Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey.
HIV
MSM
relationships
respondent-driven sampling
time-location sampling
Journal
Journal of public health (Oxford, England)
ISSN: 1741-3850
Titre abrégé: J Public Health (Oxf)
Pays: England
ID NLM: 101188638
Informations de publication
Date de publication:
26 05 2020
26 05 2020
Historique:
received:
29
08
2018
revised:
17
04
2019
pubmed:
16
5
2019
medline:
29
6
2021
entrez:
16
5
2019
Statut:
ppublish
Résumé
Relationship status is an important factor associated with condomless anal intercourse (CAI) amongst men who have sex with men (MSM). A multi-centre bio-behavioural survey with MSM was conducted in 13 European cities (n = 4901) exploring factors associated with CAI via bivariate and multivariate multilevel logistic regression analyses. Likelihood of CAI with casual partners was associated with being 'out' to a majority (AOR = 1.19;95% CI 1,1.42); knowing their HIV status (AOR = 1.86; 95% CI 1.25,2.76); using substances (1-2 AOR = 1.39; 95% CI 1.16,1.63, 2+ AOR = 1.81; 95% CI 1.35,2.42); being older (AOR = 0.98; 95% CI 0.97,0.99); successful sero-communication (AOR = 0.79; 95% CI 0.67,0.94); and, not having a recent HIV test (AOR = 0.78; 95% CI 0.66,0.92). CAI with steady partners was associated with successful sero-communication (AOR = 2.72; 95% CI 2.72,3.66); not having a recent HIV test (AOR = 1.26; 95% CI 1.09,1.46), and; being older (AOR = 0.99; 95% CI 0.98,0.99). Understandings of partner type and/or relationship status in relation to CAI amongst MSM can potentially play an important role in the development of culturally appropriate HIV/STI prevention and risk-reduction efforts targeting at-risk MSM. Our results speak to the need to consider segmented and tailored public health and health promotion initiatives for MSM with differing CAI behaviours and relationship profiles.
Sections du résumé
BACKGROUND
Relationship status is an important factor associated with condomless anal intercourse (CAI) amongst men who have sex with men (MSM).
METHODS
A multi-centre bio-behavioural survey with MSM was conducted in 13 European cities (n = 4901) exploring factors associated with CAI via bivariate and multivariate multilevel logistic regression analyses.
RESULTS
Likelihood of CAI with casual partners was associated with being 'out' to a majority (AOR = 1.19;95% CI 1,1.42); knowing their HIV status (AOR = 1.86; 95% CI 1.25,2.76); using substances (1-2 AOR = 1.39; 95% CI 1.16,1.63, 2+ AOR = 1.81; 95% CI 1.35,2.42); being older (AOR = 0.98; 95% CI 0.97,0.99); successful sero-communication (AOR = 0.79; 95% CI 0.67,0.94); and, not having a recent HIV test (AOR = 0.78; 95% CI 0.66,0.92). CAI with steady partners was associated with successful sero-communication (AOR = 2.72; 95% CI 2.72,3.66); not having a recent HIV test (AOR = 1.26; 95% CI 1.09,1.46), and; being older (AOR = 0.99; 95% CI 0.98,0.99).
CONCLUSIONS
Understandings of partner type and/or relationship status in relation to CAI amongst MSM can potentially play an important role in the development of culturally appropriate HIV/STI prevention and risk-reduction efforts targeting at-risk MSM. Our results speak to the need to consider segmented and tailored public health and health promotion initiatives for MSM with differing CAI behaviours and relationship profiles.
Identifiants
pubmed: 31090894
pii: 5489532
doi: 10.1093/pubmed/fdz052
pmc: PMC7251420
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e174-e186Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Investigateurs
Massimo Mirandola
(M)
Christiana Nöstlinger
(C)
Ivailo Alexiev
(I)
Ulrich Marcus
(U)
Barbara Suligoi
(B)
Saulius Caplinskas
(S)
Magdalena Rosińska
(M)
Sónia Ferreira Dias
(SF)
Alexandru Rafila
(A)
Danica Staneková
(D)
Irena Klavs
(I)
Cinta Folch
(C)
Inga Velicko
(I)
Igor Toskin
(I)
Nigel Sherriff
(N)
Informations de copyright
© The Author(s) 2019. Published by Oxford University Press on behalf of Faculty of Public Health.
Références
BMC Public Health. 2016 Mar 02;16:212
pubmed: 26935752
Scand J Public Health. 2012 Dec;40(8):738-45
pubmed: 23221915
PLoS One. 2012;7(11):e50493
pubmed: 23209757
AIDS Care. 2012;24(5):544-52
pubmed: 22292776
Euro Surveill. 2009 Dec 03;14(48):
pubmed: 20003897
AIDS Behav. 2008 Jul;12(4 Suppl):S97-104
pubmed: 18389357
BMC Public Health. 2015 Jul 24;15:702
pubmed: 26205833
Lancet HIV. 2017 Nov;4(11):e482-e483
pubmed: 29066095
AIDS Educ Prev. 2000 Oct;12(5):405-15
pubmed: 11063060
Lancet HIV. 2018 Aug;5(8):e448-e456
pubmed: 29885813
Perspect Public Health. 2014 May;134(3):150-9
pubmed: 23592689
AIDS Behav. 2013 May;17(4):1288-95
pubmed: 23325375
Euro Surveill. 2018 Dec;23(49):
pubmed: 30621823
Curr Opin Infect Dis. 2010 Feb;23(1):39-44
pubmed: 19949328
BMC Infect Dis. 2017 Nov 25;17(1):730
pubmed: 29178847
AIDS Care. 2012;24(2):167-73
pubmed: 21861633
Sex Transm Infect. 2017 Mar;93(2):129-136
pubmed: 27535765
PLoS One. 2014 Jul 16;9(7):e102894
pubmed: 25029514
Int J Behav Healthc Res. 2011 Oct;2(4):320-332
pubmed: 25383095
AIDS. 1993 Feb;7(2):257-63
pubmed: 8466689
BMC Public Health. 2011 Mar 25;11:189
pubmed: 21439069
Int J STD AIDS. 2016 Mar;27(4):281-7
pubmed: 25736346
J Urban Health. 2012 Jun;89(3):565-86
pubmed: 22421885