Partner Characteristics and Undiagnosed HIV Seropositivity among Men Who Have Sex with Men Only (MSMO) and Men Who Have Sex with Men and Women (MSMW) in Baltimore

Maulsby, Cathy; Sifakis, Frangiscos; German, Danielle; Flynn, Colin; Holtgrave, David R.

doi:10.1007/s10461-011-0046-4

Cited by 35 publications

(30 citation statements)

References 62 publications

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“…This is consistent with research on adult MSMO and MSMW suggesting that these differences are apparent during a period when sexual identities, preferences and practices are developing and when youth may face different societal pressures regarding sexual behaviour. [7][8][9] This consistency is also noteworthy given that our analysis, unlike most studies of MSMW, focused on youth who identified as sexual minority (the small number of straight-identified MSM were excluded from our analysis).…”

Section: Discussionmentioning

confidence: 82%

Cross-sectional survey comparing HIV risk behaviours of adolescent and young adult men who have sex with men only and men who have sex with men and women in the US and Puerto Rico: Table 1

et al. 2015

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Objective To examine the HIV risk behaviours of men who have sex with men only (MSMO) and men who have sex with men and women (MSMW), aged 12–24 years, in five US cities and in San Juan, Puerto Rico. Methods Data were collected through four annual cross-sectional anonymous surveys at community venues and included questions about sexual partnerships, sexual practices including condom use and substance use. Demographic and risk profiles were summarised for both groups. Results A total of 1198 men were included in this analysis, including 565 MSMO and 633 MSMW. There were statistically significant differences between the two groups for many risk factors examined in multivariable models. MSMW were more likely to identify as bisexual, be in a long-term relationship, have a history of homelessness, have ever used marijuana, have ever been tested for HIV and to have been tested for HIV within the past 6 months. MSMW may be more likely to ever exchange sex for money and ever have a sexually transmitted infection than MSMO. Conclusions MSMW were more likely to report several markers of socioeconomic vulnerability or behaviours associated with increased risk for HIV than MSMO. MSMW contribute to HIV prevalence in the USA, and better understanding of the risk profile of this group is essential to understand heterosexual HIV transmission. MSMW, particularly those who identify as bisexual or questioning, may feel uncomfortable participating in programmes that are designed for gay-identified men. Therefore, prevention strategies need to target distinct subgroups that compose the population of MSM.

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Section: Discussionmentioning

confidence: 82%

Cross-sectional survey comparing HIV risk behaviours of adolescent and young adult men who have sex with men only and men who have sex with men and women in the US and Puerto Rico: Table 1

et al. 2015

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“…19 MSM in concurrent partnerships in Maryland were more likely to have undiagnosed HIV infection. 21 Other studies of MSM had differing results on concurrency and STI associations. 22,23 …”

Section: Introductionmentioning

confidence: 99%

Concurrent Partnerships and HIV Risk Among Men Who Have Sex With Men in New York City

Tieu

Nandi

Frye

et al. 2014

Sexually Transmitted Diseases

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Background Concurrent partnerships are a significant public health concern among men who have sex with men (MSM). This study describes the prevalence of concurrency and its association with serodiscordant/serostatus unknown unprotected anal or vaginal intercourse (SDUI) among MSM in New York City. Methods 1,458 MSM completed a social and sexual network inventory about their male and female sex partners, including concurrency, in the last 3 months. Logistic regression identified factors associated with SDUI. Results Median age was 29 years. 23.5% reported being HIV+. The men reported mean 3.2 male partners in last 3 months. 16.6% reported having recent SDUI. 63.2% described having concurrent sex partners (individual concurrency based on overlapping dates of relationships); 71.5% reported having partners whom they believed had concurrent partners (perceived partner concurrency); 56.1% reported that both they and their partners had concurrent partners (reciprocal concurrency). Among HIV+ men by self-report, having SDUI was positively associated with individual concurrency, any alcohol use during sex, having more male sex partners, and not having a main partner. Among self-reported HIV- men, having SDUI was positively associated with perceived partner concurrency, lower education level, any alcohol and drug use during sex, having more male sex partners, and having an anonymous partner. Conclusions Concurrency was common among MSM. The association of SDUI with individual and perceived partner concurrency, along with substance use during sex, having an anonymous partner, and having many sex partners likely further increases HIV acquisition and transmission risk among MSM. HIV prevention interventions should address concurrency among MSM.

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“…Studies incorporating HIV testing have reported rates as high as 30-50% among black MSMW (Latkin et al, 2011;Tieu et al, 2012). Black MSMW may also be more likely than MSM of other race/ethnicities to have undiagnosed infection (Maulsby, Sifakis, German, Flynn, & Holtgrave, 2012;Young, Shoptaw, 5 It is likely that sexual behaviors differ between male, female, and transgender partners of MSMW . Some research suggests that MSMW practice more unprotected sex with their female partners than with their male partners (Dodge, Jeffries, & Sandfort, 2008;Mimiaga et al, 2009) and with primary partners compared to non-primary partners (Sanchez et al, 2006;Sullivan, Salazar, Buchbinder, & Sanchez, 2009).…”

mentioning

confidence: 99%

HIV Acquisition and Transmission Potential Among African American Men Who Have Sex with Men and Women in Three U.S. Cities

et al. 2017

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Black men who have sex with men and women (BMSMW) are at increased HIV risk, but few efficacious interventions meet their unique needs. Three HIV prevention interventions were evaluated with a common protocol. Baseline data were pooled to describe sexual behavior involving transmission risk with male, female, and male-to-female transgender partners and identify factors associated with transmission risk. BMSMW from Los Angeles, Philadelphia, and Chicago who reported sexual risk and bisexual behavior in the past year were recruited via modified chain referral sampling and community recruitment. Baseline assessments were conducted via audio computer-assisted interview and sexual behaviors assessed over the past 3 months. From

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Partner Characteristics and Undiagnosed HIV Seropositivity among Men Who Have Sex with Men Only (MSMO) and Men Who Have Sex with Men and Women (MSMW) in Baltimore

Cited by 35 publications

References 62 publications

Cross-sectional survey comparing HIV risk behaviours of adolescent and young adult men who have sex with men only and men who have sex with men and women in the US and Puerto Rico: Table 1

Cross-sectional survey comparing HIV risk behaviours of adolescent and young adult men who have sex with men only and men who have sex with men and women in the US and Puerto Rico: Table 1

Concurrent Partnerships and HIV Risk Among Men Who Have Sex With Men in New York City

HIV Acquisition and Transmission Potential Among African American Men Who Have Sex with Men and Women in Three U.S. Cities

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