Men Who Have Sex With Men: Perceptions About Sexual Risk, HIV and Sexually Transmitted Disease Testing, and Provider Communication

Mimiaga, Matthew J.; Goldhammer, Hilary; Belanoff, Candice; Tetu, Ashley M.; Mayer, Kenneth H.

doi:10.1097/01.olq.0000225327.13214.bf

Cited by 178 publications

(173 citation statements)

References 26 publications

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“…Other studies have also documented an association between UAS and being less educated and having a lower socioeconomic status. [61][62][63][64][65][66][67] Given that 86% of the current sample of exclusively Black MSM and between 33% and 67% of other mixed race/ethnicity MSM samples in Massachusetts have less than or equal to a high school diploma/ GED, 27,28 findings suggest that socioeconomically disadvantaged Black MSM are a subgroup in need of structural interventions to support HIV prevention efforts.…”

Section: Discussionmentioning

confidence: 99%

“…Recruitment The study utilized a modified RDS method, 25 used successfully in prior studies of MSM in Massachusetts, 27,28 to recruit a diverse sample of men. Eight study participants were selected to function as recruiter "seeds," four at each of the participating study sites (MAC and JRI).…”

Section: Samplementioning

confidence: 99%

“…27 (27) 20 (13) 15 (5) 12 (7) 28 (38) 0 (0) 25 (45) 23 (45) Hispanic/Latino 11 (11) 5 (3) 3 (1) 7 (4) 8 (11) 0 (0) 8 (15) 8 (15) Education, % (N) Some high school 6 (6) 14 (9) 9 (3) 8 (5) 10 (13) 0 (0) 10 (18) 10 (18) High school degree or GED 79 (78) 73 (47) 80 (27) 85 (50) 74 (102) 89 (8) 77 (144) 78 (152) College or graduate degree 15 (15) 13 (8) 9 (3) 7 (4) 16 (22) 11 (1) 14 (25) 14 (26) Housing, % (N) Unstable housing in past 12 mo…”

Section: Hiv Prevention Servicesmentioning

confidence: 99%

“…No health insurance 7 (6) 4 (2) 3 (1) 7 (4) 4 (5) 0 (0) 5 (9) 5 (9) Private health insurance/HMO 22 (21) 27 (17) 9 (3) 9 (5) 27 (36) 22 (2) 21 (39) 21 (41) Medicaid/MassHealth 72 (71) 71 (45) 80 (27) 84 (49) 69 (94) 78 (7) 73 (136) 73 (143) Medicare 8 (7) 4 (2) 12 (4) 6 (3) 8 (10) 0 (0) 7 (13) 7 (13) Veteran's Administration 2 (1) 2 (1) 9 (3) 4 (2) 3 (3) 0 (0) 3 (5) 3 (5) Other 2 (1)…”

Section: Hiv Prevention Servicesunclassified

“…(2) 3 (3) 12 (1) 3 (4) 3 (5) Bathhouse or sex club (63) 50 (32) 68 (23) 65 (38) 58 (80) 78 (7) 60 (111) 60 (118) Social gathering 39 (38) 30 (19) 50 (17) 46 (27) 35 (47) 34 (3) 38 (71) 38 (74) Other 16 (15) 15 (9) 3 (1) 17 (10) 11 (15) 23 (2) 13 (23) 13 (25) HIV prevention exposure in the prior 12 months, % (N) Exposure to an HIV prevention (outreach worker, one-on-one, or group-level)…”

Section: (9)mentioning

confidence: 99%

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Sexual Mixing Patterns and Partner Characteristics of Black MSM in Massachusetts at Increased Risk for HIV Infection and Transmission

