Qualitative exploration of HIV-related sexual behaviours and multiple partnerships among Chinese men who have sex with men living in a rural area of Yunnan Province, China

Sexual Health ◽  
2013 ◽  
Vol 10 (6) ◽  
pp. 533 ◽  
Author(s):  
Eric P. F. Chow ◽  
Liangmin Gao ◽  
Fung Kuen Koo ◽  
Liang Chen ◽  
Xiaoxing Fu ◽  
...  
Keyword(s):  
Yunnan Province ◽  
Social Stigma ◽  
Rural China ◽  
High Mobility ◽  
Casual Sex ◽  
Sexual Partners ◽  
Sexual Practices ◽  
Multiple Sexual Partners ◽  
Sex With Men ◽  
Multiple Sexual Partnerships

BackgroundThe HIV epidemic has been spreading rapidly among men who have sex with men (MSM) in China. The present study explored the pattern of HIV-related high-risk sexual practices among MSM in a rural Chinese setting. Methods: Data were collected by semistructured in-depth interviews conducted among 15 MSM in Yuxi Prefecture, Yunnan Province, China. Fifteen respondents were recruited through a local non-governmental organisation via purposive sampling. Thematic analysis was used. Results: Technological changes, risk behaviours, social stigma and high migration rates have played a significant role in the spread of HIV among MSM in rural China. The Internet has become the primary channel for soliciting casual sex partners in the MSM community. Bisexuality and having concurrent and multiple sexual partners were common among rural MSM. A large number of sexual partners and low condom use in all MSM partnership types were noted. Due to Chinese cultural traditions and social stigma, Chinese rural MSM were reluctant to disclose their homosexuality. Rural-to-urban migrant MSM were often engaged in the commercial sex trade. Conclusions: Rural MSM is a distinctive and complex population with multiple identities in China. Concurrent multiple sexual partnerships, high mobility and low disclosure rate are the major challenges for HIV prevention and intervention programs in MSM.

scholarly journals Early sexual initiation and risky sexual practices among alcohol- and tobacco-using young adults in Taiwan: mediation analysis of preceding-sex use of illicit drugs

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tat Leong Wu ◽  
Te-Tien Ting ◽  
Chuan-Yu Chen ◽  
Lien-Wen Su ◽  
Wei J. Chen
Keyword(s):  
Illicit Drugs ◽  
Illicit Drug ◽  
Casual Sex ◽  
Sexual Partners ◽  
Sexual Initiation ◽  
Sexual Practices ◽  
Multiple Sexual Partners ◽  
Early Sexual Initiation ◽  
Risky Sexual Practices ◽  
Group Sex

Abstract Background As early sexual initiation is increasingly common in East Asia, we examined its relations to risky sexual practices in alcohol- and tobacco-using individuals in Taiwan and evaluated whether the associations were mediated through preceding-sex use of illicit drugs. Methods Participants, recruited from alcohol- and tobacco-using adults aged 18 to 50 in Taipei through respondent-driven sampling (N = 1115), completed a computer-assisted self-interview covering questions on substance use and sexual experiences. In a subsample of 916 participants who had had sexual experience (median age 27), we examined the relations of early sexual initiation (< 16 years) to multiple sexual partners, casual sex, group sex, and rare condom use. Causal mediation analyses were conducted to examine whether illicit drug use preceding sex mediated these associations. Results Around 9.3% reported early sexual initiation and the prevalence of risky sexual practices ranged from 7% (group sex) to 47% (rare condom use). Early initiators had a higher prevalence of regular binge drinking, illicit drug use, and risky sexual practices. In the multivariable analyses, higher odds of multiple sexual partners, casual sex, and group sex were consistently associated with early sexual initiation, gender, and their interaction. Mediation through preceding-sex use of illicit drugs was found between early sexual initiation and the three risky sexual practices, with the proportions mediated ranging from 17 to 19%. Conclusions Early sexual initiators were more likely to engage in risky sexual practices and preceding-sex use of illicit drugs partially explained this relationship, calling for more attention to this population’s sexual health.

