How do young black men having sex with only women differ from those also having sex with men?

Sexual Health ◽  
2013 ◽  
Vol 10 (5) ◽  
pp. 474
Author(s):  
Richard Crosby ◽  
Ryan Pasternak ◽  
Laura F. Salazar ◽  
Ivy Terrell
Keyword(s):  
Black Men ◽  
Secondary Analysis ◽  
Sexual Networks ◽  
Prevalence Rates ◽  
Risk Behaviours ◽  
Sexual Behaviours ◽  
Sexually Transmissible Infections ◽  
The Us ◽  
Sex With Men ◽  
Sexual Risk Behaviours

In the US, young Black men (YBM) disproportionately acquire sexually transmissible infections (STI), including infection with HIV. This secondary analysis compared sexual behaviours of YBM (n = 568) not reporting sex with men with those of YBM who have sex with men (YBMSM). In the present study YBMSM were generally less likely to report engagement in sexual risk behaviours, less likely to report incarceration and more likely to ever be tested for HIV. The findings suggest that elevated rates of HIV and/or STI among YBMSM may be a product of higher prevalence rates in sexual networks.

scholarly journals HIV, syphilis and sexual risk behaviours among men who have sex with men in Agadir and Marrakesh, Morocco: Table 1

2013 ◽  
Vol 89 (Suppl 3) ◽  
pp. iii45-iii48 ◽  
Author(s):  
Lisa Grazina Johnston ◽  
Kamal Alami ◽  
M Houssine El Rhilani ◽  
Mehdi Karkouri ◽  
Othoman Mellouk ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Risk Behaviours ◽  
Sex With Men ◽  
Sexual Risk Behaviours

Associations between economic dependence, sexual behaviours, and sexually transmitted infections among young, Black, gay, bisexual and other men who have sex with men living with and without HIV in Jackson, Mississippi, USA

Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 473 ◽  
Author(s):  
Kalysha Closson ◽  
Rachel Vickers Smith ◽  
Gbolahan Olarewaju ◽  
Richard Crosby
Keyword(s):  
Sexual Health ◽  
Relationship Power ◽  
Hiv Status ◽  
Economic Dependence ◽  
Sti Prevention ◽  
Sexually Transmitted ◽  
Sexual Behaviours ◽  
Sexually Transmissible Infections ◽  
The Usa ◽  
Sex With Men

Background In the USA, young Black gay, bisexual or other men who have sex with men (YBMSM) bear the largest burden of HIV incidence. The aim of this study is to examine the independent associations between economic dependency on a sexual partner and several HIV risk behaviours and sexual health outcomes among YBMSM living in Jackson, Mississippi, USA. Methods: Baseline data from 589 YBMSM, with a median age of 22.0 years (IQR = 15–25) participating in a brief sex-positive HIV and STI prevention intervention, were used to measure the association between six sexual behaviours, sexually transmissible infections (STIs) status at baseline and economic dependence. Bivariate χ2 associations were tested and regression models adjusted for education level (≤ high school), employment and HIV-status. Results: In regressions, of the six sexual behaviours reported in the last 90 days and six STIs tested at baseline, economically dependent YBMSM were more likely to report condomless anal receptive sex (aOR = 2.19, 95%CI = 1.25–3.83), ≥3 partners as a top (aOR = 1.99, 95%CI = 1.17–340), ≥3 sex partners as a bottom (aOR = 2.07, 95%CI = 1.24–3.45), ≥3 sex acts as a bottom (aOR = 2.10, 95%CI = 1.16–3.82) and testing positive for oral gonorrhoea (aOR = 2.39, 95%CI = 1.18–4.83) after controlling for HIV status, employment and education. Conclusions: Interventions should consider how poverty, unemployment and economic dependence interact to influence relationship power imbalances, condom use and sexual positioning agency, and sexual health for key populations of MSM.