et al. 2009

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Black men who have sex with men (MSM) are at increased risk for HIV infection in the United States compared to other MSM. The aim of this study was to investigate Black MSM's sexual mixing patterns and partner characteristics in relation to sexual risk taking, as a possible explanation for this observed increase in HIV incidence. Between January and July 2008, 197 Black MSM were recruited via modified respondent-driven sampling and completed optional pretest and post-test HIV serological testing, counseling, and a demographic, behavioral, and psychosocial assessment battery. Bivariate and multivariable logistic regression procedures were used to examine predictors of risky sex across partner types. Overall, 18% of the sample was HIV-infected; 50% reported unprotected intercourse with men, 30% with women, and 5% with transgender partners. Fifty-three percent identified as bisexual or straight, although all reported oral or anal sex with another man in the prior 12 months. Significant predictors of engaging in at least one episode of: (1) serodiscordant unprotected anal sex (UAS) with a male partner in the past 12 months: individuals at risk for social isolation (AOR=4.23; p=0.03), those with unstable housing (AOR=4.19; p=0.03), and those who used poppers at least weekly during sex (AOR=5.90; p=0.05); (2) UAS and/or unprotected vaginal intercourse with a female partner in the past 12 months: those with unstable housing (AOR=4.85; p=0.04), those who used cocaine at least weekly during sex (AOR=16.78; p=0.006), being HIV-infected (AOR=0.07; p=0.02), and feeling social norms favor condom use (AOR=0.60; p=0.05); (3) UAS with the participants' most recent nonmain male sex partner: use of alcohol and drugs during last sex by participant (AOR=4.04; p=0.01), having sex with a Hispanic/ Latino male (AOR=2.71; p=0.04) or a Black male (AOR=0.50; p=0.05) compared to a White male, and lower education (AOR=1.31; p=0.02). Findings suggest that sexual risk behaviors of Black MSM differ across partner type and by the characteristics of their sexual networks and that this subpopulation of MSM are at high risk for HIV acquisition and transmission. Effective prevention strategies need to address the distinct sexual and behavioral risk patterns presented by different sexual partnerships reported by Black MSM.

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Section: Discussionmentioning

confidence: 99%

Section: Samplementioning

confidence: 99%

Section: Hiv Prevention Servicesmentioning

confidence: 99%

Section: Hiv Prevention Servicesunclassified

Section: (9)mentioning

confidence: 99%

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Sexual Mixing Patterns and Partner Characteristics of Black MSM in Massachusetts at Increased Risk for HIV Infection and Transmission

et al. 2009

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Same-Sex Attraction Disclosure to Health Care Providers Among New York City Men Who Have Sex With Men<subtitle>Implications for HIV Testing Approaches</subtitle>

Bernstein

Liu²,

Begier³

et al. 2008

Arch Intern Med

191

161

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Background: While the Centers for Disease Control and Prevention recommends at least annual human immunodeficiency virus (HIV) screening for men who have sex with men (MSM), a large number of HIV infections among this population go unrecognized. We examined the association between disclosing to their medical providers (eg, physicians, nurses, physician assistants) same-sex attraction and self-reported HIV testing among MSM in New York City, New York.Methods: All men recruited from the New York City National HIV Behavioral Surveillance (NHBS) project who reported at least 1 male sex partner in the past year and self-reported as HIV seronegative were included in the analysis. The primary outcome of interest was a participant having told his health care provider that he is attracted to or has sex with other men. Sociodemographic and behavioral factors were examined in relation to disclosure of same-sex attraction.Results: Among the 452 MSM respondents, 175 (39%) did not disclose to their health care providers. Black and Hispanic MSM (adjusted odds ratios, 0.28 [95% confidence interval, 0.14-0.53] and 0.46 [95% confidence interval, 0.24-0.85], respectively) were less likely than white MSM to have disclosed to their health care providers. No MSM who identified themselves as bisexual had disclosed to their health care providers. Those who had ever been tested for HIV were more likely to have disclosed to their health care providers (adjusted odds ratio, 2.10; 95% confidence interval, 1.01-4.38).Conclusions: These data suggest that risk-based HIV testing, which is contingent on health care providers being aware of their patients' risks, could miss these high-risk persons.

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Optimizing Primary Care for Men Who Have Sex With Men

Makadon¹,

Mayer²,

Garofalo³

2006

JAMA

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Men Who Have Sex With Men: Perceptions About Sexual Risk, HIV and Sexually Transmitted Disease Testing, and Provider Communication

Abstract: To decrease current increases in HIV/STDs among MSM, new strategies that include community and provider education are needed.

Cited by 178 publications

References 26 publications

Sexual Mixing Patterns and Partner Characteristics of Black MSM in Massachusetts at Increased Risk for HIV Infection and Transmission

Sexual Mixing Patterns and Partner Characteristics of Black MSM in Massachusetts at Increased Risk for HIV Infection and Transmission

Same-Sex Attraction Disclosure to Health Care Providers Among New York City Men Who Have Sex With Men<subtitle>Implications for HIV Testing Approaches</subtitle>

Optimizing Primary Care for Men Who Have Sex With Men

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