Characteristics and Risk Behaviors of Men Who Have Sex With Men and Women Compared With Men Who Have Sex With Men—20 US Cities, 2011 and 2014

Shadaker, Shaun; Magee, Matthew J.; Paz–Bailey, Gabriela; Hoots, Brooke

doi:10.1097/qai.0000000000001403

Cited by 19 publications

(14 citation statements)

References 61 publications

(71 reference statements)

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“…In addition, we found that MSM who reported a history of STIs were more likely to engage in the co-occurrence of smoking and drug use. Despite no relationship between smoking and HIV status in this study, previous research has demonstrated that risky behaviors and outcomes, such as having multiple male sexual partners, unprotected sexual intercourse, and STIs, are linked to a high prevalence of HIV infection among MSM [22,24]. In the current study, the online sampling methodology may not produce these same results.…”

Section: Discussioncontrasting

confidence: 60%

“…Additionally, many studies have shown that MSM's cigarette smoking is positively associated with HIV-related behavioral and sexual risks, including usage of alcohol and a variety of traditional and synthetic illicit drugs, such as heroin, marijuana, and methamphetamine [7,20,21], and a greater number of casual sex partners [20]. Meanwhile, sex with casual male partners and unprotected anal sex have been found to be associated with HIV and other sexually transmitted infections (STIs) [22][23][24]. A recent study conducted in the U.S. by the Multicenter AIDS Cohort Study found that smoking at least one pack of cigarettes per day was positively associated with being HIV-seropositive among MSM; furthermore, detectable viral load of HIV was significantly associated with prevalence of smoking among HIV-seropositive MSM [25].…”

Section: Cigarette Smoking and Hiv-related Risksmentioning

confidence: 99%

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Cigarette Smoking and Its Associations with Substance Use and HIV-Related Sexual Risks among Chinese Men Who Have Sex with Men

Tang

Zhang

et al. 2020

IJERPH

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China has the largest population of male smokers globally. Men who have sex with men (MSM) are at greater risk of cigarette smoking compared to the general population. Limited data are available regarding cigarette smoking and its associations with other health issues among Chinese MSM. Eligible MSM (n = 1100) were recruited from mainland China using an online national cross-sectional survey conducted in 2014–2015. Socio-demographic characteristics, smoking behavior, substance use, homosexual stigma and outness, HIV-related risk behavior, and HIV status were obtained. Logistic regression analyses were performed to evaluate predictors of current cigarette smoking frequency and the co-occurrence of smoking and drug use. Nearly 41% (n = 446) of participants had ever smoked cigarettes; 25% (n = 278) were current frequent smokers; and 13% (n = 138) were current infrequent smokers. Factors associated with a history of smoking included age, employment status, and monthly salary. Risk factors associated with current frequent smoking included self-identification as gay, having female sexual partners, binge drinking, drug use, higher levels of homosexual stigma, and being partially or fully “out” as gay. Adjusted multinomial analysis showed that human immunodeficiency virus (HIV) related risks, including risky sexual behaviors, lack of condom use, and a reported history of sexually transmitted infections (STIs), were associated with co-occurrence of current smoking and drug use. Cigarette smoking rates remain high among MSM in China. Cigarette smoking is associated with binge drinking, drug use, and HIV-related risks in this community. There is a clear opportunity for smoking cessation interventions to be linked with HIV and substance use prevention interventions, thereby addressing multiple health issues simultaneously for the MSM community in China.

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Section: Discussioncontrasting

confidence: 60%

Section: Cigarette Smoking and Hiv-related Risksmentioning

confidence: 99%

Cigarette Smoking and Its Associations with Substance Use and HIV-Related Sexual Risks among Chinese Men Who Have Sex with Men

Tang

Zhang

et al. 2020

IJERPH

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“…MSM are still vulnerable to HIV infection, as documented by the persistence of high prevalence of infection in this group, despite an overall decline of new infections in the general population [ 21 , 24 ]. Data from the US Center of Disease Control and Prevention (CDC) report that 54% of estimated HIV diagnoses in United States in 2014 are in MSM, even if they represent only the 2% of the population [ 25 ]. A previous Italian study reported an increased risk of HIV seroconversion in younger MSM throughout the study period (1984–2010) [ 26 ]; similar data were confirmed in other European studies with a double risk of HIV in MSM aging 20–29 years from 2003 to 2012 [ 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

