Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey

Sheriff, N S, Jones, A M, Mirandola, M, Gios, L, Marcus, U, Llewellyn, C, Rosinska, M, Folch, C, Dias, S, Toskin, I, Alexiev, I, Kühlmann-Berenzon, S and SIALON II Network, (2019) Factors related to condomless anal intercourse between men who have sex with men: results from a European bio-behavioural survey. Journal of Public Health. ISSN 1741-3842

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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.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Primary Care and Public Health
School of Life Sciences > Sussex Centre for Genome Damage and Stability
Depositing User: Rosie Harvey
Date Deposited: 22 May 2019 10:21
Last Modified: 15 May 2020 01:00
URI: http://sro.sussex.ac.uk/id/eprint/83901

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