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Journal of acquired immune deficiency syndromes (1999)
07 01, 2017;75 Suppl 3 S281-S287.

Characteristics and Risk Behaviors of Men Who Have Sex With Men and Women Compared With Men Who Have Sex With Men-20 US Cities, 2011 and 2014.

Shaun Shadaker, Matthew Magee, Gabriela Paz-Bailey, Brooke E Hoots, NHBS Study Group
Author Information
  1. Shaun Shadaker: *Division of Epidemiology and Biostatistics, School of Public Health, Georgia State University, Atlanta, GA; and †Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
PMID: 28604429 DOI: 10.1097/QAI.0000000000001403

Abstract

BACKGROUND: Men who have sex with men (MSM) are heterogeneous with respect to sexual behavior. We examined differences in sex behaviors between men who have sex with men and women (MSMW) and men who have sex with men only (MSMO).
METHODS: Data for this analysis were from MSM who participated in National HIV Behavioral Surveillance in 2011 and 2014. We used the combined years to evaluate demographic and behavioral differences between MSMW and MSMO. Using log-linked Poisson regression models, adjusted prevalence ratios (aPR) were calculated for behavioral outcomes.
RESULTS: Overall, 2042 (11.9%) participants were classified as MSMW. MSMW were less likely than MSMO to have condomless sex with male partners [aPR 0.77; 95% confidence interval (CI): 0.74 to 0.81] and to have been diagnosed with another sexually transmitted disease (aPR 0.83; 95% CI: 0.72 to 0.95). MSMW were more likely than MSMO to have given money or drugs for sex (aPR 2.85; 95% CI: 2.52 to 3.24) or received money or drugs for sex (aPR 2.64; 95% CI: 2.37 to 2.93) and to ever have injected drugs (aPR 2.05; 95% CI: 1.80 to 2.34). MSMW had more total sex partners (median 6, interquartile range: 4-11 vs. 3, 2-8), casual sex partners (5, 2-10 vs. 3, 1-7), and condomless sex partners (2, 1-4 vs. 1, 0-2) in the last 12 months (P < 0.01 for all comparisons).
CONCLUSIONS: MSMW have distinct sexual risk behaviors from MSMO and may contribute to HIV transmission among women. MSMW could benefit from tailored interventions to reduce HIV risk behaviors.

References

  1. AIDS Behav. 2010 Feb;14(1):11-6; dicussion 34-7 [PMID: 18648926]
  2. Sex Transm Dis. 1998 Aug;25(7):353-60 [PMID: 9713915]
  3. Ann Behav Med. 2014 Feb;47(1):28-38 [PMID: 24307473]
  4. Am J Public Health. 1992 Nov;82(11):1490-4 [PMID: 1443298]
  5. AIDS Behav. 2010 Feb;14(1):31-3; discussion 34-7 [PMID: 19997971]
  6. Arch Sex Behav. 2008 Oct;37(5):683-96 [PMID: 18512140]
  7. MMWR Recomm Rep. 2006 Sep 22;55(RR-14):1-17; quiz CE1-4 [PMID: 16988643]
  8. Curr HIV/AIDS Rep. 2007 Dec;4(4):165-72 [PMID: 18366947]
  9. AIDS Behav. 2010 Feb;14(1):29-30; discussion 34-7 [PMID: 19866354]
  10. AIDS Educ Prev. 2010 Aug;22(4):356-70 [PMID: 20707695]
  11. J Acquir Immune Defic Syndr. 2011 May 1;57(1):77-87 [PMID: 21297479]
  12. J Urban Health. 2009 Jul;86 Suppl 1:48-62 [PMID: 19513854]
  13. J Consult Clin Psychol. 2013 Feb;81(1):141-53 [PMID: 23276123]
  14. J Urban Health. 2009 Jul;86 Suppl 1:63-76 [PMID: 19543837]
  15. Sex Transm Dis. 2009 May;36(5):325-9 [PMID: 19295470]
  16. J Homosex. 2013;60(1):51-68 [PMID: 23241201]
  17. PLoS One. 2014 Mar 07;9(3):e90514 [PMID: 24608176]
  18. MMWR Surveill Summ. 2011 Oct 28;60(14):1-34 [PMID: 22031280]
  19. AIDS Behav. 2013 May;17(4):1442-53 [PMID: 22569942]
  20. Arch Sex Behav. 2013 Feb;42(2):247-56 [PMID: 22187027]
  21. AIDS Behav. 2010 Feb;14(1):17-24; discussion 25-8 [PMID: 19488848]
  22. AIDS Behav. 2014 Jan;18(1):111-9 [PMID: 23653091]
  23. AIDS Educ Prev. 2015 Feb;27(1):58-71 [PMID: 25646730]
  24. J Sex Res. 2007 Aug;44(3):278-89 [PMID: 17879171]
  25. AIDS Care. 2003 Dec;15(6):829-37 [PMID: 14617504]
  26. Am J Public Health. 2013 Jan;103(1):127-33 [PMID: 23153143]
  27. J Acquir Immune Defic Syndr. 2015 Dec 1;70(4):e153-5 [PMID: 26302430]
  28. J Acquir Immune Defic Syndr. 2015 Dec 1;70(4):444-51 [PMID: 26302431]
  29. Open AIDS J. 2012;6:53-9 [PMID: 22833774]
  30. Am J Prev Med. 2014 Sep;47(3):320-9 [PMID: 24970239]
  31. AIDS Behav. 2010 Feb;14(1):87-91 [PMID: 19365720]
  32. PLoS One. 2014 Jan 30;9(1):e87139 [PMID: 24498030]

Grants

  1. CC999999/Intramural CDC HHS

MeSH Term

Adult
Behavioral Risk Factor Surveillance System
Bisexuality
Cities
Female
HIV Infections
Homosexuality, Male
Humans
Male
Middle Aged
Patient Acceptance of Health Care
Prevalence
Risk Factors
Risk-Taking
Sexual Partners
Truth Disclosure
United States
Young Adult
Comparative Study Journal Article Multicenter Study
Article has an altmetric score of 3

Word Cloud

Created with Highcharts 10.0.0sexMSMW20menMSMOaPR95%MenpartnersCI:behaviorsHIVdrugs3vsMSMsexualdifferenceswomen20112014behaviorallikelycondomlessmoney1riskSexBACKGROUND:heterogeneousrespectbehaviorexaminedMETHODS:DataanalysisparticipatedNationalBehavioralSurveillanceusedcombinedyearsevaluatedemographicUsinglog-linkedPoissonregressionmodelsadjustedprevalenceratioscalculatedoutcomesRESULTS:Overall2042119%participantsclassifiedlessmale[aPR77confidenceintervalCI:7481]diagnosedanothersexuallytransmitteddisease837295given855224received643793everinjected058034totalmedian6interquartilerange:4-112-8casual52-101-71-40-2last12monthsP<01comparisonsCONCLUSIONS:distinctmaycontributetransmissionamongbenefittailoredinterventionsreduceCharacteristicsRiskBehaviorsWomenComparedMen-20USCities

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