Differential HIV Risk Behavior among Men who have Sex with Men Seeking Health-Related Mobile Van Services at Diverse Gay-Specific Venues

Reisner, Sari L.; Mimiaga, Matthew J.; Skeer, Margie R.; VanDerwarker, Rodney; Gaucher, Michael J.; O’Connor, Catherine A.; Medeiros, M. Susana; Safren, Steven A.

doi:10.1007/s10461-008-9430-0

Cited by 37 publications

(44 citation statements)

References 53 publications

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“…27 With respect to contextual variables, risk reducers were less likely to have met sex partners in the prior 12 months at public cruising areas and via the Internet. This finding is consistent with prior research showing that MSM frequenting specific gay venues are more likely to engage in high risk sexual behaviors 28,29 and more often use substances during sex 30,31 compared to those who do not. Findings from the current study suggest that in addition to addressing psychosocial issues, effective HIV prevention interventions should consider ways to engage the MSM at greatest risk for HIV acquisition and transmission in their risky environments.…”

Section: Discussionsupporting

confidence: 91%

Beyond Anal Sex: Sexual Practices Associated with HIV Risk Reduction among Men Who Have Sex with Men in Boston, Massachusetts

Reisner

Mimiaga

Skeer

et al. 2009

AIDS Patient Care and STDs

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Men who have sex with men (MSM) continue to bear a disproportionate HIV and sexually transmitted disease (STD) burden. The current study examined the frequency and associations of sexual risk reduction behaviors among a sample of MSM in the greater Boston, Massachusetts area. One hundred eighty-nine MSM completed a one-time behavioral and psychosocial assessment between March 2006 and May 2007. Logistic regression procedures examined the association of demographic, psychosocial, and behavioral factors with risk reduction practices. Twenty percent of the sample reported rimming, mutual masturbation, digital penetration, using sex toys, or 100% condom use as a means to reduce their risk of acquiring or transmitting HIV in the prior 12 months. In bivariate analyses, risk reducers were more likely to disclose their MSM status (i.e., be ''out''; odds ratio [OR] ¼ 3.64; p < 0.05), and report oral sex with a condom in the prior 12 months (OR ¼ 4.85; p < 0.01). They were less likely to report: depression (Center for Epidemiologic Studies Depression Scale [CES-D] score 16þ; OR ¼ 0.48; p < 0.05), a history of one or more sexually transmitted diseases (STDs; OR ¼ 0.40; p < 0.05), and meeting sexual partners at public cruising areas (OR ¼ 0.32; p < 0.01). In a multivariable model, risk reducers were less likely to report: alcohol use during sex (adjusted odds ratio [AOR] ¼ 0.33; p < 0.05), depression (CESD score 16þ; AOR ¼ 0.32; p < 0.05), or meeting sexual partners at public cruising areas (AOR ¼ 0.30; p < 0.05), or via the Internet (AOR ¼ 0.12; p < 0.05) in the previous 12 months. Identifying and understanding such factors associated with risk reduction behaviors may be important to consider in designing effective prevention interventions to promote sexual health for MSM.

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Section: Discussionsupporting

confidence: 91%

Beyond Anal Sex: Sexual Practices Associated with HIV Risk Reduction among Men Who Have Sex with Men in Boston, Massachusetts

Reisner

Mimiaga

Skeer

et al. 2009

AIDS Patient Care and STDs

Self Cite

View full text Add to dashboard Cite

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“…Porém, uma dificuldade na comparação dos resultados para este fator é o período escolhido para investigar a quantidade de parceiros, pois os estudos apresentam uma variação muito grande (2 até 12 meses). O número médio foi de 23 parceiros nos últimos 12 meses e está muito acima do que a literatura apresenta 2,7,17,19,22 . E entre os que relataram sexo anal desprotegido com homens HIV positivos ou de sorologia desconhecida, a média foi de 26 parceiros; e os que praticaram sexo anal sem preservativo com homens de sorologia negativa tiveram em média 20 parceiros.…”

Section: Discussionunclassified

“…Na literatura internacional, estudos que coletaram dados na internet e em locais de sociabilidade gay também encontraram associações similares 1,2,5,7,[17][18][19][20][21][22][23][24][25][26]29,30 . Alguns desses estudos compararam grupos de HSH soropositivo e negativo para HIV, analisando o sexo anal insertivo sem o uso do preservativo e sexo com parceiro sorodiscordante, e nestes estudos, o grupo que recruta parceiros sexuais na internet apresentou maior risco de envolvimento em práticas sexuais desprotegidas [5][6][7]23,26 .…”

Section: Discussionunclassified

“…Na literatura, alguns estudos que investigaram as práticas e comportamentos sexuais de homens que fazem sexo com homens (HSH), os quais recrutam parceiros sexuais na internet, mostram resultados que indicam que a internet proporciona certa facilidade para o encontro de parceiros sexuais e para o sexo anal desprotegido [1][2][3][4][5][6] . Por outro lado, outro estudo 7 , comparando HSH que buscaram parcerias na internet com HSH que buscaram parcerias fora da rede, mostrou maior prevalência do sexo arriscado para HIV no último grupo.…”

Section: Introductionunclassified

“…A escolha dos locais de sociabilidade gay (bares, boates, videolocadoras, barracas de praia, saunas etc. ), baseou-se na literatura que aponta que frequentar alguns desses locais pode estar associado ao envolvimento em práticas de risco para infecção por HIV 2,27 . As classes sociais alta, média e baixa foram construídas segundo os quartis dos coeficientes do Indicador Econômico Nacional (IEN) 16 .…”

Section: Introductionunclassified

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Inquérito sociocomportamental sobre as práticas sexuais desprotegidas entre homens que fazem sexo com homens usuários da Internet

Brignol

Dourado

2011

Rev. bras. epidemiol.

