How condom use, number of receptive anal intercourse partners and history of external genital warts predict risk for external anal warts

2005 ◽  
Vol 16 (3) ◽  
pp. 203-211 ◽  
Author(s):  
D J Wiley ◽  
Diane M Harper ◽  
David Elashoff ◽  
Michael J Silverberg ◽  
Christine Kaestle ◽  
...  
Keyword(s):  
Condom Use ◽  
Anal Intercourse ◽  
Consistent Condom ◽  
Prior History ◽  
Receptive Anal Intercourse ◽  
Protective Effects ◽  
Lifetime Number ◽  
History Of ◽  
Anal Warts ◽  
External Genital Warts

Few analytic opportunities have allowed us to evaluate the role that specific sexual acts and male latex condoms play in the acquisition of external anal warts (EAW) using longitudinal data. The acquisition of EAWs occurs from epithelial contact with other HPV-infected surfaces, and hence is dependent upon sexual behaviour. Our objectives were to classify the relative importance of condom use, receptive anal intercourse (RAI) and prior history of EGWs on acquisition of EAWs. The observational Multicenter AIDS Cohort Study followed 2925 men over nine semiannual study visits for behavioural and physical examinations with laboratory testing. The main outcome measure was the occurrence of examiner-diagnosed EAWs in a homosexual population. EAWs were diagnosed among 10% of men studied across 22,157 visits reviewed for this study. Men with history of EGWs were more likely than those previously unaffected to have developed EAWs (cOR = 2.4 (2.0, 2.9)), as were men who reported multiple anoreceptive intercourse partners (e.g., compared with men who reported no RAI partners, men with 1, 2–5, ≥6 RAI partners had crude risk ratios 1.0 (0.8, 1.3), 1.6 (1.2, 2.1), 3.9 (2.7, 5.8), respectively). These relations persisted after other demographic and sexual risk factors were controlled for in the analyses. Consistent condom usage showed no protective effect for EAWs in our crude or adjusted analyses. Patient education messages should be tailored to reflect our uncertainty about the protective nature of condoms for the development of anal warts, but to continue to assert the protective effects of a limited lifetime number of sexual partners and the heightened risk for wart recurrence once infected.

4. High prevalence of anal HPV infection among HIV-positive male subjects in the absence of anal intercourse

Sexual Health ◽  
2013 ◽  
Vol 10 (6) ◽  
pp. 571
Author(s):  
Eugenio Nelson Cavallari ◽  
Gabriella d'Ettorre ◽  
Giancarlo Ceccarelli ◽  
Sara Serafini ◽  
Alessandra Pierangeli ◽  
...  
Keyword(s):  
Anal Cancer ◽  
Injection Drug Users ◽  
Anal Intercourse ◽  
Hpv Infection ◽  
Hiv Positive ◽  
Receptive Anal Intercourse ◽  
Cross Sectional ◽  
Hpv Dna ◽  
Significant Difference ◽  
History Of

Background The risk of progression to cancer from HPV infection is increased in HIV-positive subjects. Anal HPV infection is a concern among men who have sex with men (MSM), especially in the setting of HIV infection. Methods: Cross-sectional study including 62 HIV-positive injection drug users (IDUs) without history of receptive anal intercourse and 110 HIV-positive MSM. All patients were receiving HAART with HIV-RNA <37 copies/mL. Patients answered a self-administered questionnaire investigating their sexual habits. Participants underwent anal brushing collecting samples for cytology examination (Bethesda 2001 criteria for cervical cytology) and high resolution anoscopy collecting samples for histological classification. HPV-DNA polymerase chain reaction (PCR) identification was performed. Results: Of the IDUs, 62.5% showed CD4 nadir <200 cell/mmc compared with 12% of MSM (P < 0.05), the actual CD4+ T-cells count did not show a statistical difference. HPV-DNA PCR tested positive in 52% of IDUs and 69% of MSM (P < 0.05). Presence of high-risk genotypes did not show significant difference between the groups (38% of IDUs and 31% of MSM). LSIL prevalence was higher among MSM than IDUs (38% v. 23%), HSIL was higher among IDUs than MSM (26% v. 21%). The prevalence of anal cancer was similar in the two populations (3% in each group). All patients, except for men presenting with anal cancer, were completely asymptomatic. Conclusions: Anal HPV infection and anal SIL may be acquired in the absence of anal intercourse in HIV-infected men. The prevalence of HSIL is high among HIV-positive IDUs. All HIV-infected men, regardless of history of anal intercourse, should be considered for anal cytology screening.

