scholarly journals Sexual Practices and HIV Prevalence amongst Men Who Have Sex with Men at a Community-Based Voluntary Counseling and Testing Centre in Malaysia

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
K. C. Koh ◽  
K. Kanagalingam ◽  
F. T. Tai ◽  
A. Kamarulzaman
Keyword(s):  
Condom Use ◽  
Sexual Practices ◽  
Hiv Positive ◽  
Oral Sex ◽  
Anal Sex ◽  
Community Based ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Vaginal Sex ◽  
Sex With Men

We describe the sexual practices and condom usage of men who have sex with men (MSM) at a community-based anonymous voluntary counseling and testing centre in Kuala Lumpur, Malaysia. This study is a first for Malaysia in this context. 433 MSM clients disclosed their sexual practices and condom use in the preceding 6 months using a self-reported questionnaire during pre-HIV test counseling at the centre. The mean age was 29.7 years, and 356 were homosexuals while 77 were bisexuals. Forty tested HIV positive (9.2%). 387 (94.9%) of 408 clients had anal sex, 395 (97.8%) of 404 clients had oral sex, while 43 (18.4%) of 233 clients had vaginal sex which revealed that even men who identified themselves as homosexuals do practice vaginal sex. Having multiple sexual partners is common (mean 11.6 partners per client). 259 (59.8%) had unprotected sex within the last 6 months. Consistent condom use rates during vaginal, anal, and oral sex were 20%, 23.5%, and 1.3%, respectively. The odds ratio of testing HIV positive with inconsistent condom use during anal sex was 3.7 (). Clients who used condoms inconsistently during anal sex are more likely to be HIV positive.

At-Risk Groups of Men Who Have Sex With Men Can Be Reached Through Community-Based HIV Testing in Denmark

2021 ◽  
pp. 361-371
Author(s):  
Holger Nordstr⊘m Munck ◽  
Tavs Qvist ◽  
Marie Helleberg ◽  
Per Slaaen Kaye ◽  
Francois Pichon ◽  
...  
Keyword(s):  
At Risk ◽  
Hiv Testing ◽  
Prospective Observational Study ◽  
Risk Groups ◽  
Hiv Positive ◽  
Anal Sex ◽  
Community Based ◽  
At Risk Populations ◽  
Conventional Health Care ◽  
Sex With Men

This study evaluates whether the community-based HIV testing clinic Checkpoint could reach at-risk groups of men who have sex with men (MSM) and link patients to care. A prospective observational study of all Checkpoint visits during 2013–2016 and a retrospective registry study of all MSM diagnosed with HIV in Denmark during the same period were conducted. One percent of the 9,074 tests in Checkpoint were HIV-positive, accounting for 19% of all new HIV diagnoses among MSM in Denmark. Checkpoint testers reported frequent condomless anal sex. Two percent of migrant Checkpoint testers were HIV-positive compared to 1% among Danish MSM. HIV-positive MSM identified through Checkpoint were significantly younger, more of them were migrant, and a smaller proportion were late testers compared to those testing through the conventional health care system. Checkpoint reaches at-risk populations of MSM and links patients successfully to care.

scholarly journals Early sexual experiences of teenage heterosexual males in Australia: a cross-sectional survey

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e016779 ◽  
Author(s):  
Eric P F Chow ◽  
Rebecca Wigan ◽  
Anna McNulty ◽  
Charlotte Bell ◽  
Mandy Johnson ◽  
...  
Keyword(s):  
Sexual Health ◽  
Condom Use ◽  
Sexual Debut ◽  
Oral Sex ◽  
Sexual Experiences ◽  
Anal Sex ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sexual Behaviours ◽  
Vaginal Sex

