anal Intercourse ◽  
Sex With Men

Men who have sex with men are disproportionately impacted by HIV and substance use is a key driver of HIV risk and transmission among this population. We conducted a cross-sectional survey of 3242 HIV-negative substance-using men who have sex with men aged 18 + in the San Francisco Bay Area from March 2009 to May 2012. Demographic characteristics and sexual risk and substance use behaviors in the last six months were collected using structured telephone questionnaires. We used multivariable logistic regression to identify independent demographic and behavioral predictors of recent HIV testing. In all, 65% reported having an HIV test in the last six months. In multivariable analysis, increasing age (aOR = 0.87, 95% CI = 0.84–0.90) and drinking alcohol (<1 drink/day: 0.65, 0.46–0.92; 2–3 drinks/day: 0.64, 0.45–0.91; 4 + drinks/day: 0.52, 0.35–0.78) were negatively associated with recent HIV testing. Having two or more condomless anal intercourse partners (2.17, 1.69–2.79) was positively associated with having a recent HIV test, whereas condomless anal intercourse with serodiscordant partners was not significantly associated with testing. Older men who have sex with men and those who drink alcohol may benefit from specific targeting in efforts to expand HIV testing. Inherently riskier discordant serostatus of partners is not as significant a motivator of HIV testing as condomless anal intercourse in general.

Factors associated with condom use and HIV testing among young men who have sex with men: a cross-sectional survey in a random online sample in Sweden

2018 ◽  
Vol 94 (6) ◽  
pp. 427-433 ◽  
Author(s):  
Klara Johansson ◽  
Kristina Ingemarsdotter Persson ◽  
Charlotte Deogan ◽  
Ziad El-Khatib
Keyword(s):  
Sexual Health ◽  
Condom Use ◽  
Hiv Testing ◽  
Health Behaviour ◽  
Anal Intercourse ◽  
Casual Sex ◽  
Casual Partner ◽  
Factors Associated ◽  
Condomless Anal Intercourse ◽  
Sex With Men

ObjectivesThe objectives are to analyse social determinants of sexual health behaviour (condom use and HIV testing) among young, internet-active, cis men who have sex with men (MSM) in a high-income country. The aspects of sexual health behaviour analysed here are condomless anal intercourse with one or more new or casual partner(s), condomless anal intercourse during the most recent sex with a man and HIV testing.MethodsA randomised sample of men active on Sweden’s main online community for Lesbian, Gay, Bisexual and Trans people responded to an online survey (response rate 19%). A subsample of young people, aged 15–29, was analysed (effective sample 597–669) using multivariable logistic regression with respect to factors associated with condomless anal intercourse with one or more new or casual partner(s), condomless anal intercourse at most recent sex and not having had a test for HIV.ResultsLow education, being single and living in a metropolitan area were found to be independently associated with condomless anal intercourse with new or casual partner(s). Sex with a steady partner was associated with condomless anal intercourse during the most recent sex. Knowledge of where to get tested, high education, being born outside Sweden and condomless anal intercourse with new or casual sex partner(s) were independently associated with having been tested for HIV.ConclusionsThe factors associated with sexual health behaviour among young MSM are complex, and preventive messages need to be tailored accordingly.

Sexual Behaviors of Adolescent Emerging and Young Adult Men Who Have Sex With Men Ages 13–29 in New York City

2011 ◽  
Vol 56 (3) ◽  
pp. 285-291 ◽  
Author(s):  
Perry N Halkitis ◽  
Sarah Brockwell ◽  
Daniel E Siconolfi ◽  
Robert W Moeller ◽  
Rachel D Sussman ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Young Adult ◽  
Sexual Behaviors ◽  
York City ◽  
Adult Men ◽  
Sex With Men

Sex Tourism, Condomless Anal Intercourse, and HIV Risk Among Men Who Have Sex With Men

2019 ◽  
Vol 30 (4) ◽  
pp. 405-414 ◽  
Author(s):  
Salem Harry-Hernández ◽  
Su Hyun Park ◽  
Kenneth H. Mayer ◽  
Noah Kreski ◽  
William C. Goedel ◽  
...  
Keyword(s):  
Hiv Risk ◽  
Anal Intercourse ◽  
Sex Tourism ◽  
Condomless Anal Intercourse ◽  
Sex With Men

HIV and syphilis and sexual risk behaviours among men who have sex with men attending university in China: a systematic review and meta-analysis

Sexual Health ◽  
2019 ◽  
Vol 16 (6) ◽  
pp. 554 ◽  
Author(s):  
Song Fan ◽  
Zuyao Yang ◽  
Fengsu Hou ◽  
Maohe Yu ◽  
Zhenzhou Luo ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sexual Risk ◽  
Meta Analysis ◽  
Male Partner ◽  
Anal Intercourse ◽  
Hiv Prevalence ◽  
Risk Behaviours ◽  
Sex With Men ◽  
Group Sex ◽  
Sexual Risk Behaviours

Background This study was conducted to summarise the HIV epidemic, sexual behaviours and HIV testing among men who have sex with men (MSM) attending university in China. Methods: Five databases were searched for student MSM information in English and Chinese language publications. Meta-analyses were performed to calculate the pooled prevalence of HIV and syphilis, pooled mean age at first anal intercourse (AFAI) and the rate of other HIV-related behaviours among MSM attending university in China. Univariate meta-regression and subgroup analysis were conducted to explore potential sources of heterogeneity. Publication bias was measured using Egger’s test. Results: Thirty-three articles representing 31 studies were included in the analysis. The pooled HIV prevalence was 4.1% (95% CI 3.1–5.0%). The estimated AFAI was 18.7 years, but 37.5% of students had their first anal intercourse before 18 years of age. Most (88.2%) had their first sexual intercourse with a male partner. Of the MSM attending university, 4.2% of MSM engaged in commercial sex (either selling or buying sex), 10.3% had ever engaged in group sex, 13.1% had had sex with a female partner in the past month and 10.1% had ever used drugs. Most (77.7%) sought sex partners via geosocial networking gay apps or the Internet, and 42.9% had ever tested for HIV. There was a tendency for an increase in lifetime HIV testing rate from 32% in 2005–07 to 53% in 2014–16. Conclusions: This review found high HIV prevalence, early AFAI and a high prevalence of sexual risk behaviours among MSM attending university in China. Interventions aimed at increasing HIV testing and reducing sexual risk behaviours are urgently needed among this young population.

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