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Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey
Version 2 2023-06-12, 09:07
Version 1 2023-06-09, 17:53
journal contribution
posted on 2023-06-12, 09:07 authored by N S Sheriff, A M Jones, M Mirandola, L Gios, U Marcus, Carrie LlewellynCarrie Llewellyn, M Rosinska, C Folch, Samantha DiasSamantha Dias, I Toskin, I Alexiev, S Kühlmann-Berenzon, SIALON II NetworkBackground 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.
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- Published
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- Published version
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Journal of Public HealthISSN
1741-3842Publisher
Oxford University PressExternal DOI
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- Primary Care and Public Health Publications
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- Yes
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- Yes
Legacy Posted Date
2019-05-22First Open Access (FOA) Date
2019-05-22First Compliant Deposit (FCD) Date
2019-05-22Usage metrics
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