scholarly journals Sexually transmitted infections and sexual behaviors of men who have sex with men in an American Deep South PrEP clinic

2020 ◽  
Vol 31 (2) ◽  
pp. 127-135 ◽  
Author(s):  
Ronnie M Gravett ◽  
Andrew O Westfall ◽  
Edgar T Overton ◽  
Kachina Kudroff ◽  
Christina A Muzny ◽  
...  
Keyword(s):  
High Risk ◽  
Sexually Transmitted Infections ◽  
Incidence Rate ◽  
Sexual Behaviors ◽  
The United States ◽  
Sexual Partners ◽  
Deep South ◽  
Multiple Sexual Partners ◽  
Sexually Transmitted ◽  
Sex With Men

HIV pre-exposure prophylaxis (PrEP) effectively prevents HIV acquisition among men who have sex with men (MSM), but PrEP uptake has been associated with sexually transmitted infections (STIs). The effect of PrEP on STIs in MSM in the Deep South of the United States is unknown. We performed a retrospective analysis of adult MSM at an American Deep South PrEP clinic to calculate the prevalence and incidence rate of bacterial STIs (chlamydia, gonorrhea, and syphilis) and identify associated risk factors by linking incident STI to patient-reported outcomes; 139 MSM accessed the clinic between 2014 and 2018 with baseline bacterial STI prevalence of 11%. Twenty-six of 81 eligible MSM on PrEP had incident STIs with an incidence rate of 33.1 cases per 100 person-years. Significantly higher proportions of high PrEP adherence, multiple sexual partners, and inconsistent condom use were seen in those with incident STI, and we identified MSM with both high PrEP adherence and multiple sexual partners as being at especially high risk for bacterial STIs (hazard ratio: 7.57, 95% confidence interval: 1.75–32.74). Bacterial STIs are common after initiating PrEP in this clinic, and MSM reporting high PrEP adherence and multiple sexual partners have a significant risk for incident STI. High-risk sexual behaviors persisted after starting PrEP, highlighting the importance of ongoing, intensive sexual health screening and interventions.

Co-Occurring Psychosocial Problems and Multiple Sexual Partners among Men Who Have Sex with Men in Shanghai, China: A Syndemic Approach

2017 ◽  
Vol 55 (7) ◽  
pp. 892-901 ◽  
Author(s):  
Zezhou Wang ◽  
Xu Zhao ◽  
Zhan Zhang ◽  
Mengyun Luo ◽  
Qiuming Shen ◽  
...  
Keyword(s):  
Psychosocial Problems ◽  
Sexual Partners ◽  
Multiple Sexual Partners ◽  
Sex With Men

scholarly journals Factors Associated with Having Multiple Sexual Partners among Men Who Have Sex with Men University Students in Northern Thailand

2021 ◽  
Vol 14 (1) ◽  
pp. 371-379
Author(s):  
Eakasit Chaipin ◽  
Penprapa Siviroj ◽  
Thaworn Lorga ◽  
Natthapol Kosashunhanan ◽  
Kriengkrai Srithanaviboonchai
Keyword(s):  
University Students ◽  
Binary Logistic Regression ◽  
Sexual Partners ◽  
Outcome Variable ◽  
Binary Logistic Regression Analysis ◽  
Northern Thailand ◽  
Multiple Sexual Partners ◽  
Factors Associated ◽  
Number Of Sexual Partners ◽  
Sex With Men

