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 journalArticleResearchpeer-review

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
JournalJournal of Public Health
DOIs
Publication statusPublished - 15 May 2019

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HIV
Communication
Risk Reduction Behavior
Sexually Transmitted Diseases
Health Promotion
Public Health
Logistic Models
Regression Analysis
Surveys and Questionnaires

Bibliographical note

This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Public Health following peer review. The version of record N S Sherriff, A M Jones, M Mirandola, L Gios, U Marcus, C Llewellyn, M Rosinska, C Folch, S Dias, I Toskin, I Alexiev, S Kühlmann-Berenzon, Sialon II Network, Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey, Journal of Public Health, fdz052 is available online at: https://academic.oup.com/jpubhealth/advance-article/doi/10.1093/pubmed/fdz052/5489532

Keywords

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

Cite this

Sherriff, Nigel ; Jones, Anna-Marie ; Mirandola, Massimo ; Gios, Lorenzo ; Ulrich, Marcus ; Llewellyn, Carrie ; Rosińska, Magda ; Folch, Cinta ; Dias, Sonia ; Toskin, Igor ; Alexiev, Ivailo ; Kühlmann-Berenzon, Sharon. / Factors related to condomless anal intercourse between men who have sex with men : results from a European bio-behavioural survey. In: Journal of Public Health. 2019.
@article{cc59680f00ec42eabc6dca5a4a2f380e,
title = "Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey",
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.",
keywords = "HIV, MSM, Time-location sampling, Respondent-driven sampling, relationships",
author = "Nigel Sherriff and Anna-Marie Jones and Massimo Mirandola and Lorenzo Gios and Marcus Ulrich and Carrie Llewellyn and Magda Rosińska and Cinta Folch and Sonia Dias and Igor Toskin and Ivailo Alexiev and Sharon K{\"u}hlmann-Berenzon",
note = "This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Public Health following peer review. The version of record N S Sherriff, A M Jones, M Mirandola, L Gios, U Marcus, C Llewellyn, M Rosinska, C Folch, S Dias, I Toskin, I Alexiev, S K{\"u}hlmann-Berenzon, Sialon II Network, Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey, Journal of Public Health, fdz052 is available online at: https://academic.oup.com/jpubhealth/advance-article/doi/10.1093/pubmed/fdz052/5489532",
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day = "15",
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language = "English",
journal = "Journal of Public Health",
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publisher = "Oxford University Press (OUP)",

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Factors related to condomless anal intercourse between men who have sex with men : results from a European bio-behavioural survey. / Sherriff, Nigel; Jones, Anna-Marie; Mirandola, Massimo; Gios, Lorenzo; Ulrich, Marcus; Llewellyn, Carrie; Rosińska, Magda; Folch, Cinta; Dias, Sonia; Toskin, Igor; Alexiev, Ivailo ; Kühlmann-Berenzon, Sharon.

In: Journal of Public Health, 15.05.2019.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Factors related to condomless anal intercourse between men who have sex with men

T2 - results from a European bio-behavioural survey

AU - Sherriff, Nigel

AU - Jones, Anna-Marie

AU - Mirandola, Massimo

AU - Gios, Lorenzo

AU - Ulrich, Marcus

AU - Llewellyn, Carrie

AU - Rosińska, Magda

AU - Folch, Cinta

AU - Dias, Sonia

AU - Toskin, Igor

AU - Alexiev, Ivailo

AU - Kühlmann-Berenzon, Sharon

N1 - This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Public Health following peer review. The version of record N S Sherriff, A M Jones, M Mirandola, L Gios, U Marcus, C Llewellyn, M Rosinska, C Folch, S Dias, I Toskin, I Alexiev, S Kühlmann-Berenzon, Sialon II Network, Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey, Journal of Public Health, fdz052 is available online at: https://academic.oup.com/jpubhealth/advance-article/doi/10.1093/pubmed/fdz052/5489532

PY - 2019/5/15

Y1 - 2019/5/15

N2 - 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.

AB - 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.

KW - HIV

KW - MSM

KW - Time-location sampling

KW - Respondent-driven sampling

KW - relationships

U2 - 10.1093/pubmed/fdz052

DO - 10.1093/pubmed/fdz052

M3 - Article

JO - Journal of Public Health

JF - Journal of Public Health

SN - 1741-3850

ER -