Socio-demographic Characteristics, Sexual and Test-Seeking Behaviours Amongst Men Who have Sex with Both Men and Women: Results from a Bio-behavioural Survey in 13 European Cities

Mirandola, Massimo; Gios, Lorenzo; Sherriff, Nigel; Pachankis, John E.; Toskin, Igor; Ferrer, Laia; Dias, Sónia; Veličko, Inga; Staneková, Danica; Čaplinskas, Saulius; Naseva, Emilia; Niedźwiedzka-Stadnik, Marta

doi:10.1007/s10461-017-1831-5

Cited by 15 publications

(19 citation statements)

References 39 publications

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“…One possible explanation for why MSMW report more mental health problems is their high gender role conflict, which Bingham et al described as ‘internal conflict with traditional gender role stereotypes and an individual’s perceived need to comply with these roles’ 42. In addition, 16.1% (291/1518) of MSM were classified as MSMW in this study, which is higher than the rates observed in 13 European cities (12.64%, 589/4658),22 and nearly 70% of MSMW were married or divorced, in accordance with the results from Zhang et al 43. The Chinese traditional value of ‘having a son to carry on the family name’ may create more stress for MSMW because those who are married may be struggling and caught in a dilemma of whether they should disclose their sexual orientation to their family members.…”

Section: Discussioncontrasting

confidence: 66%

“…The Chinese traditional value of ‘having a son to carry on the family name’ may create more stress for MSMW because those who are married may be struggling and caught in a dilemma of whether they should disclose their sexual orientation to their family members. Mirandola et al 22 found that MSMW were less likely than MSMO to be open with their family and friends about their sexual attraction. As a result, MSMW may lack social support, making them vulnerable to mental health problems 44…”

Section: Discussionmentioning

confidence: 99%

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Comparison of depression and anxiety between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO): a cross-sectional study in Western China

Zhong

Peng

et al. 2019

BMJ Open

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ObjectiveTo compare the prevalence of depression, anxiety and comorbidity between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO) and examine the associated factors with depression and anxiety separately.DesignA cross-sectional study.SettingThe study was conducted in Western China.ParticipantsFrom April 2013 to October 2014, 2422 participants aged 18–65 years, who were male at birth, had engaged in sex with male partners in the past 6 months, self-reported negative or unknown HIV status, were willing to participate and provided informed consent were recruited using non-probability sampling. An anonymous self-administered questionnaire was used to collect the data. A total of 1809 HIV-negative men who have sex with men (MSM) were eligible for the final analysis.ResultsOf 1809 MSM, 16.1% were MSMW and 83.9% were MSMO. The prevalence of depression, anxiety and comorbidity was 50.86%, 36.43% and 32.65%, respectively, for MSMW; these results were higher than those for MSMO (35.18%, 23.52% and 18.91%, respectively). After adjusting for potential confounding factors, the prevalence of depression and anxiety was higher among MSMW than among MSMO. The prevalence of depression and/or anxiety was associated with young age, lower educational level, lower monthly income, lower HIV score and some risky sexual behaviour (had never engaged in HIV counselling, had obtained commercial sexual services in the past 6 months and sometimes/always looked for sexual partners through the internet). The prevalence of depression and anxiety was lower for those who drank less than once a week than for those who never drank.ConclusionOur findings suggest the need to address mental health among MSMW. Future health intervention strategies should integrate mental health services and traditional HIV prevention programmes and should consider the differences between MSMW and MSMO.Trial registration numberChiCTR-TRC-13003849; Pre-results.