HIV and syphilis and sexual risk behaviours among men who have sex with men attending university in China: a systematic review and meta-analysis

Sexual Health ◽  
2019 ◽  
Vol 16 (6) ◽  
pp. 554 ◽  
Author(s):  
Song Fan ◽  
Zuyao Yang ◽  
Fengsu Hou ◽  
Maohe Yu ◽  
Zhenzhou Luo ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sexual Risk ◽  
Meta Analysis ◽  
Male Partner ◽  
Anal Intercourse ◽  
Hiv Prevalence ◽  
Risk Behaviours ◽  
Sex With Men ◽  
Group Sex ◽  
Sexual Risk Behaviours

Background This study was conducted to summarise the HIV epidemic, sexual behaviours and HIV testing among men who have sex with men (MSM) attending university in China. Methods: Five databases were searched for student MSM information in English and Chinese language publications. Meta-analyses were performed to calculate the pooled prevalence of HIV and syphilis, pooled mean age at first anal intercourse (AFAI) and the rate of other HIV-related behaviours among MSM attending university in China. Univariate meta-regression and subgroup analysis were conducted to explore potential sources of heterogeneity. Publication bias was measured using Egger’s test. Results: Thirty-three articles representing 31 studies were included in the analysis. The pooled HIV prevalence was 4.1% (95% CI 3.1–5.0%). The estimated AFAI was 18.7 years, but 37.5% of students had their first anal intercourse before 18 years of age. Most (88.2%) had their first sexual intercourse with a male partner. Of the MSM attending university, 4.2% of MSM engaged in commercial sex (either selling or buying sex), 10.3% had ever engaged in group sex, 13.1% had had sex with a female partner in the past month and 10.1% had ever used drugs. Most (77.7%) sought sex partners via geosocial networking gay apps or the Internet, and 42.9% had ever tested for HIV. There was a tendency for an increase in lifetime HIV testing rate from 32% in 2005–07 to 53% in 2014–16. Conclusions: This review found high HIV prevalence, early AFAI and a high prevalence of sexual risk behaviours among MSM attending university in China. Interventions aimed at increasing HIV testing and reducing sexual risk behaviours are urgently needed among this young population.

scholarly journals Sexual Networks, Dyadic Characteristics, and HIV Acquisition and Transmission Behaviors Among Black Men Who Have Sex With Men in 6 US Cities

2017 ◽  
Vol 185 (9) ◽  
pp. 786-800 ◽  
Author(s):  
DeMarc A. Hickson ◽  
Leandro A. Mena ◽  
Leo Wilton ◽  
Hong-Van Tieu ◽  
Beryl A. Koblin ◽  
...  
Keyword(s):  
Black Men ◽  
Sexual Networks ◽  
Sex With Men ◽  
Hiv Acquisition ◽  
Us Cities

The effect of drug and sexual risk behaviours with social network and non-network members on homeless youths' sexually transmissible infections and HIV testing

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 434 ◽  
Author(s):  
Kimberly Tyler ◽  
Lisa Melander
Keyword(s):  
Social Network ◽  
Hiv Testing ◽  
Sexual Risk ◽  
Risk Behaviours ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sexually Transmissible Infections ◽  
Unit Increase ◽  
Key Factor ◽  
Sexual Risk Behaviours

Background: The study examined whether engaging in drug and sexual risk behaviours with social network and non-network members (strangers) differentially affected the decision to test for sexually transmissible infections (STIs) and HIV. Methods: A cross-sectional survey was conducted among 249 homeless youths aged 14–21 years. Results: Multivariate analyses revealed that females were over three times more likely than males to test for STIs (adjusted odds ratio (AOR) = 3.34; 95% confidence interval (CI) = 1.54–7.25). For every one unit increase in age, there was a 37% increase in the likelihood of having tested for STIs (AOR = 1.37; 95% CI = 1.12–1.68). Youths who had sex after using alcohol and drugs with strangers were approximately 3.5 times more likely to have tested for STIs (AOR = 3.45; 95% CI = 1.38–8.61). For every one unit increase in age, there was a 26% increase in the likelihood of having tested for HIV (AOR = 1.26; 95% CI = 1.05–1.51). Youths who had sex with a stranger after using alcohol or drugs were over three times more likely to test for HIV (AOR = 3.22; 95% CI = 1.42–7.31). No social network variables reached significance for STI or HIV testing. Conclusions: Being older and engaging in drug and sexual risk behaviours with strangers are important correlates of STI and HIV testing. Females are more likely than males to be tested for STIs. Engaging in risky behaviours with social network members was not a key factor in deciding whether to be tested.

