HIV Prevalence and Sexual Risk Behaviors Associated with Awareness of HIV Status Among Men Who Have Sex with Men in Paris, France

Velter, Annie; Barin, Françis; Bouyssou, A.; Guinard, Jérôme; Léon, Lucie; Vu, Stéphane Le; Pillonel, Josiane; Spire, Bruno; Semaille, Caroline

doi:10.1007/s10461-012-0303-1

Cited by 43 publications

(41 citation statements)

References 47 publications

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“…The number of HIV carriers was particularly highly in the 1st district. Our results did not identify the 4th district (Marais) known to be the place where a lot of men having sex with men live, and have a more frequent risk behavior [4]. However, the 1st district is next to the 4th district and, because of their small size, the populations of these 2 districts likely mix frequently.…”

Section: Discussioncontrasting

confidence: 80%

Family practitioners screening for HIV infection

Rocchetti

Viard

2015

Médecine et Maladies Infectieuses

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Section: Discussioncontrasting

confidence: 80%

Family practitioners screening for HIV infection

Rocchetti

Viard

2015

Médecine et Maladies Infectieuses

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“…MSM are also at a high risk of infection with sexually transmitted diseases (STDs) [5,6] because of related risky behaviors, such as having multiple partners and engaging in unprotected anal intercourse (UAI) [7]. Many studies showed that MSM seeking male sexual partners (sampled offline or from fixed venues, such as gay bars, bathrooms, or clubs) engage in several risky sexual behaviors, such as UAI, having multiple sex partners and anal sex [8-12]. However, the studies are limited because offline sampling misses MSM who do not go to these venues due to fear of discrimination, and some HIV-positive MSM who are at high risk for transmission of HIV or STDs may not go to these places either.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of unprotected anal intercourse in men who have sex with men recruited online versus offline: a meta-analysis

et al. 2014

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BackgroundMen who have sex with men (MSM) are a high risk population for human immunodeficiency virus (HIV) infection. Our study aims to find whether MSM who were recruited online had a higher prevalence of self-reported unprotected anal intercourse (UAI) than those who were recruited offline.MethodsA meta-analysis was conducted from the results of published studies. The analysis was stratified by the participants’ geographic location, the sample size and the date of the last reported UAI.ResultsBased on fourteen studies, MSM who were recruited online (online-based group) reported that 33.9% (5,961/17,580) of them had UAI versus 24.9% (2,700/10,853) of MSM who were recruited offline (offline-based group). The results showed that it is more likely for an online-based MSM group to have UAI with male partners than an offline-based MSM group [odds ratio (OR) = 1.35, 95% CI = 1.13-1.62, P < 0.01]. The subgroup analysis results also showed that the prevalence of UAI was higher in the European subsample (OR = 1.38, 95% CI = 1.17-1.63, P < 0.01) and in sample sizes of more than 500 individuals (OR = 1.32, 95% CI = 1.09-1.61, P < 0.01) in the online group compared to the offline group. The prevalence of UAI was also significantly higher when the time of the last UAI was during the last 3 or more months (OR = 1.40, 95% CI = 1.13-1.74, P < 0.05) in the online group compared to the offline group. A sensitivity analysis was used to test the reliability of the results, and it reported that the results remained unchanged and had the same estimates after deleting any one of the included studies.ConclusionsA substantial percentage of MSM were recruited online, and they were more inclined to engage in UAI than MSM who were recruited offline. Targeted interventions of HIV prevention programs or services are recommended when designing preventive interventions to be delivered via the Internet.

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“…1 The disparate impact of HIV and other STIs on MSM as compared to heterosexual men and women reflects both biological [3][4][5] and behavioral 4,6,7 factors. High levels of HIV risk behavior among MSM, and the resurgence of the HIV epidemic in this population, 8 may also be the result of several psychosocial factors, including the changed perception of HIV as a chronic and manageable rather than terminal illness, 9 lack of awareness of HIV status, 10 substance abuse, 11 increased access to and use of testing, 12 condom fatigue, 13 and use of harm reduction techniques including serosorting.…”

mentioning

confidence: 99%

Risk Patterns Preceding Diagnosis Among Newly HIV-Diagnosed Men Who Have Sex with Men in New York City

Drabkin

Sikkema

Wilson

et al. 2013

AIDS Patient Care and STDs

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Men who have sex with men (MSM) are at high risk for contracting and transmitting HIV. They are increasingly encouraged to get tested, but understanding of the interplay between HIV testing and risk behavior is limited. One hundred fifty newly HIV-diagnosed (within past 3 months) MSM were recruited from a community clinic in New York City. Participants completed an interview assessing sexual behavior and substance use during the 3 months pre-diagnosis, current depressive symptoms, and prior HIV testing. HIV-related health characteristics at diagnosis were abstracted from medical records. Analyses examined factors associated with unprotected anal intercourse (UAI) in the 3 months pre-diagnosis, and with a negative HIV test in the 12 months pre-diagnosis. The sample was young (mean age = 32.5, SD = 8.8), ethnically diverse (62% racial/ethnic minority), low-income (71% £ $30,000/year), and educated (48% college/advanced degree). Most (95%) had a prior negative HIV test, 55% within the last 12 months. Significant risk behavior was reported, with 79% reporting UAI. UAI was associated with recent testing and use of substances during sexual behavior. Recent testing was associated with being employed/a student, having had UAI, and higher CD4 count. Implications for future research addressing perceived HIV risk, HIV testing utilization, and risk behavior are discussed.

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HIV Prevalence and Sexual Risk Behaviors Associated with Awareness of HIV Status Among Men Who Have Sex with Men in Paris, France

Cited by 43 publications

References 47 publications

Family practitioners screening for HIV infection

Family practitioners screening for HIV infection

Prevalence of unprotected anal intercourse in men who have sex with men recruited online versus offline: a meta-analysis

Risk Patterns Preceding Diagnosis Among Newly HIV-Diagnosed Men Who Have Sex with Men in New York City

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