Correlates of Group Sex Among a Community-Based Sample of Men Who Have Sex With Men (MSM) in Washington, DC

Phillips, Gregory; Magnus, Manya; Kuo, Irene; Rawls, Anthony; Peterson, James A.; West-Ojo, Tiffany; Jia, Yujiang; Opoku, Jenevieve; Greenberg, Alan E.

doi:10.1007/s10461-013-0527-8

Cited by 41 publications

(30 citation statements)

References 23 publications

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“…Although more research is warranted to determine the true prevalence of GSE attendance among MSM in the US (2, 3, 6), it is clear that a substantial proportion of MSM are engaging in GSEs.…”

Section: Discussionmentioning

confidence: 99%

“…Among MSM, engagement in GSEs is prevalent. One study in Washington, DC found that 27.2% of venue-attending MSM had participated in at least one GSE in the prior year (2). A national study that used online recruitment from a sex-seeking website reported that 45.2% of MSM had attended a sex party (specifically, an organized or themed GSE) in the past year (3).…”

Section: Introductionmentioning

confidence: 99%

“…More than one-fifth of MSM recruited online from a sexual networking site reported ever attending a bareback-themed sex party where condoms were intentionally not used during anal sex (3). Another study from 2012 found that 54.7% of MSM did not use condoms consistently with anal sex partners--21.7% only used them with some partners and 33.0% did not use them with any partners (2). A third study reported that 35.5% of men attending a spontaneous GSE engaged in insertive condomless anal sex (CAS) and 43.3% engaged in receptive CAS (6).…”

Section: Introductionmentioning

confidence: 99%

“…MSM who had attended a GSE had 2.6 times the odds of using non-injection drugs compared with those who had not been at a GSE, with significant associations found for use of crystal meth (odds ratio (OR) = 8.28; 95% confidence interval (CI): 3.14, 21.8), downers (OR = 7.07; 95% CI: 2.82, 17.7), and poppers (OR = 2.51; 95% CI: 1.50, 4.20) (2). Regarding drug use at the event, 51.3% of GSE participants in an Australian study of MSM reported illicit substance use, with most reporting use of poppers and ecstasy (11).…”

Section: Introductionmentioning

confidence: 99%

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Engagement in group sex among geosocial networking mobile application-using men who have sex with men

2015

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Background Men who have sex with men (MSM) remain the group most affected by the HIV epidemic in the United States. At least one-quarter of MSM report engagement in group sex events (GSEs), which can pose a risk for HIV transmission and acquisition. In this study, we sought to identify event-level correlates of sexual and drug use behaviors at GSEs to better inform prevention activities. Methods For this study, we recruited participants via banner and pop-up advertisements placed on a geosocial networking mobile phone application for MSM to meet. Results Of the 1,997 individuals who completed the study screener, 36.0% reported participating in at least one GSE in the prior year. In multivariable logistic regression, attendance at a GSE in the past year was significantly associated with older age, full/part time employment, and being HIV-positive. Of the men who attended a GSE, more than half reported condomless anal sex (CAS) with at least one of their partners (insertive: 57.7%; receptive: 56.3%). MSM who indicated drug use had significantly higher odds of having insertive CAS (odds ratio (OR) = 2.45; 95% confidence interval (CI): 1.37, 4.39) and receptive CAS (OR = 3.60; 95% CI: 1.96, 6.63) at their last GSE. Conclusions The high prevalence of HIV-positive MSM engaging in group sex, coupled with their greater odds of CAS, poses a significant risk for HIV/STI transmission within the group sex setting. More research is needed to determine patterns of condom use at these events, and whether seroadaptive behaviors are driving CAS.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Engagement in group sex among geosocial networking mobile application-using men who have sex with men

2015

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“…20–22 Unweighted analysis of MSM cycle data is consistent with previous national and local publications. 23–26 …”

Section: Methodsmentioning

confidence: 99%

Development of an HIV Testing Dashboard to Complement the HIV Care Continuum Among MSM, PWID, and Heterosexuals in Washington, DC, 2007–2015

Patrick

Greenberg

Magnus³

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background We developed an HIV testing dashboard to complement the HIV care continuum in selected high-risk populations. Using NHBS data, we examined trends in HIV testing and care for men who have sex with men (MSM), persons who inject drugs (PWID) and heterosexuals at elevated risk (HET). Methods Between 2007–2015, 4,792 participants ≥18 years old completed a behavioral survey and were offered HIV testing. For the testing dashboard, proportions ever tested, tested in the past year, testing HIV-positive, and newly testing positive were calculated. An abbreviated care continuum for self-reported positives (SRP) included ever engagement in care, past year care, and current ARV use. The testing dashboard and care continuum were calculated separately for each population. Chi-square test for trend was used to assess significant trends over time. Results Among MSM, lifetime HIV testing and prevalence significantly increased from 96% to 98% (p=0.01) and 14% to 20% (p=0.02) over time; prevalence was highest among Black MSM at all time points. HIV prevalence among female PWID was significantly higher in 2015 vs. 2009 (27% and 13%; p<0.01). Among HET from 2010 to 2013, annual testing increased significantly (45% to 73%; p<0.001) and the proportion newly diagnosed decreased significantly (p<0.01). SRP MSM had high levels of care engagement and ARV use; among SRP PWID and HET, past year care engagement and ARV use increased over time. Conclusions The HIV testing dashboard can be used to complement the HIV care continuum to display improvements and disparities in HIV testing and care over time.

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Alkyl Nitrite Inhalants (Poppers)

Pepper

2022

Handbook of Substance Misuse and Addictions

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Correlates of Group Sex Among a Community-Based Sample of Men Who Have Sex With Men (MSM) in Washington, DC

Cited by 41 publications

References 23 publications

Engagement in group sex among geosocial networking mobile application-using men who have sex with men

Engagement in group sex among geosocial networking mobile application-using men who have sex with men

Development of an HIV Testing Dashboard to Complement the HIV Care Continuum Among MSM, PWID, and Heterosexuals in Washington, DC, 2007–2015

Alkyl Nitrite Inhalants (Poppers)

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