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ResumoIntrodução: O sexo anal sem o uso do preservativo masculino é um importante fator de risco para a infecção por HIV e outras doenças sexualmente transmissíveis. Objetivo: Investigar fatores individuais e sociais que se relacionam ao sexo anal desprotegido entre homens que se autodeclararam HIV negativos e que fizeram sexo anal com parceiros HIV positivos ou de sorologia desconhecida. Metodologia: Este estudo é parte de um inquérito sociocomportamental entre homens que fazem sexo com homens (HSH), a coleta de dados foi on-line no site do projeto Convida. A amostra deste estudo foi de 487 HSH. A análise descritiva precedeu a análise bivariada com o uso do teste χ 2 . Para a modelagem utilizou-se a regressão logística. Resultados: Praticaram sexo anal desprotegido com parceiro HIV positivo ou de sorologia desconhecida no último ano 30,8% dos participantes, sendo a maioria de classes sociais mais elevadas, brancos e solteiros. Os fatores que se associaram à prática do sexo anal sem proteção foram: ter mais de três parceiros no último ano (OR=1,7; IC95% 1,1-2,7), autopercepção de alto ou médio risco para adquirir HIV/Aids (OR=2,7; IC95% 1,5-3,6) e gostar de sexo oral passivo (OR=0,3; IC95% 0,2-0,8). Conclusão: O sexo anal desprotegido é uma prática frequente entre os HSH entrevistados. A frequência a banheiros públi-cos deve ser explorada enquanto fator de risco para o envolvimento no sexo anal sem proteção. Outros estudos on-line são necessários e importantes para o entendimento dessas relações e do envolvimento em prá-ticas sexuais arriscadas para infecção por HIV entre HSH. Palavras AbstractIntroduction: Unprotected anal sex (insertive or receptive) is an important risk factor for HIV infection and other STDs. Objetive: The objective was to investigate individual and social factors associated with unprotected anal sex among Men Who have Sex with Men (MSM) that declared being HIV negative and engaged in anal sex with an HIV positive partner or of ignored serology. Methods: This study is part of a survey among MSM and among Internet users, with data collected from an on line questionnaire in project site. The internet sample for this study was 487 MSM. Descriptive and stratified analyses were carried out and χ 2 test was used. Logistic regression was used for modeling the data. Results: Among the participants 30.8% referred unprotected anal sex in the previous 12 months with an HIV positive partner or partner with unknown serology. Most of them belonged to higher social classes, were white and single. Factors associated with unprotected anal sex were: number of partners (more than 3) in the previous 12 months (OR=1.7; 95% CI 1.1-2.7), high or medium perception of risk to HIV/Aids (OR=2.7; 95% CI 1.5-3.6) and enjoy passive oral sex (OR=0.3; 95% CI 0.2-0.8). Conclusion: Unprotected anal sex was a frequent practice among MSM in this survey. The frequency to public bathrooms should be further explored as a risk factor for unprotected anal sex. It is important to further explore these findings in order to understan...

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Reconsidering the Internet as an HIV/STD Risk for Men Who Have Sex with Men

et al. 2010

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Previous studies linking online sexual partnerships to behavioral risks among men who have sex with men (MSM) may be subject to confounding and imprecise measurement of partnership-specific risks. We examined behavioral risks associated with having only online, only offline, or both online and offline partners in the past year, the confounding effects of multiple partnerships, and partnership-specific risks among a sample of MSM from New York City recruited offline in 2008. Overall, 28% of 479 participants had an online partner in the past year, but most of those (82%) also had an offline partner. Having an online partner was associated with past-year unprotected anal intercourse (UAI) and other risks, but not after controlling for multiple partnerships. There were slightly higher levels of risk within offline partnerships, but differences were largely attributable to MSM who had both offline and online partners. Last sex partners met offline were more likely to be HIV-serodiscordant and engage in concurrent substance use with the participant. This suggests that online partnerships may not be an independent cause of behavioral risks, but a marker for risks occurring independent of Internet use.

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Differential HIV Risk Behavior among Men who have Sex with Men Seeking Health-Related Mobile Van Services at Diverse Gay-Specific Venues

Cited by 37 publications

References 53 publications

Beyond Anal Sex: Sexual Practices Associated with HIV Risk Reduction among Men Who Have Sex with Men in Boston, Massachusetts

Beyond Anal Sex: Sexual Practices Associated with HIV Risk Reduction among Men Who Have Sex with Men in Boston, Massachusetts

Inquérito sociocomportamental sobre as práticas sexuais desprotegidas entre homens que fazem sexo com homens usuários da Internet

Reconsidering the Internet as an HIV/STD Risk for Men Who Have Sex with Men

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