Patterns of sexual risk behavior among men who have sex with men in major cities of Myanmar: A cross-sectional study

Abstract Background: Adolescent sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection in adulthood among men who have sex with men (MSM) in high-income countries. This study aimed to examine adolescent and non-consensual anal sexual debut among Chinese MSM and to evaluate factors associated with adolescent sexual debut and non-consensual anal sex.Methods: A cross-sectional study was conducted recently among Chinese men assigned male sex at birth, ≥18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual. Factors associated with an adolescent sexual debut (<18 years old) and non-consensual sex at sexual debut were evaluated. We defined adolescent sexual debut as having anal sex with another man at 17 years old or younger, and the participants were asked whether their first male-to-male anal sex was non-consensual.Results: Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD=4.3) years old. 17.6% (358/2031) of men reported adolescent sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. The adolescent sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06–1.15) and condomless anal sex in the last three months (AOR=1.71, 95% CI 1.34-2.18). MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR=1.76, 95% CI 1.17-2.66), and to have reported an adolescent sexual debut (AOR=2.72, 95% CI 1.75-4.21).Conclusions: Many Chinese MSM reported adolescent sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for designing tailored interventions for MSM who experienced adolescent sexual debut and non-consensual sex at debut.

Download Full-text

Men who have sex with men in southern Vietnam report high levels of substance use and sexual risk behaviours but underutilise HIV testing services: a cross-sectional study: Table 1

Sexually Transmitted Infections ◽

10.1136/sextrans-2014-051574 ◽

2014 ◽

Vol 91 (3) ◽

pp. 178-182 ◽

Cited By ~ 15

Author(s):

Quang Duy Pham ◽

Thuong Vu Nguyen ◽

Phuc Duy Nguyen ◽

San Hoang Le ◽

Anh Tho Tran ◽

...

Keyword(s):

Substance Use ◽

Sexual Risk ◽

Cross Sectional Study ◽

Risk Behaviours ◽

Sectional Study ◽

Cross Sectional ◽

Southern Vietnam ◽

Hiv Testing Services ◽

Sex With Men ◽

Sexual Risk Behaviours

Download Full-text

Understanding internet sex-seeking behaviour and sexual risk among young men who have sex with men: evidences from a cross-sectional study

Sexually Transmitted Infections ◽

10.1136/sextrans-2014-051545 ◽

2014 ◽

Vol 90 (8) ◽

pp. 596-601 ◽

Cited By ~ 16

Author(s):

Winston Abara ◽

Lucy Annang ◽

S Melinda Spencer ◽

Amanda Jane Fairchild ◽

Debbie Billings

Keyword(s):

Sexual Risk ◽

Young Men ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Internet Sex ◽

Sex With Men

Download Full-text

Sexual violence experiences and pornography media exposure with sexual risk behavior among PLWHA MSM in Bandung, Indonesia

Journal of Public Health Research ◽

10.4081/jphr.2021.2338 ◽

2021 ◽

Vol 10 (s1) ◽

Author(s):

Melly Rahmayani ◽

Agung Waluyo ◽

Riri Maria

Keyword(s):

Sexual Violence ◽

Risk Behavior ◽

Sexual Risk ◽

Sexual Risk Behavior ◽

Media Exposure ◽

Sampling Technique ◽

Cross Sectional ◽

Sexually Transmitted ◽

Cross Sectional Design ◽

Sex With Men

Background: HIV number continues to increase, especially among the minority of men who have sex with men (MSM) due to the high risks of their sexual behavior. This study aims to identify the correlation between sexual violence experiences and pornography media exposure to sexual risk behavior among people with HIV/AIDS (PLWHA) MSM.Design and Methods: The study employed a cross-sectional design with the consecutive sampling technique and involved 258 PLWHA MSM under the guidance of an NGO in Bandung, Jawa Barat, Indonesia. The data were collected by employing an online questionnaire.Results: The results show that there is a significant correlation between sexual violence experiences and sexual risk behavior (p=0.000, α=0.05; OR=6.496), pornography media exposure and sexual risk behavior (p=0.000, α=0.05; OR=4.271). The multivariate analysis of multiple logistics regression results reveals that the sexual violence experience is the factor that mostly influences the sexual risk behavior among PLWHA MSM (p=0.000, α=0.05; OR=3.784).Conclusions: The sexual violence experiences and pornography media exposure have a significant positive relationship to sexual risk behavior. Therefore, nurses need to improve a comprehensive assessment, counseling, and personal education to reduce sexual risk behavior that can transmit HIV and other sexually transmitted diseases and create innovations through positive activities to reduce pornography consumption.

Download Full-text