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.
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 language | English |
|---|---|
| Pages (from-to) | e174-e186 |
| Journal | Journal of Public Health |
| Volume | 42 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 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 citedKeywords
- HIV
- MSM
- Time-location sampling
- Respondent-driven sampling
- relationships
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Nigel Sherriff
- School of Education, Sport and Health - Prof of Public Health and Health Promotion
- Public Health and Health Conditions Research Excellence Group
- Centre for Arts and Wellbeing
- Centre for Transforming Sexuality and Gender
Person: Academic