scholarly journals Individual-Level, Partnership-Level, and Sexual Event-Level Predictors of Condom Use During Receptive Anal Intercourse Among HIV-Negative Men Who Have Sex with Men in Los Angeles

2015 ◽  
Vol 20 (6) ◽  
pp. 1315-1326 ◽  
Author(s):  
Heather A. Pines ◽  
Pamina M. Gorbach ◽  
Robert E. Weiss ◽  
Cathy J. Reback ◽  
Raphael J. Landovitz ◽  
...  
Keyword(s):  
Los Angeles ◽  
Condom Use ◽  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Individual Level ◽  
Sex With Men ◽  
Hiv Negative

scholarly journals Consistency of Condom Use During Receptive Anal Intercourse Among Women and Men Who Have Sex With Men

2015 ◽  
Vol 42 (7) ◽  
pp. 393-399 ◽  
Author(s):  
Laura Hoyt DʼAnna ◽  
Lee Warner ◽  
Andrew D. Margolis ◽  
Olga A. Korosteleva ◽  
Lydia OʼDonnell ◽  
...  
Keyword(s):  
Condom Use ◽  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Sex With Men

Condom Use and ‘Withdrawal’: Exploring Gay Men's Practice of Anal Intercourse

2000 ◽  
Vol 11 (2) ◽  
pp. 96-104 ◽  
Author(s):  
Juliet Richters ◽  
Stephanie Knox ◽  
June Crawford ◽  
Susan Kippax
Keyword(s):  
Health Promotion ◽  
Condom Use ◽  
Gay Men ◽  
Anal Intercourse ◽  
Unprotected Anal Intercourse ◽  
Unprotected Sex ◽  
Receptive Anal Intercourse ◽  
Anal Sex ◽  
Condom Attitudes ◽  
Using Data

Some gay men who have unprotected anal intercourse avoid ejaculation—they practise ‘withdrawal’. Using data collected in 1997 from a sample of Sydney gay men ( n=625), we explored the relation between men's practice of ejaculation and their use of condoms. We also investigated whether men who had unprotected withdrawal but not unprotected ejaculation were more likely to think unprotected withdrawal was safe, liked condoms less, liked anal intercourse more, or were more sexually adventurous. Considering separately insertive and receptive anal intercourse with regular and with casual partners, we found that the majority of men who practised unprotected withdrawal also practised unprotected ejaculation. Of those whose only unprotected sex was withdrawal (‘true withdrawers’), most never used condoms (they did not also have protected sex with ejaculation). True withdrawers were compared with men who had unprotected ejaculation, who always used condoms, who had no anal sex and who had no partners. Those who were true withdrawers with casual partners were more likely to believe withdrawal was safe; no group effects were found with regular partners. No significant differences in condom attitudes were found. True withdrawers with regular partners liked anal intercourse less than other men, but true withdrawers with casual partners were indistinguishable from those who had unprotected ejaculation. True withdrawers did not differ in sexual adventurousness from other men who had anal intercourse. Most withdrawers avoided anal sex with ejaculation rather than use condoms. Converting them into reliable condom users may be a considerable challenge for health promotion.

scholarly journals The Protective Value of Discussing Condom Use: A Study of Young Black Men Attending STI Clinics in the Southern United States

