A Pilot Study of HIV/STI Risk among Men Having Sex with Men Using Erectile Dysfunction Medications: Challenges and Opportunities for Sexual Medicine Physicians

Goltz, Heather Honoré; Coon, David W.; Catania, Joseph A.; Latini, David

doi:10.1111/j.1743-6109.2012.02943.x

Cited by 8 publications

(9 citation statements)

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“…Drug use for sexual pleasure (club drugs) or erectile dysfunction has also previously been associated with HIV infection [43, 44]. Our analysis found that use of erectile dysfunction drugs in combination with club drugs was associated with incident HIV infection, but using them separately was not.…”

Section: Discussionmentioning

confidence: 52%

“…One’s decision to practice sex without a condom may be based on assumptions that a steady partner is not having sex with other men, trusting that one’s partner is HIV-uninfected, or to express love [42]. There is growing evidence that MSM who have unprotected sex with their steady partners, while concurrently having unprotected sex with their casual partners, have an elevating risk of HIV acquisition [22, 43, 44]. HIV interventions targeting YMSM should further explore attitudes toward condom use and different sexual relationships, acceptable risk-reduction strategies, and promotion of couples HIV-testing.…”

Section: Discussionmentioning

confidence: 99%

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Young Men Who Have Sex with Men at High Risk for HIV, Bangkok MSM Cohort Study, Thailand 2006–2014

et al. 2017

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High HIV incidence has been reported in young men who have sex with men (YMSM) in North America and Western Europe, but there are limited data from Southeast Asia suggesting MSM may be the driver of the HIV epidemic in this region. We described HIV incidence and risk factors among 494 YMSM enrolled in a cohort study in Bangkok, Thailand. The HIV incidence was 7.4 per 100 person-years. In multivariable analysis, reporting use of an erectile dysfunction drug in combination with club drugs, having receptive or both insertive and receptive anal intercourse with men, having hepatitis A infection, having rectal Chlamydia trachomatis, having hepatitis B infection prior to HIV seroconversion, and reporting not always using condoms with male steady partners were significantly associated with HIV incidence in YMSM. Reduction in new HIV infections in YMSM are critical to reach targets set by Thailand and the region.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Young Men Who Have Sex with Men at High Risk for HIV, Bangkok MSM Cohort Study, Thailand 2006–2014

et al. 2017

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“… 45 , 46 This risk may be more elevated when erectile dysfunction medications are combined with recreational drugs, and especially with “poppers,” a slang term given to alkyl nitrites, a group of substances inhaled for recreational purposes. 36 , 37 Some studies have examined the sexual practices of MSM who access Web sites that connect MSM seeking sex with men. MSM seeking partners through these sites may disproportionately engage in risky sexual behaviors, including unprotected anal intercourse.…”

Section: Resultsmentioning

confidence: 99%

Sexual risk behaviors and HIV risk among Americans aged 50 years or older: a review

Pilowsky¹,

Wu²

2015

SAR

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Although HIV-related sexual risk behaviors have been studied extensively in adolescents and young adults, there is limited information about these behaviors among older Americans, which make up a growing segment of the US population and an understudied population. This review of the literature dealing with sexual behaviors that increase the risk of becoming HIV-infected found a low prevalence of condom use among older adults, even when not in a long-term relationship with a single partner. A seminal study by Schick et al published in 2010 reported that the prevalence of condom use at last intercourse was highest among those aged 50–59 years (24.3%; 95% confidence interval, 15.6–35.8) and declined with age, with a 17.1% prevalence among those aged 60–69 years (17.1%; 95% confidence interval, 7.3–34.2). Studies have shown that older Americans may underestimate their risk of becoming HIV-infected. Substance use also increases the risk for sexual risk behaviors, and studies have indicated that the prevalence of substance use among older adults has increased in the past decade. As is the case with younger adults, the prevalence of HIV infections is elevated among ethnic minorities, drug users (eg, injection drug users), and men who have sex with men. When infected, older adults are likely to be diagnosed with HIV-related medical disorders later in the course of illness compared with their younger counterparts. Physicians are less likely to discuss sexual risk behaviors with older adults and to test them for HIV compared with younger adults. Thus, it is important to educate clinicians about sexual risk behaviors in the older age group and to design preventive interventions specifically designed for older adults.

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“…Fisher et al pointed out the place PDE5i is taking in the world of recreational drugs and the accompanying sexual risks that go with it 38. Men who received their ED drugs without prescription reported having more risky sexual behavior 40,41…”

Section: Discussionmentioning

confidence: 99%

The Gay Men Sex Studies: prevalence of sexual dysfunctions in Belgian HIV+ gay men

Vansintejan¹,

Janssen²,

Vijver³

et al. 2013

HIV

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The aim of this Internet-based survey was to investigate the prevalence and associated predictors of sexual dysfunctions in Belgian self-reported HIV-positive men who have sex with other men. Of the 72 participants, 56% had a mild-to-severe erectile dysfunction, and 15% reported a hypoactive sexual desire disorder. The prevalence of premature ejaculation and anodyspareunia was 18% for both. Independent predictors for erectile dysfunction were frequency of masturbation, frequency of sex with partner, use of erectile enhancement drugs, having a passive sex role, and not having a steady relationship. Independent predictors for hypoactive sexual desire disorder were frequency of masturbation and having a lower lifetime number of sexual partners. Independent predictors for premature ejaculation were not having a steady relationship, having a lower lifetime number of sexual partners, and a lower level of education. The only independent predictor for anodyspareunia was having an active sex role.

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A Pilot Study of HIV/STI Risk among Men Having Sex with Men Using Erectile Dysfunction Medications: Challenges and Opportunities for Sexual Medicine Physicians

Cited by 8 publications

References 51 publications

Young Men Who Have Sex with Men at High Risk for HIV, Bangkok MSM Cohort Study, Thailand 2006–2014

Young Men Who Have Sex with Men at High Risk for HIV, Bangkok MSM Cohort Study, Thailand 2006–2014

Sexual risk behaviors and HIV risk among Americans aged 50 years or older: a review

The Gay Men Sex Studies: prevalence of sexual dysfunctions in Belgian HIV+ gay men

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