Background: Men who have sex with men (MSM) university students were more likely to be infected with HIV than the general population due to various reasons, including having multiple sexual partners, having anal sex without a condom, and using alcohol and drugs. The objective of this study was to investigate the factors associated with multiple sexual partners among MSM university students in northern Thailand. Methods: The participants of this study were 139 MSM university students. The number of sexual partners in the last 12 months was used as the main outcome variable. Information was collected using an online self-administered questionnaire. The number of sexual partners for categories of participants was described as median and interquartile range. Factors that were independently associated with multiple sexual partners were identified using binary logistic regression analysis. Results: Findings showed that seeking sexual partners online (AOR = 1.72; 95% CI 3.10 - 44.29), drinking alcohol within the last 12 months (AOR=9.73; 95% CI 1.38 - 68.47), and having a self-perception of HIV risk (AOR=3.63; 95% CI 1.15 - 11.50) were independently associated with having multiple sexual partners. Conclusion: Health agencies and universities should develop strategies to promote life skills related to sexual responsibility, appropriate use of online media, and reduction of alcohol consumption among MSM university students.

scholarly journals Suspected COVID-19 flu-like syndrome in men who have sex with men and have been involved in casual sex

2020 ◽  
Vol 73 (suppl 2) ◽  
Author(s):  
Herica Emilia Félix de Carvalho ◽  
Guilherme Schneider ◽  
Anderson Reis de Sousa ◽  
Emerson Lucas Silva Camargo ◽  
Rômulo Veloso Nunes ◽  
...  
Keyword(s):  
Social Isolation ◽  
Statistical Difference ◽  
Signs And Symptoms ◽  
Epidemiological Survey ◽  
Casual Sex ◽  
Demographic Characteristics ◽  
Sexual Practices ◽  
Isolation Method ◽  
Sex With Men ◽  
Social Demographic

ABSTRACT Objective: To evaluate the presence of flu-like syndrome suggestive of COVID-19 in men who have sex with men (MSM) and engaged in casual sex during a period of social isolation. Method: National epidemiological survey, applied in April and May 2020, by adaptation of Respondent Drive Sampling. Results: 1,337 MSM participated in the survey, of which 514 (38.4%) had fever associated with another sign or symptom of flu-like syndrome. Social, demographic characteristics, sexual practices and activities during the period of social isolation were statistically associated with the presence of flu-like syndrome. There was a statistical difference (p < 0.001) in the average of partners between those who had signs and symptoms of flu-like syndrome (3.5) and those who did not (1.7). Conclusion: Evidence of signs and symptoms indicative of flu-like syndrome suggestive of COVID 19 in Brazilian MSM who were involved in casual sex during the period of social isolation.

Predictors of multiple sexual partnerships among women and men in two urban townships in Bhutan

2016 ◽  
Vol 2 (1) ◽  
pp. 18-24
Author(s):  
Gampo Dorji ◽  
Chukwuemeka Umeh ◽  
B.M. Ramesh ◽  
Shajy Isac ◽  
Robert Lorway ◽  
...  
Keyword(s):  
Sex Workers ◽  
Hiv Transmission ◽  
Sexual Partners ◽  
Multiple Sexual Partners ◽  
Never Married ◽  
Multiple Sex Partners ◽  
Hiv Test ◽  
High Prevalence ◽  
Sexual Partnering ◽  
Multiple Sexual Partnerships

Introduction: Multiple sexual partnering is a known predictor for risk of STI and HIV transmission. This study explored the multiple sexual partnering and its predictors among people who visited public social venues (bars, restaurants, hotels, lodges, cafes, karaokes and discos) in Bhutan’s two largest townships of Thimphu and Phuntsholing. Methods: We interviewed 755 sexually active venue patrons from 102 randomly selected venues (56 in Thimphu, 46 in Phuntsholing) from a list of all venues identified as having sex workers or patrons seeking sexual partners. Both bivariate and multivariate analyses were carried out to characterize the predictors of multiple sexual partnering among 755 respondents who had previously had sex. Results: Of the 755 patrons, 46.09% had one sexual partner while the remaining 54.91% had multiple sex partners (greater than or equal to 2 sexual partners) in the 12 months preceding the study. Overall, 6.23% of respondents had received payment from someone at least once for sex; 34.61% of male respondents had paid someone at least once for sex. Nearly all patrons (97.72%) had heard about HIV/ AIDS. About one quarter (24.20%) felt that they were at risk of being infected with HIV, while 37.28% had taken an HIV test in the 12 months preceding the study. In multivariate analysis, males had higher odds of multiple sexual partners compared to females (OR =3.19, 95% CI 1.90-5.20). The odds of having multiple sexual partners was 2.24 (95% CI 1.30-3.90) times higher in those never married compared to those who were married/divorced or separated; multiple partnering increased with increasing age (OR = 1.07 per year, 95% CI 1.02-1.13). Between the townships of Phuentsholing and Thimphu, the odds of multiple sexual partnering did not vary. Conclusions: Venue patrons had a high prevalence of multiple sexual partnering and have the potential for creating sexual networks that could propagate wider transmission of infection, including to their monogamous partner. Targeting HIV prevention program to these groups of people in urban locations presents an opportunity to make a great impact in maintaining Bhutan’s current low HIV epidemic level.