2018 ◽  
Vol 45 (5) ◽  
pp. 706-713 ◽  
Author(s):  
Richard Crosby ◽  
Shayna Skakoon-Sparling ◽  
Robin R. Milhausen ◽  
Stephanie Sanders ◽  
Cynthia A. Graham ◽  
...  
Keyword(s):  
United States ◽  
Condom Use ◽  
Black Men ◽  
Behavioral Interventions ◽  
Consistent Condom ◽  
Southern United States ◽  
Protective Effects ◽  
Sex Partners ◽  
Consistent Condom Use ◽  
Sexually Transmitted

Young Black men (YBM) experience disparities in both HIV incidence and incidence of bacterial sexually transmitted infections (STIs); thus, developing efficacious behavioral interventions is an especially critical goal. One potential avenue for intervention involves improving sexual health communications among YBM and their partners, before sex occurs. Such discussions may serve several purposes, including improving condom use and facilitating the negotiation of correct and consistent condom use. The aim of the current study was to determine the STI-protective effects of discussing condom use with sex partners, among medically underserved YBM. A total of 702 YBM were recruited from three STI clinics in the Southern United States. YBM completed a self-interview at baseline and again 6 months later. At 12 months postenrollment, a chart review determined incidents of STIs. The majority of YBM participants (61.1%) had recently discussed condom use with partners before sex. Of the 12 assessed outcomes, 7 were significantly associated with this measure. In each case, a protective effect was observed. In controlled analyses, the 12-month incidence of STIs was significantly ( p = .05) greater among YBM not discussing condoms with sex partners. The results of the current study suggest that, among YBM attending clinics, discussing condom use with sex partners may promote safer sex practices. This behavior was also predictive of lower STI incidence in the ensuing 12 months, suggesting that it may be an ideal intervention target for programs designed to protect YBM against STI acquisition, including HIV.

scholarly journals Sexual-risk behaviours and HIV and syphilis prevalence among in- and out-of-school adolescent girls and young women in Uganda: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257321
Author(s):  
Joseph K. B. Matovu ◽  
Justine N. Bukenya ◽  
Dickson Kasozi ◽  
Stephens Kisaka ◽  
Rose Kisa ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Risk ◽  
Adolescent Girls ◽  
Sexual Debut ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
History Of ◽  
Sexual Risk Behaviours ◽  
Hiv 1 ◽  
Out Of School

Background Adolescent girls and young women (AGYW) are at increased risk of sexually transmitted infections (STIs). We assessed sexual-risk behaviours and HIV and syphilis prevalence among AGYW in Uganda to inform the design of target-specific risk-reduction interventions. Methods This analysis utilizes data from 8,236 AGYW aged 10–24 years, collected in 20 districts, between July and August 2018. AGYW engaged in sexual-risk behaviour if they: a) reported a history of STIs; or b) had their sexual debut before age 15; or c) engaged in sex with 2+ partners in the past 12 months; or c) did not use or used condoms inconsistently with their most recent partners. We diagnosed HIV using DetermineTM HIV-1/2, Stat-PakTM HIV-1/2 and SD Bioline. We used SD Bioline Syphilis test kits to diagnose syphilis and Treponema Pallidum Hemagglutination Assay for confirmatory syphilis testing. Comparison of proportions was done using Chi-square (χ2) tests. Data were analysed using STATA (version 14.1). Results Of 4,488 AGYW (54.5%) that had ever had sex, 12.9% (n = 581) had their sexual debut before age 15; 19.1% (n = 858) reported a history of STIs. Of those that had ever had sex, 79.6% (n = 3,573) had sex in the 12 months preceding the survey; 75.6% (n = 2,707) with one (1) and 24.2% (n = 866) with 2+ partners. Condom use with the most recent sexual partner was low, with only 20.4% (n = 728) reporting consistent condom use while 79.6% (n = 2,842) reported inconsistent or no condom use. In-school AGYW were significantly less likely to have ever had sex (35.6% vs. 73.6%, P<0.001), to have had sexual debut before age 15 (7.7% vs. 15.5%, P<0.001) or to engage in sex with 2+ partners (5.3% vs. 15.8%, P<0.001). Consistent condom use was significantly higher among in-school than out-of-school AGYW (40.1% vs. 12.7%, P<0.001). Overall, 1.7% (n = 143) had HIV while 1.3% (n = 104) had syphilis. HIV and syphilis prevalence was higher among out-of-school than in-school AGYW (HIV: 2.6% vs. 0.9%; syphilis: 2.1% vs. 0.5%, respectively). Conclusion In-school AGYW engaged in more protective sexual behaviors and had less HIV and syphilis than their out-of-school counterparts. These findings suggest a need for target-specific risk-reduction interventions stratified by schooling status.

