scholarly journals Social and Behavioral Correlates of Sexually Transmitted Infections among Men who Have Sex with Men who Use Alcohol in the San Francisco Bay Area

2021 ◽  
Vol 15 (3) ◽  
pp. 155798832110268
Author(s):  
Jennifer P. Jain ◽  
Akua O. Gyamerah ◽  
Glenda N. Baguso ◽  
Carol Dawson-Rose ◽  
Janet Ikeda ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
San Francisco ◽  
Sexual Behaviors ◽  
Cross Sectional Study ◽  
Hiv Status ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Logistic Regression Models ◽  
The Past ◽  
Sex With Men

The risk of acquiring sexually transmitted infections (STIs) among men who have sex with men (MSM) is driven by various socio-behavioral factors. From 2015-2017, 247 MSM ≥ 18 years-old who reported alcohol use in the past year, were recruited into a cross-sectional study in San Francisco. Participants completed a survey assessing socio-demographics, substance use and treatment, sexual behaviors, HIV status and self-reported STI diagnosis in the past 6 months. Multivariable logistic regression models stratified by HIV status were used to identify the correlates of STIs. Of 247 MSM, the prevalence of bacterial STIs were: gonorrhea (12.9%), chlamydia (9.3%) and syphilis (6.0%). Among 177 MSM living without HIV, factors significantly associated with recent STI diagnosis were: current pre-exposure prophylaxis (PrEP) use (aOR = 3.53, 95% CI: 1.42–8.75, p ≤ .01), popper use during sex in the past 6 months (aOR = 3.16, 95% CI = 1.34–7.47, p ≤ .01) and a history of alcohol treatment (aOR = 0.17, 95% CI = 0.04–0.68, p = .01). Also, in a sensitivity analysis (removing PrEP), any receptive condomless anal sex was independently associated with recent STI diagnosis (aOR = 2.86, 95% CI = 1.15–7.08, p = .02). Among 70 MSM living with HIV, factors significantly associated with recent STI diagnosis were: White race/ethnicity (adjusted odds ratio [aOR] = 7.36, 95% confidence interval [CI] = 1.48–36.62, p = .01), younger age (aOR = 0.90, 95% CI: 0.84–0.97, p < .01) and a higher number of male sexual partners in the past 6 months (aOR = 1.03, 95% CI = 1.00–1.06, p = .02). Sexual health interventions that address the unique needs of MSM living with and without HIV who use alcohol in San Francisco are needed to reduce STI acquisition and transmission.

Risky sexual behavior and sexually transmitted infections among men who have sex with men and purchase sex attending an Israeli sexually transmitted infection clinic

2019 ◽  
Vol 31 (3) ◽  
pp. 236-243 ◽  
Author(s):  
Rivka S Rich ◽  
Alex Leventhal ◽  
Rivka Sheffer ◽  
Zohar Mor
Keyword(s):  
High Risk ◽  
Sexually Transmitted Infections ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Laboratory Data ◽  
Cross Sectional Study ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Sex With Men

Men who have sex with men (MSM) and purchase sex (MPS) are a sub-group potentially at high risk for acquiring and transmitting sexually transmitted infections (STIs). This is a hard-to-reach population resulting in a scarcity of studies covering the issue. This cross-sectional study aimed to assess the association between purchasing sex and high-risk behaviors related to HIV/STI transmission and appraise the STI prevalence among MSM. All MSM who attended the STI clinic in Tel Aviv between 2003 and 2010 were included. Demographics, behavioral, clinical, and laboratory data were compared between MPS and non-MPS to identify high-risk sexual behaviors and STI prevalence associated with purchasing sex. Of the first visits of 2694 MSM who attended the STI clinic during the study period, 151 (5.6%) paid for sex. MPS were more commonly older and married than non-MPS. MPS were more likely to engage in behaviors associated with high risk for HIV/STI transmission, including infrequent condom use during anal sex, substance use during sex, and selling sex themselves. MPS had a higher STI prevalence than non-MPS, although this was not statistically significant ( p = 0.05). These findings highlight the need to establish culturally tailored interventions for MPS addressing the potential risks associated with purchasing sex.

scholarly journals Cross-Sectional Study of Sexual Behavior, Alcohol Use, and Mental Health Conditions Associated With Sexually Transmitted Infections Among Deploying Shipboard US Military Personnel

2019 ◽  
Vol 184 (11-12) ◽  
pp. e693-e700 ◽  
Author(s):  
Judith Harbertson ◽  
Paul T Scott ◽  
Hector Lemus ◽  
Nelson L Michael ◽  
Braden R Hale
Keyword(s):  
Mental Health ◽  
Alcohol Use ◽  
Sexually Transmitted Infections ◽  
Military Personnel ◽  
Cross Sectional Study ◽  
Sexual Partners ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Us Military ◽  
Sex With Men

