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

Massimo Mirandola, Lorenzo Gios, Nigel Sherriff, John Pachankis, Igor Toskin, Laia Ferrer, Sonia Dias, Inga Velicko, Danica Stanekova, Saulius Caplinskas, Emilia Naseva, Marta Niedz´wiedzka-Stadnik

Research output: Contribution to journalArticle

Abstract

Within the MSM population, men who have sex with both men and women (MSMW) are identified as a high-risk group both worldwide and in Europe. In a multi centred bio-behavioural cross-sectional study, we aimed to assess the relationship(s) between socio-demographic factors, stigma, sexual behavioural patterns, test seeking behaviour and sero-status amongst MSMW. A multi-level analysis was conducted to identify factors associated with being MSMW versus Men who have Sex with Men Only (MSMO). A total of 4901 MSM were enrolled across the13 study sites. Participants were categorised as MSMW in the 12.64% of the cases. Factors such as educational status, perceived homonegativity, testing facilities knowledge and HIV testing lifetime seem to be relevant factors when characterising the MSMW group. The results highlight the vulnerability of MSMW and the wide spectrum of risky behavioural and psycho-social patterns, particularly interms of HIV testing, ‘outness', and perceived stigma.
Original languageEnglish
Pages (from-to)3013-3025
Number of pages13
JournalAIDS and Behavior
Volume21
Issue number10
DOIs
Publication statusPublished - 22 Jun 2017

Bibliographical note

The final publication is available at Springer via http://dx.doi.org/10.1007/s10461-017-1831-5

Keywords

  • MSMW
  • Risk behaviours
  • HIV
  • Time–location sampling
  • Respondent-driven sampling

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