Frequent condom use with casual partners varies by sexual position among younger gay and bisexual men in New Zealand: national behavioural surveillance 2006–2011

Sexual Health ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 81 ◽  
Author(s):  
Nathan J. Lachowsky ◽  
Peter J. W. Saxton ◽  
Anthony J. Hughes ◽  
Nigel P. Dickson ◽  
Robin R. Milhausen ◽  
...  
Keyword(s):  
New Zealand ◽  
Condom Use ◽  
Anal Intercourse ◽  
Multivariable Logistic Regression Analysis ◽  
Receptive Anal Intercourse ◽  
Bisexual Men ◽  
Regular Partner ◽  
Sexual Position ◽  
Behavioural Surveillance ◽  
And Bisexual

Background Condom promotion remains a cornerstone of HIV/STI control, but must be informed by evidence of uptake and address disparities in use. This study sought to determine the prevalence of, and demographic, behavioural and relational factors associated with, condom use during insertive and receptive anal intercourse with casual partners among younger gay, bisexual and other men who have sex with men (YMSM) in New Zealand. Methods: The 2006–2011 national HIV behavioural surveillance data for YMSM aged 16–29 years was pooled. Separately for each sexual position, frequent (always/almost always) versus infrequent condom use was regressed onto explanatory variables using manual backward stepwise multivariable logistic regression analysis. Results: Three-quarters of YMSM reported frequent condom use during insertive (76.0%) and receptive (73.8%) anal intercourse. YMSM who were exclusively insertive were more likely to report frequent condom use than versatile YMSM. Factors positively associated with frequent condom use, irrespective of sexual position were: in-person versus web-based recruitment, testing HIV negative versus never testing or testing HIV positive, having no recent sex with women, reporting two to five versus one male sexual partner in the past 6 months, reporting no current regular partner, but if in a regular relationship, reporting a boyfriend-type versus fuckbuddy-type partner, and frequent versus infrequent regular partner condom use. Pacific ethnicity and less formal education were negatively associated with frequent condom use only during receptive anal intercourse. Conclusions: The findings from this study demonstrate that condom norms can be actively established and maintained among YMSM. Condom promotion efforts must increase YMSM’s capacity, agency and skills to negotiate condom use, especially for the receptive partner.

scholarly journals Sero-prevalence of Hepatitis B Surface Antigen and Associated Factors Among Female Sex Workers in Hawassa, Ethiopia, 2019

2020 ◽  
Author(s):  
Deresse Daka ◽  
Getahun Hailemeskel
Keyword(s):  
Hepatitis B ◽  
Condom Use ◽  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Genital Ulcer ◽  
Consistent Condom ◽  
Major Public Health Problem ◽  
Female Sex ◽  
History Of