scholarly journals Gender differences in sexual risk behaviours and sexually transmissible infections among adolescents in mental health treatment

Sexual Health ◽  
2012 ◽  
Vol 9 (3) ◽  
pp. 240 ◽  
Author(s):  
Puja Seth ◽  
Delia L. Lang ◽  
Ralph J. DiClemente ◽  
Nikia D. Braxton ◽  
Richard A. Crosby ◽  
...  
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Sexual Risk ◽  
Mental Health Treatment ◽  
Female Adolescents ◽  
Risk Behaviours ◽  
Health Treatment ◽  
Hiv Test ◽  
Sexually Transmissible Infections ◽  
Sexual Risk Behaviours

Background Adolescents with a history of psychiatric disorder(s) are particularly vulnerable to contracting sexually transmissible infections (STIs) as a result of psychological and emotional states associated with higher rates of risky sexual behaviour. The present study examined gender differences in sexual risk behaviours and STI among adolescents in mental health treatment. Methods: Three hundred and seventy nine sexually active adolescents, aged 13–18 years, from a larger multisite study, who received mental health treatment during the past year, completed an audio computer-assisted self interview assessing sociodemographics, psychiatric symptomatology and HIV/STI risk behaviours, and provided urine specimens tested for STI. Results: After controlling for covariates, multivariate logistic regression models indicated that female adolescents were more likely to have had an HIV test (adjusted odds ratio (AOR) = 3.2, P = 0.0001), obtain their HIV test results (AOR = 2.9, P = 0.03), refuse sex out of fear for STI acquisition (AOR = 1.7, P = 0.04), or avoid a situation that might lead to sex (AOR = 2.4, P = 0.001), and were less likely to have a casual sex partner (AOR = 0.40, P = 0.002). Additionally, females were more likely to report inconsistent condom use (AOR = 2.60, P = 0.001) and have a STI (AOR = 9.1, P = 0.0001) than their male counterparts. Conclusions: Female adolescents receiving mental health treatment were more than nine times as likely to have an STI and more likely to use condoms inconsistently. The standard of care for mental health practice for adolescents should include referrals for STI screening and treatment as well as assessment and discussion of risky sexual behaviours as part of the treatment plan when indicated. Effective programs should address gender-specific communication and behavioural skills.

scholarly journals Population-based methods for estimating the number of men who have sex with men: a systematic review

Sexual Health ◽  
2019 ◽  
Vol 16 (6) ◽  
pp. 527
Author(s):  
Daniel E. Mauck ◽  
Merhawi T. Gebrezgi ◽  
Diana M. Sheehan ◽  
Kristopher P. Fennie ◽  
Gladys E. Ibañez ◽  
...  
Keyword(s):  
Systematic Review ◽  
Population Size ◽  
Survey Data ◽  
Census Data ◽  
Population Based ◽  
Surveillance Data ◽  
European Countries ◽  
Sexually Transmissible Infections ◽  
The Us ◽  
Sex With Men

The objective of this systematic review was to summarise population-based methods (i.e. methods that used representative data from populations) for estimating the population size of men who have sex with men (MSM), a high-risk group for HIV and other sexually transmissible infections (STIs). Studies using population-based methods to estimate the number or percentage of MSM or gay men were included. Twenty-eight studies met the inclusion criteria. Seven studies used surveillance data, 18 studies used survey data, and six studies used census data. Sixteen studies were conducted in the US, five were conducted in European countries, two were conducted in Canada, three were conducted in Australia, one was conducted in Israel, and one was conducted in Kenya. MSM accounted for 0.03–6.5% of men among all studies, and ranged from 3.8% to 6.4% in the US, from 7000 to 39100 in Canada, from 0.03% to 6.5% in European countries, and from 127947 to 182624 in Australia. Studies using surveillance data obtained the highest estimates of the MSM population size, whereas those using survey data obtained the lowest estimates. Studies also estimated the MSM population size by dimensions of sexual orientation. In studies examining these dimensions, fewer people identified as MSM than reported experience with or attraction to other men. Selection bias, differences in recall periods and sampling, or stigma could affect the estimate. It is important to have an estimate of the number of MSM to calculate disease rates, plan HIV and STI prevention efforts, and to allocate resources for this group.

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