ObjectiveThere are limited data on the patterns of early sexual behaviours among Australian teenage heterosexual boys. This study describes the nature and onset of early sexual experiences in this population through a cross-sectional survey.DesignA cross-sectional survey between 2014 and 2015SettingMajor sexual health clinics and community sources across AustraliaParticipantsHeterosexual men aged 17–19 yearsResultsThere were 191 men in the study with a median age of 19.1 years. Median age at first oral sex was 16.4 years (IQR: 15.5–17.7) and 16.9 years (IQR: 16.0–18.0) for first vaginal sex. Most men had engaged in oral sex (89.5%) and vaginal sex (91.6%) in the previous 12 months with 32.6% reporting condom use at last vaginal sex. Of the total lifetime female partners for vaginal sex reported by men as a group (n=1187): 54.3% (n=645) were the same age as the man, 28.3% (n=336) were a year or more younger and 17.4% (n=206) were a year or more older. Prior anal sex with females was reported by 22% with 47% reporting condom use at last anal sex. Median age at first anal sex was 18.2 years (IQR: 17.3–18.8). Anal sex with a female was associated with having five or more lifetime female sexual partners for oral and vaginal sex.ConclusionsThese data provide insights into the trajectory of sexual behaviours experienced by teenage heterosexual boys following sexual debut, findings which can inform programme promoting sexual health among teenage boys.

At-Risk Groups of Men Who Have Sex With Men can be Reached Through Community-Based HIV Testing in Denmark

2021 ◽  
Vol 33 (5) ◽  
pp. 439-449
Author(s):  
Holger Nordstrom Munck ◽  
Tavs Qvist ◽  
Marie Helleberg ◽  
Per Slaaen Kaye ◽  
Francois Pichon ◽  
...  
Keyword(s):  
At Risk ◽  
Hiv Testing ◽  
Prospective Observational Study ◽  
Risk Groups ◽  
Hiv Positive ◽  
Anal Sex ◽  
Community Based ◽  
At Risk Populations ◽  
Conventional Health Care ◽  
Sex With Men

This study evaluates whether the community-based HIV testing clinic Checkpoint could reach at-risk groups of men who have sex with men (MSM) and link patients to care. A prospective observational study of all Checkpoint visits during 2013–2016 and a retrospective registry study of all MSM diagnosed with HIV in Denmark during the same period were conducted. One percent of the 9,074 tests in Checkpoint were HIV-positive, accounting for 19% of all new HIV diagnoses among MSM in Denmark. Checkpoint testers reported frequent condomless anal sex. Two percent of migrant Checkpoint testers were HIV-positive compared to 1 % among Danish MSM. HIV-positive MSM identified through Checkpoint were significantly younger, more of them were migrant, and a smaller proportion were late testers compared to those testing through the conventional health care system. Checkpoint reaches at-risk populations of MSM and links patients successfully to care.

Modelling the contribution that different sexual practices involving the oropharynx and saliva have on Neisseria gonorrhoeae infections at multiple anatomical sites in men who have sex with men

2020 ◽  
pp. sextrans-2020-054565 ◽  
Author(s):  
Xianglong Xu ◽  
Eric P F Chow ◽  
Jason J Ong ◽  
Christian J P A Hoebe ◽  
Deborah Williamson ◽  
...  
Keyword(s):  
Neisseria Gonorrhoeae ◽  
The Other ◽  
Sexual Practices ◽  
Oral Sex ◽  
Anatomical Site ◽  
Sexual Encounter ◽  
Anal Sex ◽  
Sexual Practice ◽  
Baseline Model ◽  
Sex With Men

BackgroundThe spectrum of sexual practices that transmit Neisseria gonorrhoeae in men who have sex with men (MSM) is controversial. No studies have modelled potential Neisseria gonorrhoeae transmission when one sexual practice follows another in the same sexual encounter (‘sequential sexual practices’). Our aim was to test what sequential practices were necessary to replicate the high proportion of MSM who have more than one anatomical site infected with gonorrhoea (‘multisite infection’).MethodsTo test our aim, we developed eight compartmental models. We first used a baseline model (model 1) that included no sequential sexual practices. We then added three possible sequential transmission routes to model 1: (1) oral sex followed by anal sex (or vice versa) (model 2); (2) using saliva as a lubricant for penile–anal sex (model 3) and (3) oral sex followed by oral–anal sex (rimming) or vice versa (model 4). The next four models (models 5–8) used combinations of the three transmission routes.ResultsThe baseline model could only replicate infection at the single anatomical site and underestimated multisite infection. When we added the three transmission routes to the baseline model, oral sex, followed by anal sex or vice versa, could replicate the prevalence of multisite infection. The other two transmission routes alone or together could not replicate multisite infection without the inclusion of oral sex followed by anal sex or vice versa.ConclusionsOur gonorrhoea model suggests sexual practices that involve oral followed by anal sex (or vice versa) may be important for explaining the high proportion of multisite infection.