Abstract Introduction Limited comprehensive data exist on risk behavior associated with sexually transmitted infections (STI) among ship-assigned US military personnel during the predeployment time period (PDT). This study examined whether sexual risk behaviors, alcohol use, involuntary drug consumption (IDC), posttraumatic stress disorder (PTSD), and depression during the 12 months prior to deployment were associated with provider-diagnosed STIs in this population. Materials and Methods Using cross-sectional data collected during 2012–2014 among sexually active personnel, multivariable regression assessed factors associated with STIs among all men (n = 1,831). Stratified analyses were conducted among men who have sex with women (MSW, n = 1,530), men who have sex with men or men and women (MSM, n = 83), and excluded those not reporting sexual partner gender (n = 218). Results Among MSW, transactional sex (AOR 3.8, 95% CI 1.5–9.4) meeting sexual partners at work (AOR 4.3, 95% CI 2.0–9.2), IDC (AOR 6.6, 95% CI 3.0–14.5), and incomplete mental health assessments (AOR 4.4, 95% CI 1.6–12.0) were significantly associated with STIs after adjustment. Among all men, those who identified as MSM (AOR 4.6, 95% CI 1.9–11.2) and drug screen positive (AOR 3.3, 95% CI 1.3–8.6) were significantly more likely to report an STI. Conclusions Previously unreported factors significantly associated with STIs at the PDT among MSW in the adjusted analysis were meeting sexual partners at work and IDC. IDC during the PDT warrants further exploration. These results can inform tailored STI reduction interventions among shipboard personnel and similarly aged civilians undergoing similar transition/travel experiences.

scholarly journals Sexual Behaviors and Vulnerability to Sexually Transmitted Infections in Transgender Women

2021 ◽  
Author(s):  
Azar Nematollahi ◽  
Safoora Gharibzadeh ◽  
Maryam Damghanian ◽  
Saeid Gholamzadeh ◽  
Farnaz Farnam
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexual Satisfaction ◽  
Sexual Behaviors ◽  
Sexual Debut ◽  
Cross Sectional Study ◽  
Transgender Women ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Counseling Interventions ◽  
Stis And Hiv

Abstract Background: It is essential to pay special attention to sexual health of transgender women. The aim of this study was to assess sexual behaviors and vulnerability of transgender women to sexually transmitted infections (STIs) including AIDS.Method: A cross-sectional study was conducted using convenient sampling from August 2019 to march 2020 in Iran. 127 transgender women participated in this study .A researcher-made questionnaire was applied for evaluating sexual behaviors, STIs and HIV. Results: The mean age of participants and their age of sexual debut were 27.6 and 16.9, respectively. 92.1% of participants were single with experience of sex and 59.3% had one sex partner in the last 2 years. 96.9% of the participants were heterosexual with 67.2% reporting experiencing orgasm in at least 50% of their sexual intercourse. However, 42.5% reported dyspareunia and the same percentage reported low or very low sexual satisfaction. The majority of participants had little knowledge of the symptoms (33.9%) and complications (44.1%) of STIs. Although 87.4% and 72.4% of participants had never been tested for a STI and HIV, 1.6% were infected with HIV and 18.1% with STIs. Conclusion: Sexual interests of Iranian transgender women were aligned with those of cisgender women. In terms of sexual function, despite the higher rate of orgasm in transgender women, sexual satisfaction was lower in them compared to that of cisgender women due to dyspareunia and body dissatisfaction, which highlights the need to investigate for more effective surgeries and specific sexual counseling interventions in this group.

Prevalence of asymptomatic sexually transmitted infections in HIV-positive men who have sex with men in Germany: results of a multicentre cross-sectional study

Infection ◽  
2018 ◽  
Vol 46 (3) ◽  
pp. 341-347 ◽  
Author(s):  
Christoph D. Spinner ◽  
Christoph Boesecke ◽  
Cornelius Jordan ◽  
Christoph Wyen ◽  
Tim Kümmerle ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Sex With Men ◽  
Hiv Positive Men

scholarly journals HIV seroprevalence, self-reported STIs and associated risk factors among men who have sex with men: a cross-sectional study in Rwanda, 2015

2018 ◽  
Vol 95 (1) ◽  
pp. 71-74 ◽  
Author(s):  
Roman Saba Ntale ◽  
Gad Rutayisire ◽  
Pierre Mujyarugamba ◽  
Eliah Shema ◽  
Jane Greatorex ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
High Rate ◽  
Risk Behaviours ◽  
Sectional Study ◽  
Syphilis Infection ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
The Past ◽  
Hiv Test ◽  
Sex With Men