Proportion and factors associated with recent HIV infection in a cohort of patients seen for care in Italy over 1996-2014: Data from the ICONA Foundation Study cohort

et al. 2017

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In Italy the prevalence of recent HIV infection (RHI) isn’t currently monitored. Early diagnosis is crucial to allow introduction of antiretroviral therapy (cART) in the recent phase of infection. We aimed to estimate the proportion and the determinants of RHI among patients enrolled in the ICONA cohort; we explored differences in the median time from HIV diagnosis to cART initiation and in the viro-immunological response between RHI and Less Recent HIV infections (NRHI). We included antiretroviral-naïve HIV-positive patients enrolled in the cohort with documented dates of HIV-negative and positive antibodies tests, grouped in RHI (estimated date of seroconversion within 12 months of enrolment) and NRHI. Proportion of RHI and the trend of this proportion by calendar period (1996–2014) were investigated (Chi-square test). Logistic regression analysis was employed to identify factors associated with RHI. The time from seroconversion to cART initiation was compared in RHI and NRHI overall and after stratification by calendar period (survival analysis). We finally explored the time from starting cART to HIV-RNA <50 copies/mL and to CD4+ gain ≥200 cells/mmc by Cox regression. HIV seroconversion could be estimated for 2608/12,616 patients: 981/2608 (37.6%) were RHI. Proportion of RHI increased in recent calendar periods and was associated with younger age, baseline higher HIV-RNA and CD4+ count. There wasn’t difference in the 2-year estimates of cART start between RHI and NRHI, regardless of calendar period. Rates and hazards of virological response were similar in RHI versus NRHI. RHI showed a 1.5-fold higher probability of CD4+ gain, also following adjustment for calendar period and cART regimen, and for age, HCV and smoking; the difference in probability was however attenuated after further controlling for baseline HIV-RNA and CD4+ T-cells. The increased proportion of RHI over time suggests that in recent years in Italy HIV infections are more likely to be detected earlier than before. The similar rates of cART introduction and viro-immunological response in RHI and NRHI probably reflect the efficacy of the modern cART regimens. An improvement of the prevention services is warranted to allow an early cART access, also in the perspective of therapy as prevention.

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“…Regular sex partners referred to those with sexual relationship alone over extended periods, whereas non-regular sex partners were typically one-night-stand partners without extended relationship. For statistical presentation, three types of sex partners were recategorised into two groups using a more common distinction, namely main and casual sex partners [29]. Lovers and regular sex partners were considered as main sex partners, with whom the respondents felt committed or had an extended relationship.…”

Section: Methodsmentioning

confidence: 99%

Changes of sexual risk behaviors and sexual connections among HIV-positive men who have sex with men along their HIV care continuum

et al. 2018

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BackgroundWhile HIV incidence among men who have sex with men (MSM) is increasing in Hong Kong, unprotected sex apparently remains prevalent among those infected but virally non-suppressed. Little is known about how sexual behaviours and sexual connections may change among MSM along their HIV care continuum.MethodsIn this retrospective cross-sectional study, HIV-positive MSM attending the largest HIV specialist clinic in Hong Kong between October and December 2014 were invited to complete a self-administrated structured questionnaire. Their behavioural profile and partner sourcing patterns during the one-year period respectively (a) before HIV diagnosis, (b) after HIV diagnosis, (c) after initiation of antiretroviral treatment and (d) preceding the survey were examined.ResultsOf 345 recruited MSM, 304 (88.1%) had treatment initiated and 272 (78.8%) had viral load suppressed. In the first year after HIV diagnosis, the proportion reporting inconsistent condom use dropped from 47.0% to 17.5% (p<0.05) and from 49.6% to 17.8% (p<0.01) for anal sex with main and casual partners respectively. Except for mobile applications, usage of most sex-networking venues decreased significantly after diagnosis. Inconsistent condom usage rate remained at around 20% after treatment initiation and viral load suppression, but the frequency of use of sex-networking venues further varied among virally suppressed MSM.ConclusionsMost HIV-positive MSM had persistently low level of sexual risk behaviours along their care continuum and achieved viral load suppression, conferring a general reduction of secondary transmission risk in Hong Kong. To increase the effectiveness of Treatment as Prevention strategy, uptake of HIV testing for undiagnosed HIV-positive MSM shall be emphasised.

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Characteristics and Risk Behaviors of Men Who Have Sex With Men and Women Compared With Men Who Have Sex With Men—20 US Cities, 2011 and 2014

Abstract: MSMW have distinct sexual risk behaviors from MSMO and may contribute to HIV transmission among women. MSMW could benefit from tailored interventions to reduce HIV risk behaviors.

Cited by 19 publications

References 61 publications

Cigarette Smoking and Its Associations with Substance Use and HIV-Related Sexual Risks among Chinese Men Who Have Sex with Men

Cigarette Smoking and Its Associations with Substance Use and HIV-Related Sexual Risks among Chinese Men Who Have Sex with Men

Proportion and factors associated with recent HIV infection in a cohort of patients seen for care in Italy over 1996-2014: Data from the ICONA Foundation Study cohort

Changes of sexual risk behaviors and sexual connections among HIV-positive men who have sex with men along their HIV care continuum

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