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Section: Discussioncontrasting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Comparison of depression and anxiety between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO): a cross-sectional study in Western China

Zhong

Peng

et al. 2019

BMJ Open

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“…While weighting appears amply justified, there is considerable debate on how it should be done. The weighting for TLS and RDS surveys has undergone multiple changes [3,4,[8][9][10][11][12][13][14][15][16]22], remains under discussion, or is ignored [23][24][25][26]. For the present, we highlight starfish sampling as a recruitment tool while acknowledging the statistical approaches as a sampling methodology need to be developed in line with those for RDS and TLS.…”

Section: Discussionmentioning

confidence: 99%

“…The lack of a gold standard census for many stigmatized populations challenges validation of the different weighting approaches. Often, weighting in RDS and TLS is ignored [11,[23][24][25][26]. For the present first attempt at starfish sampling, we conceptualized the sampling frame as clusters of transmen present at venues with their immediate acquaintances as sampling units with equal probability of inclusion through randomization.…”

Section: Venue-based Sampling Methodsmentioning

confidence: 99%

“Starfish Sampling”: a Novel, Hybrid Approach to Recruiting Hidden Populations

2018

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We sought to leverage the strengths of time location sampling (TLS) and respondent-driven sampling (RDS) for surveys of hidden populations by combing elements of both methods in a new approach we call Bstarfish sampling.^Starfish sampling entails random selection of venue-daytime units from a mapping of the locations where the population can be found, combined with short chains of peer referrals from their social networks at the venue or presenting to the study site later. Using the population of transmen in San Francisco as a case example, we recruited 122 eligible participants using starfish sampling: 79 at randomly selected venues, 11 on dating applications, and 32 by referral. Starfish sampling produced one of the largest communityrecruited samples specifically for transmen to date. Starfish sampling is a flexibility method to recruit and sample hidden populations for whom conventional TLS and RDS may not work in theory or practice.

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“…In the survey study of sexual behaviours in 13 European cities, including Warsaw, men who have sex with men and women tended to be less open about their own sexual attraction as compared to men who have sex with men only. Furthermore, 60% of participants declared they would not openly admit their attraction to men [ 12 ]. This indicates that bisexual persons cannot be considered a homogeneous group, in terms of social behaviours.…”

Section: Discussionmentioning

confidence: 99%

Cascade of care and factors associated with virological suppression among HIV-positive persons linked to care in the Test and Keep in Care (TAK) project

Kowalska

Ankiersztejn-Bartczak²,

Shepherd

et al. 2018

Infection

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IntroductionEarly treatment remains the most effective HIV prevention strategy; poor linkage to care after HIV diagnosis may compromise this benefit. We sought to better understand patient characteristics and their association with virological suppression (VS) following cART initiation.MethodsThe TAK project collects pre-linkage to care and clinical data on patients diagnosed with HIV in voluntary testing facilities in central Poland. Data collected for persons diagnosed in 2010–2013 were linked with HIV clinic records. Individuals linked to care who commenced cART were followed from until the earliest of first VS (HIV RNA < 50 copies/ml), last visit, death or 6 January 2016. Cox-proportional hazard models were used to identify factors associated with first viral suppression.Results232 persons were HIV positive, 144 (62%, 95% CI 55, 68%) linked to care, 116 (81% of those linked to care, 95% CI 73, 87%) started cART during follow up, of which 113 (97%, 95% CI 93, 99%) achieved VS. Non-PI based regimen (for integrase inhibitors aHR: 5.03: 1.90, 13.32) and HLA B5701-positive (aHR: 3.97: 1.33, 11.85) were associated with higher chance of VS. Unknown syphilis status (aHR: 0.27: 0.13, 0.57) and higher HIV RNA (aHR a tenfold increase: 0.56: 0.42, 0.75) remained associated with lower chance of VS.ConclusionsAlthough a low proportion of persons were linked to care, almost all those linked to care started cART and achieved rapid VS. The high rates of VS were irrespective of prior HIV-associated risk behaviours. Linkage to care remains the highest priority in prevention strategies in central Poland.

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Socio-demographic Characteristics, Sexual and Test-Seeking Behaviours Amongst Men Who have Sex with Both Men and Women: Results from a Bio-behavioural Survey in 13 European Cities

Cited by 15 publications

References 39 publications

Comparison of depression and anxiety between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO): a cross-sectional study in Western China

Comparison of depression and anxiety between HIV-negative men who have sex with men and women (MSMW) and men who have sex with men only (MSMO): a cross-sectional study in Western China

“Starfish Sampling”: a Novel, Hybrid Approach to Recruiting Hidden Populations

Cascade of care and factors associated with virological suppression among HIV-positive persons linked to care in the Test and Keep in Care (TAK) project

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