ObjectivesIn many populations, men who have sex with men (MSM) are at a high risk of HIV infection. This study aimed to estimate the burden of HIV, other STIs and risk behaviours among Rwandan MSM.MethodsIn this cross-sectional study, we recruited through peer referral men aged between 18 and 60 years, who reported sex with men at least once in the 12 months prior to the survey. Representativeness was increased using ‘seeds’ from a variety of sources. Signed informed consent was obtained from all participants. Data on demographics, risk behaviours and self-reported STIs were collected through an interviewer-administered questionnaire. We screened all eligible participants for HIV using the Rwanda-approved protocol for rapid HIV detection.Results504 MSM were recruited from five major cities in Rwanda. Participants were mostly young (median age 23 years, range 18–55 years) and unmarried (484/504, 96.0%). Thirteen per cent (65/504) of the participants reported past gonorrhoea and/or syphilis infection. Of 504 MSM, 53 (10.5%) reported they were diagnosed and treated for gonorrhoea in the past 12 months and 24 (4.8%) tested positive for HIV. A high proportion (232/504, 46%) reported receiving payment for sex by a man, with almost half of these reporting on more than three occasions (107/232, 46%). Many reported having had an HIV test within the past 12 months (385/504, 76.4%). In multivariate logistic regression models controlling for age, being paid for sex was associated with higher odds of past STI (OR 3.36 (1.82–6.43]; P<0.001) and testing HIV positive (OR 3.13, P<0.05).ConclusionFurther research is needed to understand the high rate of payment for sex in this population, which appears to be a major risk factor for STI including HIV.

scholarly journals Links between chemsex and reduced mental health among Norwegian MSM and other men: results from a cross-sectional clinic survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rigmor C. Berg ◽  
Eirik Amundsen ◽  
Åse Haugstvedt
Keyword(s):  
Mental Health ◽  
Sexual Behaviors ◽  
Sexual Pleasure ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
The Past ◽  
Gamma Hydroxybutyrate ◽  
Symptom Check List ◽  
Sex With Men ◽  
Univariate Analyses

Abstract Background The use of specific drugs to facilitate, enhance or prolong sexual sessions is referred to as ‘chemsex’. The popularity of the behavior seems to be growing, but there is a paucity of information on the mental health aspects associated with chemsex and no data on chemsex from Nordic countries. We investigated the link between chemsex and mental health among men who have sex with men (MSM) and other men in Norway. Methods We recruited participants from a walk-in sexually transmitted infections (STI) clinic. Participants completed a piloted, anonymous self-administered survey. It consisted of questions about men’s sociodemographic characteristics, mental health, sexual behaviors, substance use, and chemsex. The outcome we investigated was reduced mental health, measured with the validated Hopkins Symptom Check List. We obtained descriptive statistics and performed univariate and multivariate logistic regression analyses. Results 1013 (96%) of the surveys were complete and could be analysed. The mean age of the sample was 33, 51% were MSM, and 21.7% had reduced mental health. More MSM than other men engaged in chemsex in the past year (17% vs 12%). The most frequently reported chemsex drugs were cocaine and gamma hydroxybutyrate/gamma butyrolactone (GHB/GBL). Men engaged in chemsex primarily to enhance sexual pleasure and excitement, and about half reported almost never or never using condoms for chemsex. In univariate analyses, significant predictors of reduced mental health was chemsex (Odds Ratio [OR] = 1.82), being unemployed (OR = 3.54), and having sex with only women (OR = 0.58). In multivariate analyses, two variables remained significantly associated with reduced mental health: chemsex (adjusted OR = 2.18, 95%CI = 1.25–3.78) and being unemployed (adjusted OR = 4.10, 95%CI = 2.13–7.87). Conclusions In our sample of men from an STI clinic in Norway, about 14% self-reported engaging in chemsex in the past year and about a fifth of the men had reduced mental health. Men who engaged in chemsex, which more MSM engaged in than other men, had two times greater odds of reduced mental health. These findings suggest that mental health assistance should be among the interventions offered to men engaging in chemsex.

scholarly journals Gender implications in sex education, knowledge, and vulnerability to sexually transmitted infections of healthcare students

2021 ◽  
Vol 10 (9) ◽  
pp. e56710918354
Author(s):  
Débora Junqueira Andrade ◽  
Bianca Fonseca da Rocha ◽  
Maycon Klerystton Bezerra Tavares ◽  
José Bruno Nunes Ferreira Silva
Keyword(s):  
Sexually Transmitted Infections ◽  
Sex Education ◽  
Sexual Behaviors ◽  
Pearson Correlation ◽  
Transmitted Disease ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Healthcare Students ◽  
The Face

The challenges posed by the implementation of sex education within a social context, by teachers or parents, are impasses that compromise adolescents’ and young adults’ sexual health, resulting in sexual risk behaviors. This study evaluated the forms of sex education, knowledge about sexually transmitted infections, and the vulnerability of university students within the Brazilian Legal Amazon. A total of 149 healthcare students provided their sociodemographic data and how they obtain information about safe sex practices. The data collected were evaluated using the Sexually Transmitted Disease Knowledge Questionnaire (STD-KQ) questionnaire. Bivariate analyses and Pearson correlation were performed. The sources of sex education were primarily accessed by students approaching course completion and female students nearing graduation, through teachers, specialized books, media, and friends. In general, men were found to have a higher degree of knowledge about STIs, while women reported feeling less protected sexually. Time spent at the university and the knowledge men possess were not found to reduce risky behavior. This cross-sectional study confirms that interventions to combat misinformation in the face of risky sexual behaviors and their consequences should be prioritized and should consider the gender of individuals and all the differences in the perceptions and actions of both male and female healthcare students.

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