scholarly journals Modelling the multiple anatomical site transmission of Mycoplasma genitalium among men who have sex with men in Australia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Xianglong Xu ◽  
Catriona S. Bradshaw ◽  
Eric P. F. Chow ◽  
Jason J. Ong ◽  
Jane S. Hocking ◽  
...  
Keyword(s):  
Mycoplasma Genitalium ◽  
Sexual Practices ◽  
Oral Sex ◽  
Anatomical Site ◽  
Site Infection ◽  
Anal Sex ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sex With Men

AbstractMycoplasma genitalium (M. genitalium) is a recently recognised and important sexually transmitted infection among men who have sex with men (MSM). The role of oral sex, rimming, and kissing on M. genitalium transmission in MSM is unclear. We created four deterministic susceptible-infectious-susceptible epidemic models to examine the role that different sexual behaviours play in transmitting M. genitalium at the oropharynx, urethra anorectum among men who have sex with men in Australia. Our results suggest that oral and anal sex without other sexual practices (model 1) replicate well single site infection at the oropharynx, urethra and anorectum and also multi-site infection. If kissing or rimming are added to model 1 (i.e., model 2–4) no substantial improvements in the calibration of the models occur. Model 1 estimates that 3.4% of infections occur at the oropharynx, 34.8% at the urethra and 61.8% at the anorectum. Model 1 also estimates that the proportion of incident M. genitalium transmitted by anal sex was 82.4%, and by oral sex was about 17.6%. Our findings could provide an enhanced understanding of M. genitalium transmission in MSM, thus providing insights into what sexual practices contribute most to transmission.

scholarly journals Oral, Vaginal and Anal Sexual Practices among Heterosexual Males and Females Attending a Sexual Health Clinic: A Cross-Sectional Survey in Melbourne, Australia

2021 ◽  
Vol 18 (23) ◽  
pp. 12668
Author(s):  
Tiffany R. Phillips ◽  
Heidi Constantinou ◽  
Christopher K. Fairley ◽  
Catriona S. Bradshaw ◽  
Kate Maddaford ◽  
...  
Keyword(s):  
Sexual Health ◽  
Sexual Practices ◽  
Health Clinic ◽  
Oral Sex ◽  
Sex Partners ◽  
Anal Sex ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Past ◽  
Vaginal Sex

Sex practices among heterosexuals are not well studied. We aimed to explore sexual practices among heterosexuals attending a sexual health clinic. This cross-sectional survey was conducted at Melbourne Sexual Health Centre between March and April 2019. Data were collected on kissing, oral sex (fellatio or cunnilingus), vaginal sex, anal sex and rimming in the previous 3 months. Univariable and multivariable logistic regression analyses were performed to examine the associations between engaging in anal sex and other sex practices. There were 709 participants (333 men; 376 women) who were eligible and completed the survey (response rate was 24.6%). In the past 3 months, most participants had had vaginal sex (n = 677; 95.5%), with a mean of 3.0 (standard deviation (SD): 3.9) vaginal sex partners, and half reported engaging in condomless vaginal sex in the past 3 months (n = 358; 50.1%). A total of 135 (19.0%) participants had had anal sex, with a mean of 1.3 (SD: 1.0) anal sex partners, with 63.5% (n = 94) engaging in any condomless anal sex in the past 3 months. Most participants (n = 637, 89.8%) had received oral sex in the past 3 months; this proportion did not differ by age group or gender. Women (n = 351, 93.4%) were more likely to perform oral sex than men (n = 275; 82.6% men) (p < 0.001) and to have received rimming (26.6% women vs. 12.6% men; p < 0.001). Men were more likely to have performed rimming (25.5% men vs. 9.3% women; p < 0.001). After adjusting for age, number of partners and sexual practice, anal sex was associated with being ≥35 years (adjusted odds ratio (aOR): 2.3; 95% CI: 1.2–4.2), receiving rimming (aOR: 3.8; 95% CI: 2.4–6.0) and performing rimming (aOR: 2.8; 95% CI: 1.8–4.6). Rimming and anal sex are practiced by one-fifth or more of heterosexuals. Older heterosexuals were more likely to engage in anal sex and to perform rimming. Future research should consider the benefits of testing extragenital sites where appropriate.

