TY - JOUR
T1 - Beyond Anal Sex
T2 - Sexual Practices of Men Who Have Sex With Men and Associations With HIV and Other Sexually Transmitted Infections
AU - Rice, Cara E.
AU - Maierhofer, Courtney
AU - Fields, Karen S.
AU - Ervin, Melissa
AU - Lanza, Stephanie T.
AU - Turner, Abigail Norris
N1 - Funding Information:
Funding: This project was supported by the Ohio State University Center for Clinical and Translational Science (OSU CCTS). The OSU CCTS is supported by the National Center for Research Resources, Grant UL1RR025755, and is now at the National Center for Advancing Translational Sciences, Grant 8UL1TR000090-05. This research was further supported by award P50 DA039898 from NIDA. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center for Advancing Translational Sciences, the National Institute on Drug Abuse, or the National Institutes of Health. The funding sources had no role in data collection, data analysis, data interpretation, writing of this report, or the decision to publish this manuscript.
Publisher Copyright:
© 2016 International Society for Sexual Medicine.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Introduction: Unprotected anal intercourse is often used as a single indicator of risky behavior in men who have sex with men (MSM), yet MSM engage in a variety of behaviors that have unknown associations with sexually transmitted infection (STI) and HIV. Aim: To assess the prevalence of a wide range of sexual behaviors and their associations with prevalent STI and HIV. Methods: We used a standardized, self-administered survey to collect behavioral data for this cross-sectional study of 235 MSM seeking care in a public clinic for sexually transmitted diseases. Mean Outcome Measures: Using modified Poisson regression, we generated unadjusted and adjusted prevalence ratios (PRs) to characterize associations between recent participation in each behavior and prevalent STI and HIV. Results: Participants' median age was 26 years. One third (35%) were positive for STI. STI prevalence was significantly associated with using sex slings (adjusted PR [aPR] = 2.35), felching (aPR = 2.22), group sex (aPR = 1.86), fisting (aPR = 1.78), anonymous sex (aPR = 1.51), and sex toys (aPR = 1.46). HIV prevalence was 17% and was significantly associated with fisting (aPR = 4.75), felching (aPR = 4.22), enemas (aPR = 3.65), and group sex (aPR = 1.92). Conclusion: Multiple behaviors were significantly associated with prevalent STI and HIV in adjusted analyses. To provide a more comprehensive understanding of sexual risk in MSM, prospective studies are needed to examine whether these behaviors are causally associated with HIV and STI acquisition.
AB - Introduction: Unprotected anal intercourse is often used as a single indicator of risky behavior in men who have sex with men (MSM), yet MSM engage in a variety of behaviors that have unknown associations with sexually transmitted infection (STI) and HIV. Aim: To assess the prevalence of a wide range of sexual behaviors and their associations with prevalent STI and HIV. Methods: We used a standardized, self-administered survey to collect behavioral data for this cross-sectional study of 235 MSM seeking care in a public clinic for sexually transmitted diseases. Mean Outcome Measures: Using modified Poisson regression, we generated unadjusted and adjusted prevalence ratios (PRs) to characterize associations between recent participation in each behavior and prevalent STI and HIV. Results: Participants' median age was 26 years. One third (35%) were positive for STI. STI prevalence was significantly associated with using sex slings (adjusted PR [aPR] = 2.35), felching (aPR = 2.22), group sex (aPR = 1.86), fisting (aPR = 1.78), anonymous sex (aPR = 1.51), and sex toys (aPR = 1.46). HIV prevalence was 17% and was significantly associated with fisting (aPR = 4.75), felching (aPR = 4.22), enemas (aPR = 3.65), and group sex (aPR = 1.92). Conclusion: Multiple behaviors were significantly associated with prevalent STI and HIV in adjusted analyses. To provide a more comprehensive understanding of sexual risk in MSM, prospective studies are needed to examine whether these behaviors are causally associated with HIV and STI acquisition.
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U2 - 10.1016/j.jsxm.2016.01.001
DO - 10.1016/j.jsxm.2016.01.001
M3 - Article
C2 - 26853044
AN - SCOPUS:84964527065
SN - 1743-6095
VL - 13
SP - 374
EP - 382
JO - Journal of Sexual Medicine
JF - Journal of Sexual Medicine
IS - 3
ER -