scholarly journals Risky Sexual Practices and Associated Factors for HIV/AIDS Infection among Private College Students in Bahir Dar City, Northwest Ethiopia

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Zelalem Alamrew ◽  
Melkamu Bedimo ◽  
Muluken Azage
Keyword(s):  
Associated Factors ◽  
Alcohol Intake ◽  
Sexual Partners ◽  
Unprotected Sex ◽  
Sexual Practices ◽  
Sexually Active ◽  
Multiple Sexual Partners ◽  
Sexual Behaviours ◽  
Risky Sexual Behaviours ◽  
Risky Sexual Practices

Background. Adolescents and young adults engage in risky sexual behaviours that may expose them to risk of contracting sexual transmitted diseases. The aim of this study was to assess risky sexual practices and associated factors for HIV/AIDS infection. Methods. A cross-sectional study was conducted in March 2012 among 790 college students. Self-administered questionnaire was used to collect the data. The data were analyzed using univariate, bivariate, and multivariate analyses with SPSS version 16 software package. Results. About 40.6% of sexually active respondents had risky sexual behaviours. Multiple sexual partners and unprotected sex were reported by 45.3% and 38.4% of sexually active respondents. Having multiple sexual partners was associated with alcohol use (AOR = 3.20; 95% CI: 2.02–5.08) and having a close friend who started sex (AOR = 5.99; 95% CI: 3.66–9.81). Unprotected sex was associated with marital status (AOR = 2.68; 95% CI: 1.55–4.64), alcohol intake (AOR = 2.19; 95% CI: 1.36–3.54), and frequency of visiting night clubs (AOR = 0.25; 95% CI: 0.12–0.52) for those who visit occasionally and (AOR = 0.45; 95% CI: (0.21–0.97) for those who visited at least once a week. Conclusion. Large proportions of students engaged in risky sexual behaviours and various risk factors were associated with risky sexual behaviours. Therefore, interventions targeting on alcohol intake, peer pressure, and attending night clubs are recommended.

scholarly journals Geosocial Networking Dating App Usage and Risky Sexual Behavior in Young Adults Attending a Music Festival: Cross-sectional Questionnaire Study

10.2196/21082 ◽  
2021 ◽  
Vol 23 (4) ◽  
pp. e21082
Author(s):  
Shirali Garga ◽  
Meryl Thomas ◽  
Ashneet Bhatia ◽  
Aidan Sullivan ◽  
Franklin John-Leader ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Sexual Behaviors ◽  
Casual Sex ◽  
Sexual Partners ◽  
Risky Sexual Behaviors ◽  
Relationship Status ◽  
Cross Sectional ◽  
Multiple Sexual Partners ◽  
Music Festival ◽  
Dating Apps

