A Serial, Cross-Sectional Comparison of Condomless Anal Sex and HIV Testing Among Young MSM in Beirut, Lebanon

Wagner, Glenn; Ghosh-Dastidar, Bonnie; Khoury, Cynthia El; Ghanem, Carol Abi; Mutchler, Matt G.; Balan, Elie; Green, Harold; Kegeles, Susan M.; Mokhbat, Jacques

doi:10.1007/s10508-018-1359-4

Cited by 6 publications

(9 citation statements)

References 17 publications

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“…In Lebanon, 78% of 2238 study participants reported more than one sexual partner ( Assi et al., 2019 ). Other studies reported a mean of 3.9 (SD [Standard Deviation] = 5.4) ( Wagner et al., 2020 ) and 4.8 (SD = 8.7) sex partners ( Wagner et al., 2014 ) in the past three months, and researchers in one study of 101 participants reported that 65% had five or more sexual partners in the past year ( Kassak et al., 2011 ). Similarly, in Egypt, the majority of sexual minority men engaged in penetrative and receptive anal sex (66%) and with more than one partner (77%); slightly over one-half (53%) reported more than three sexual partners per week ( El-Sayyed et al., 2008 ).…”

Section: Resultsmentioning

confidence: 99%

Sexual and gender minority health in the Middle East and North Africa Region: A scoping review

Abboud¹,

Veldhuis

Ballout

et al. 2022

International Journal of Nursing Studies Advances

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Section: Resultsmentioning

confidence: 99%

Sexual and gender minority health in the Middle East and North Africa Region: A scoping review

Abboud¹,

Veldhuis

Ballout

et al. 2022

International Journal of Nursing Studies Advances

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“…At the contrary to the municipalities of the southern meridional, most of the municipalities in the northeast, middle east, and midwest regions have low DHIs. In Lebanon, a study revealed there was a high probability of young MSM with low incomes and low schooling having sex without condoms 29 .…”

Section: Discussionmentioning

confidence: 99%

Temporal Trend and Spatial Analysis of the HIV Epidemic in Young Men who have Sex with Men in the Second Largest Brazilian Amazonian Province

Seabra

Pedroso

Rodrigues

et al. 2021

Preprint

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Background: In the last decade, young men who have sex with men (MSM) have been highly affectedimpacted by the HIV. Much more than attributing the risk behavior to HIV uniquely to the individual, behaviors are shaped by social determinants of health (SDHs). Despite of the problem, there is a scarcity of studies evaluating the SHDs impact on HIV among young MSN. Therefore, . Iin this study,paper we analyzed the HIV epidemic among Amazonian young MSM byin employing temporal trendstrend and spatial analysis. The Brazilian Amazon region has the highest HIV/AIDS detection rate among all the other Brazilian regions. Methods: We conducted an ecologicalEcological study using reported cases of HIV/AIDS in young MSM living in Pará, the second largestlarger Brazilian Amazonian province, between 2007 and 2018. Data were obtained from the Information System for Notifiable Diseases. ForTo the temporal analysis, we employed autoregressive integrated moving average models, and seasonality and trend decomposition using locally weighted polynomial regression. To the spatial analysis, Moran’s spatial autocorrelation, spatial scan, and spatial regression techniques were used for spatial analysis.. Results: A total of 2,192 notifications were included in the study. Greater variabilityvariabilities in HIV/AIDS incidence rates waswere found in the festive months. The HIV/AIDS incidence rates exhibitedpresented an upward trend from 2013. This, and this trend is forecasted to continue until 2022. Belém, the capital of Pará, presented the highest spatial risk for HIV/AIDS and was the only city to present spatiotemporal risk from, 2014 to 2018. The geographic variation of the epidemic was associated with the number of men with formal jobs, the average salary of men, and the percentage of people over 18 years old with elementary education. Conclusion: The upward trend of HIV/AIDS incidence forecasted until 2022 and the variability of the epidemic promoted by the social determinants of health signalsbrings an alert and subsidies to health authorities. Policies Subsidies to reinforce the policies to controlagainst HIV among young MSM are urgently required.

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“…Ghanem et al [26] found that among the 176 MSM reporting having anal sex, 48.9% did not use condoms during sex in the last three months, and 17.0% of those reported unprotected sex with a partner who had HIV or whose status was unknown [26]. Echoing these findings, Wagner et al [32] examined trends in condom use among MSM finding that 45.8% of MSM in their 2017 sample reported sex without a condom and 17.3% reported unprotected sex with an HIV-positive or unknown status partner. However, earlier studies suggest that condomless sex was considerably more common in the MSM community compared to more recent studies.…”

Section: Young Men Who Have Sex With Menmentioning

confidence: 98%

“…Risky behavior. Condomless sex was very common across studies in Lebanon [19,[26][27][28][29][30][31][32]. Ghanem et al [26] found that among the 176 MSM reporting having anal sex, 48.9% did not use condoms during sex in the last three months, and 17.0% of those reported unprotected sex with a partner who had HIV or whose status was unknown [26].…”

Section: Young Men Who Have Sex With Menmentioning

confidence: 99%

Understanding the epidemiological HIV risk factors and underlying risk context for youth residing in or originating from the Middle East and North Africa (MENA) region: A scoping review of the literature

et al. 2022

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Introduction HIV is the second leading cause of death among young people globally, and adolescents are the only group where HIV mortality is not declining. Middle East and North Africa (MENA) is one of few regions seeing rapid increase of HIV infections (31.0%) since 2001. MENA youth are at particular risk of HIV due to dearth of research and challenges in accessing services. Objective The purpose of this scoping review is to establish the epidemiological HIV risk factors and underlying risk context for youth residing in or originating from the MENA region. Methods Online database searches were conducted using combination of search terms. Screening 5,853 citations, published between 1990–2019 with age groups 16 to 29, resulted in 57 studies included across 18 MENA countries. Results ‘Key populations’ engage in risky behaviors, including: overlapping risky behaviors among youth who inject drugs (PWID); lack of access to HIV testing, condomless sex, and multiple sex partners among young men who have sex with men (MSM); and high and overlapping risk behaviors among young sex workers. Challenges facing other youth groups and bridging populations include: peer pressure, inhibition about discussing sexual health, lack of credible sex education sources, low condom use, and lack of access to HIV protection/prevention services, especially testing. Conclusion Poor surveillance coupled with scarcity of rigorous studies limit what is known about epidemiology of HIV among youth in MENA. Homophobia, stigma around PWID, and illegal status of sex work promote non-disclosure of risk behaviors among youth and curtail serving this population.

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A Serial, Cross-Sectional Comparison of Condomless Anal Sex and HIV Testing Among Young MSM in Beirut, Lebanon

Cited by 6 publications

References 17 publications

Sexual and gender minority health in the Middle East and North Africa Region: A scoping review

Sexual and gender minority health in the Middle East and North Africa Region: A scoping review

Temporal Trend and Spatial Analysis of the HIV Epidemic in Young Men who have Sex with Men in the Second Largest Brazilian Amazonian Province

Understanding the epidemiological HIV risk factors and underlying risk context for youth residing in or originating from the Middle East and North Africa (MENA) region: A scoping review of the literature

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