scholarly journals Chlamydia trachomatis transmission between the oropharynx, urethra and anorectum in men who have sex with men: a mathematical model

BMC Medicine ◽  
2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Xianglong Xu ◽  
Eric P. F. Chow ◽  
Jason J. Ong ◽  
Christian J. P. A. Hoebe ◽  
Zhuoru Zou ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Mathematical Models ◽  
Health Centre ◽  
High Rate ◽  
Sexual Practices ◽  
Oral Sex ◽  
Anal Sex ◽  
Infection Rates ◽  
Sex With Men ◽  
Saliva Contamination

Abstract Background It has been presumed that Chlamydia trachomatis is transmitted between men only through anal or oral sex, but no mathematical models have tested this presumption. Methods To test this presumption, we created 20 compartmental mathematical models of different sexual practices that included both oral and anal sex and calibrated these models to the observed rates of Chlamydia trachomatis infection at three anatomical sites from 4888 men who have sex with men (MSM) in Melbourne Sexual Health Centre during 2018–2019. Results A model that included only oral and anal sex could replicate the observed rates of single-site infection at the oropharynx, urethra and rectum alone, but could not replicate infection at more than one of these sites (multisite). However, if we included transmission from sexual practices that followed one another in the same sexual episode (e.g. saliva contamination of the penis from oral sex transmitting chlamydia to the rectum by anal sex), we significantly improved the calibration of multisite infection rates substantially. Conclusions Our modelling study suggests that transmission routes other than just oral and anal sex are necessary to explain the high rate of Chlamydia trachomatis infection at more than one site.

Inconsistent condom use with known HIV-positive partners among newly diagnosed HIV-positive men who have sex with men interviewed for partner services in New York City, 2014

2018 ◽  
Vol 95 (2) ◽  
pp. 108-114
Author(s):  
Nicole Theresa Burton ◽  
Kavita Misra ◽  
Angelica Bocour ◽  
Sharmila Shah ◽  
Rodolfo Gutierrez ◽  
...  
Keyword(s):  
New York ◽  
Condom Use ◽  
Anal Intercourse ◽  
Hiv Positive ◽  
Emotional Attachment ◽  
Anal Sex ◽  
Inconsistent Condom ◽  
Condomless Anal Intercourse ◽  
Sex With Men ◽  
Inconsistent Condom Use

ObjectivesCondomless anal intercourse contributes significantly to the spread of HIV among men who have sex with men (MSM). Factors related to condomless anal intercourse with known HIV-positive partners among MSM are not well understood. The authors describe factors associated with inconsistent condom use with known HIV-positive partners prior to participants’ diagnosis with HIV.MethodsNew York City health department disease intervention specialists interviewed newly HIV-diagnosed MSM ages ≥13 years reporting knowingly having anal sex with HIV-positive partners between June 2013 and October 2014. Univariate and bivariate statistics were calculated, in addition to logistic regression analysis.ResultsAmong 95 MSM interviewed, 56% were >30 years and 74% had higher than a high school education. Respondents reported a median of 2 known HIV-positive sex partners. Drug or alcohol use during last sex with their last known HIV-positive partner was reported by 53% of participants. Sixty-five per cent of participants reported inconsistent condom use with last known HIV-positive partner. Inconsistent condom use with all HIV-positive partners was higher among individuals reporting two or more known HIV-positive partners since sexual debut than among those with one (90% vs 59%, p<0.01) and among those reporting feelings of love/emotional attachment as a reason for having sex (85% vs 63%, p=0.02). In the bivariate logistic regression models for inconsistent condom use, feelings of love or emotional attachment were the only significant predictor of inconsistent condom use (OR 3.43, 95%  CI 1.23 to 9.58). After adjusting for confounding, the relationship feelings of love or emotional attachment continued to be the only significant predictor of inconsistent condom use (OR 3.69, 95%  CI 1.06 to 12.82).ConclusionsSurveyed MSM engaged in high-risk behaviours, including condomless anal sex and drug or alcohol use during sex with persons known to be HIV-positive. These findings can inform interventions with MSM in serodiscordant partnerships.

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