Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey

Nigel Sherriff, Anna-Marie Jones, Massimo Mirandola, Lorenzo Gios, Marcus Ulrich, Carrie Llewellyn, Magda Rosińska, Cinta Folch, Sonia Dias, Igor Toskin, Ivailo Alexiev, Sharon Kühlmann-Berenzon

Research output: Contribution to journalArticle

Abstract

Background:
Relationship status is an important factor associated with condomless anal intercourse (CAI) amongst men who have sex with men (MSM).
Methods:
A multi-centre bio-behavioural survey with MSM was conducted in 13 European cities
(n=4,901) exploring factors associated with CAI via bivariate and multivariate multilevel logistic regression analyses.
Results:
Likelihood of CAI with casual partners was associated with being ‘out’ to a majority
(AOR=1.19;95% CI 1,1.42); knowing their HIV status (AOR=1.86; 95% CI 1.25,2.76); using substances (1-2 AOR=1.39; 95% CI 1.16,1.63, 2+ AOR=1.81; 95% CI 1.35,2.42); being older (AOR=0.98; 95% CI 0.97,0.99); successful sero-communication (AOR=0.79; 95% CI 0.67,0.94); and, not having a recent HIV test (AOR=0.78; 95% CI 0.66,0.92). CAI with steady partners was associated with successful sero-communication (AOR=2.72; 95% CI 2.72,3.66); not having a recent HIV test (AOR=1.26; 95% CI 1.09,1.46), and; being older
(AOR=0.99; 95% CI 0.98,0.99).
Conclusions:
Understandings of partner type and/or relationship status in relation to CAI amongst MSM can potentially play an important role in the development of culturally appropriate HIV/STI prevention and risk-reduction efforts targeting at-risk MSM. Our results speak to the need to consider segmented and tailored public health and health promotion initiatives for MSM with differing CAI behaviours and relationship profiles.
Original languageEnglish
Pages (from-to)e174-e186
JournalJournal of Public Health
Volume42
Issue number2
DOIs
Publication statusPublished - 15 May 2019

Bibliographical note

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited

Keywords

  • HIV
  • MSM
  • Time-location sampling
  • Respondent-driven sampling
  • relationships

Fingerprint Dive into the research topics of 'Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey'. Together they form a unique fingerprint.

  • Cite this

    Sherriff, N., Jones, A-M., Mirandola, M., Gios, L., Ulrich, M., Llewellyn, C., Rosińska, M., Folch, C., Dias, S., Toskin, I., Alexiev, I., & Kühlmann-Berenzon, S. (2019). Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey. Journal of Public Health, 42(2), e174-e186. https://doi.org/10.1093/pubmed/fdz052