Abstract Background Hepatitis B virus infection is one of the most serious infections and is a major public health problem. Female Sex Workers (FSWs) are considered to be at soaring risk for transmission and acquisition of HBV due to exposure to multiple sexual partners and barriers to the negotiation of consistent condom use. HBV screening services are not widely available in Ethiopia particularly for high risk groups such as persons with multiple sex workers. Hence, this study aimed to assess Sero-prevalence of HBVsAg and associated factors among FSWs in southern Ethiopia.Method A cross-sectional study was conducted from November to February 2019 at Hawassa city in ISHDO confidential clinic on 383 FSWs. A consecutive sampling technique was used to select study participants using standardized questionnaire. Data were entered to SPSS version 20.0 and analyzed for different variables using Logistic regression. HBsAg was detected from plasma samples using ELISA method. ResultsThe prevalence of HBV among FSWs was 9.2%(95%CI:6.3–12.1). The condom use, condom breakage during sex, use of stimulants, duration of prostitute, history of STI, history of genital ulcer, the number of clients used per day, sex during menses, sexual assault, common use of sharp material and the history of abortion were one of the common factors associated with HBV among FSWs. Conclusion The prevalence of HBV among FSWs in this study area was high. Condom use, history of genital ulcer, sexes during menses and sharp material sharing is highly associated with HBV infection among FSWs and emphasis should be given.

scholarly journals The Dynamic Trends of HIV Prevalence, Risks, and Prevention among Men Who Have Sex with Men in Chongqing, China

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Gang Zeng ◽  
Liangui Feng ◽  
Lin Ouyang ◽  
Rongrong Lu ◽  
Peng Xu ◽  
...  
Keyword(s):  
Condom Use ◽  
Hiv Testing ◽  
Sexual Behaviors ◽  
Anal Intercourse ◽  
Hiv Prevalence ◽  
Consistent Condom ◽  
Sharp Drop ◽  
Cross Sectional ◽  
Hiv Risks ◽  
Sex With Men

Objective. This study was to characterize the continuously changing trends of HIV prevalence, risks, sexual behaviors, and testing behaviors among men who have sex with men (MSM) in Chongqing, China.Methods. Five consecutive cross-sectional surveys were conducted among MSM in 2006, 2008, 2010, 2012, and 2013. Testing for HIV and syphilis was performed, and HIV risks, sexual behavior, prevention, and HIV testing behavior were collected using the same questionnaire.Results. HIV prevalence increased from 13.0% to 19.7% from 2006 to 2013 (P=0.004), with an increase of 1.0% per year. Syphilis prevalence peaked in 2008 with a positive rate of 11.6% and then experienced a sharp drop to 2.8% in 2012 and 2.9% in 2013. Percentage of those who ever received HIV testing in the last year increased from 17.0% to 43.3% (P<0.001); condom use at the last anal intercourse and reported consistent condom use in the last 6 months increased from 51.8% to 71.0% (P<0.001) and from 24.7% to 47.9% (P<0.001), respectively.Conclusions. HIV continued to spread among MSM in Chongqing even when a decline in prevalence of syphilis and increase in awareness rate, condom use, and HIV testing seeking behaviors seemed to occur.

Rectal Gonorrhoea in Homosexual Men: Source of Infection

2000 ◽  
Vol 11 (5) ◽  
pp. 284-287 ◽  
Author(s):  
A McMillan ◽  
H Young ◽  
A Moyes
Keyword(s):  
Independent Risk Factor ◽  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Homosexual Men ◽  
Hiv Screening ◽  
Source Of Infection ◽  
Unprotected Receptive Anal Intercourse ◽  
History Of ◽  
Sex With Men ◽  
Index Cases

The objective of this retrospective study was to determine the possible source of infection in homosexual men with rectal gonorrhoea: the probable source of rectal gonorrhoea was identified in 46/155 cases. Although the urethra was the site of infection in 33 (72%) of these contacts, only pharyngeal gonorrhoea was identified in 9 (20%) men. In 25/26 cases, there was concordance in the auxo/serotypes of Neisseria gonorrhoeae between contacts with urethral gonorrhoea and the index men with rectal gonorrhoea. Eleven out of 12 pharyngeal isolates were of the same auxo/serotype as the index cases. This study supports the hypothesis that rectal gonorrhoea in homosexual men can be acquired from the oropharynx. Because infection at this site is an independent risk factor for acquisition of HIV, screening for rectal and pharyngeal gonorrhoea should be offered to men who have sex with men, even when there is no history of unprotected receptive anal intercourse.

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