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 Stuart
AU - Jones, Anna Marie
AU - Mirandola, Massimo
AU - Gios, Lorenzo
AU - Marcus, Ulrich
AU - Llewellyn, Carrie D.
AU - Rosinska, Magdalena
AU - Folch, Cinta
AU - Dias, Sónia
AU - Toskin, Igor A.
AU - Alexiev, Ivailo
AU - Kühlmann-Berenzon, Sharon
AU - Piedade, João Mário Brás da Piedade
AU - Network, Sialon II
N1 - © The Author(s) 2019. Published by Oxford University Press on behalf of Faculty of Public Health.
PY - 2020
Y1 - 2020
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 = 4901) 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 = 4901) 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 - Relationships
KW - Respondent-driven sampling
KW - Time-location sampling
UR - http://www.scopus.com/inward/record.url?scp=85085535678&partnerID=8YFLogxK
U2 - 10.1093/pubmed/fdz052
DO - 10.1093/pubmed/fdz052
M3 - Article
C2 - 31090894
SN - 1741-3842
VL - 42
SP - e174-e186
JO - Journal of public health (Oxford, England)
JF - Journal of public health (Oxford, England)
IS - 2
ER -