The Effect of Venue Sampling on Estimates of HIV Prevalence and Sexual Risk Behaviors in Men Who Have Sex With Men

Xia, Qiang; Tholandi, Maya; Osmond, Dennis; Pollack, Lance M.; Zhou, Wei; Ruiz, Juan; Catania, Joseph A.

doi:10.1097/01.olq.0000219866.84137.82

Cited by 58 publications

(39 citation statements)

References 30 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

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show abstract

“…The results of our study support what a handful of studies have shown previously; HIV-positive MSM tend to engage in higher rates of sexual risk at party-oriented vacations than do HIV-negative men Xia et al, 2006). Furthermore, our fi ndings show that HIV-positive MSM used poppers at higher rates than HIV-negative men, and that this use was largely intended.…”

Section: Discussionsupporting

confidence: 90%

“…Only a handful of studies have examined the behaviors of HIV-positive MSM in relation to HIV-negative MSM at these events, and the results are mixed. Some research has shown higher rates of sexual activity among HIV-positive MSM Xia et al, 2006) and higher rates of unprotected sex partners among HIV-positive MSM (Xia et al, 2006) at these events. However, at least one study found no signifi cant differences in unprotected oral or anal sex among HIV-positive MSM at a party-oriented vacation (Patel et al, 2006).…”

Section: H IV Continues To Disproportionately Affect Men Who Have Sexmentioning

confidence: 99%

Risk Behaviors Among HIV-Positive Gay and Bisexual Men at Party-Oriented Vacations

Fisher

Ramchand

Bana

et al. 2013

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: This study examined substance use (intended and actual), unprotected sex, and HIV disclosure practices (disclosure and questioning) among HIV-positive men who have sex with men (MSM) at two party-oriented vacations, where substance use and sexual risk may be heightened. Method: A random sample of 489 MSM attending one of two party-oriented vacations participated in PartyIntents, a short-term longitudinal survey. Nearly half (47%) completed a follow-up assessment at the event or online for up to 2 weeks after the event. We examined rates of baseline intentions to use substances, actual substance use, and unprotected intercourse among HIV-positive men in attendance. Rates among HIV-negative men were estimated for comparison. Multiple logistic regression was used to assess the impact of illegal drug use and HIV status on unprotected anal intercourse (UAI). Results: HIV-positive attendees (17%) were signifi cantly more likely than HIV-negative attendees to use nitrite inhalants (or "poppers") (24.3% vs. 10.7%). HIVpositive attendees were also signifi cantly more likely to have insertive UAI (64.3% vs. 34.1%) and receptive UAI (68.8% vs. 22.2%). Multivariate models showed associations between HIV status and illegal drug use with UAI (for HIV status, odds ratio [OR] = 4.5, p = .001; for any illegal drug use, OR = 16.4, p < .001). There was no evidence that the infl uence of drug use moderated risk by HIV status. Rates of HIV disclosure and questioning did not differ by HIV status. Conclusions: HIV-positive men attending these events engaged in higher rates of illegal drug use and sexual risk than HIV-negative men. Prevention campaigns targeting MSM at high-risk events should include messages geared toward HIVpositive men. (J. Stud. Alcohol Drugs, 74, 158-167, 2013)

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“…Major risk factors for contracting HIV and other STIs include recreational drug use and unsafe sex . Recent studies have reported high rates of sexual risk-taking behaviors among MSM, including an increase in unprotected anal sex Halkitis et al, 2005;Mansergh et al, 2001;Mattison et al, 2001;Paul et al, 2005;Peterman et al, 2005;Xia et al, 2006). This rise in disease transmission parallels great advances in antiretroviral therapy, which may have led to a relaxation of safer sex practices and a reversal of safer sexual behaviors that changed as a result of the AIDS epidemic ).…”

Section: Circuit Parties and Risky Drug And Sexual Behaviorsmentioning

confidence: 99%

Sex and Drugs: High-Risk Behaviors at Circuit Parties

2008

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344risky behavior and to recommend an evidence-based approach for behavioral counseling to reduce risk for sexually transmitted infection (STI) and HIV transmission at CP venues. Search StrategyFor this literature review, searches were conducted on CINAHL, MedLINE, and PubMed using the following key words: circuit party, men who have sex with men (MSM), club drugs, gay men, unsafe sex, unprotected sex, drug use, sexually transmitted infections, and HIV. Although other medical and psychological comorbidities are associated with gay men, unsafe sex, drug use, and HIV, this search looked only at specific studies that focused primarily on CPs and club drug use and unsafe sex at these events or venues.Searches were restricted to full-text articles that were available on the Internet and focused on MSM, including self-identified gay and bisexual men who used club drugs and attended CPs. The searches resulted in 6 studies that were published between 2001 and 2006. All the articles retrieved R ecent risky sexual behavior trends have accelerated and increased the rate of transmission of HIV and other sexually transmitted diseases among gay men worldwide (Halkitis et al., 2005). This increase may be a result of recreational drug abuse and unprotected sex at circuit parties (CPs). These events, primarily attended by gay and bisexual men, have grown tremendously in the past 10 years. Public health officials and health care providers should become more aware of the risky sexual behaviors and the widespread drug use at CPs ). Efforts should be made to identify the persons at risk and to understand the sexual networks, the types of risk-taking behaviors, and the type of club drugs used at CPs . The purpose of this article is to examine the studies specific to CPs and Sex and Drugs: High-Risk Behaviors at Circuit PartiesJames John Weidel, MSN, ARNP, BC, Elias Provencio-Vasquez, PhD, RN, FAAN, FAANP, and Janet Grossman, PhD, PMH-CS, FAAN HIV and other sexually transmitted infection rates are increasing among men who have sex with men. This increase may be attributed to the high rates of drug use and risky sexual behaviors at gay festive events called circuit parties. Although few studies have examined the actual level of risk, the implications from the available studies underscore the need for the development of interventions to address this public health concern. The 5 As approach provides an evidence-based approach to assist in behavior change that may reduce the HIV and sexually transmitted infection rates among gay and bisexual men who attend circuit parties. This article reviews the findings and recommendations from the few available studies on circuit parties and risk behavior. The authors propose that the 5 As approach for behavioral change be adapted by practitioners in the primary care setting.

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The Effect of Venue Sampling on Estimates of HIV Prevalence and Sexual Risk Behaviors in Men Who Have Sex With Men

Abstract: MSM who visited different types of gay venues and with varied visit frequency showed marked differences in sexual risk behaviors, and the differences suggest the importance of weighting procedure to obtain unbiased estimates in venue-based studies.

Cited by 58 publications

References 30 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

Risk Behaviors Among HIV-Positive Gay and Bisexual Men at Party-Oriented Vacations

Sex and Drugs: High-Risk Behaviors at Circuit Parties

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