Background Despite the prevalent use of geosocial networking dating apps (GNDAs), there is limited research on their impact on sexual health outcomes among young music festivals attendees. Objective This study aims to explore the use of GNDAs and risky sexual behaviors of young adults attending a music festival. Methods The music festival attendees (N=862) completed a cross-sectional questionnaire study encompassing demographics, dating app use, and risky sexual behaviors in the past year. Associations between these variables were estimated using bivariate and multivariate logistic regression analyses. Results Of the respondents, 51.9% (448/862) had used GNDAs in the previous year. Compared with people who had 1 partner, people who had 2-5 sexual partners in the previous year had almost 7 times the odds of using dating apps (odds ratio [OR] 6.581, 95% CI 4.643-9.328) and those who had more than 5 partners had 14 times the odds of using dating apps (OR 14.294, 95% CI 8.92-22.906). Condom users were more likely to be app users (P<.001), as were those who relied on emergency Plan B (P=.002), but people using hormonal contraception were less likely to use dating apps (P=.004). After adjusting for sexual orientation and relationship status, those having casual sex had 3.096 (95% CI 2.225-4.307; P<.001) times the odds of using dating apps and those having multiple sexual partners had 3.943 (95% CI 2.782-5.588; P<.001) times the odds of using dating apps. Similarly, after adjusting for sexual orientation, relationship status, and number of sexual partners, people who had no discussions before having sex about sexually transmitted infections (STIs) or boundaries were more likely to use dating apps (OR 1.755, 95% CI 1.232-2.500; P=.002). Those who perceived the risk of having sex without contraception to be very high had 2.486 (95% CI 2.213-5.096; P=.01) times the odds of using dating apps than those who perceived no risk. Compared with those who perceived no risk, people who thought that the risk of having multiple sexual partners was low to high had 1.871 (95% CI 1.024-3.418; P=.04) times the odds of using dating apps. A significant number of app users (389/440, 88.4%) indicated that GNDAs should promote safe sex. Conclusions This study identified that festival goers engaging in certain high-risk sexual behaviors, including casual sex, having multiple sexual partners, and having sex without discussion about STI status and boundaries, are more likely to use dating apps. Festival goers who perceived sex without any form of contraception, having sex while drunk, and having multiple sexual partners as risky were more likely to be app users. Policy makers and GNDA developers should acknowledge the vulnerability of their users to adverse sexual health outcomes and use GNDAs as a platform to promote risk-reduction practices.

Risks and Benefits of Multiple Sexual Partnerships: Beliefs of Rural Nigerian Adolescent Males

2007 ◽  
Vol 1 (3) ◽  
pp. 197-207 ◽  
Author(s):  
Chimaraoke Otutubikey Izugbara ◽  
Felicia Nwabuawele Modo
Keyword(s):  
Sexuality Education ◽  
Sexual Practices ◽  
Male Youth ◽  
Sexual Partnerships ◽  
Multiple Sexual Partners ◽  
Sexually Transmitted ◽  
Young Males ◽  
Risks And Benefits ◽  
Peer Community ◽  
Multiple Sexual Partnerships

Drawing on interview data from rural Nigeria, the article explores male youth perceptions of the risks and benefits of multiple sexual partnerships. Participants associated having multiple sexual partners with several harmful health and nonhealth outcomes, including sexually transmitted infections, and frequently confirmed that the practice also bolsters their sense of maleness and boosts their acceptance and ranking among peers. Young males' involvement in multiple sexual partnerships should not be seen as always consequent on their ignorance of and/or indifference to the risks inherent in the behavior. It could also result from the integrality of the behavior to the social processes through which male youths validate their masculinity, mark their transition from boyhood to malehood, and configure their identities to gain acceptance into a local male peer community. Sexuality education curricula that ignore adolescents' understandings of the benefits of their sexual practices may not deliver expected objectives.

Prospective Predictors of Multiple Sexual Partners Among African American Men Who Have Sex with Men

2018 ◽  
Vol 47 (7) ◽  
pp. 2081-2090
Author(s):  
Deepti Chittamuru ◽  
Larry D. Icard ◽  
John B. Jemmott ◽  
Ann O’Leary
Keyword(s):  
African American ◽  
African American Men ◽  
Sexual Partners ◽  
Multiple Sexual Partners ◽  
Sex With Men
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