Drug Use and Sexual HIV Transmission Risk Among Men Who have Sex with Men and Women (MSMW), Men Who have Sex with Men only (MSMO), and Men Who have Sex with Women Only (MSWO) and the Female Partners of MSMW and MSWO: A Network Perspective

Dyer, Typhanye V.; Khan, Maria R.; Sandoval, Milagros; Acheampong, Abenaa; Regan, Rotrease; Bolyard, Melissa; Mateu‐Gelabert, Pedro; Friedman, Samuel R.

doi:10.1007/s10461-017-1736-3

Cited by 10 publications

(8 citation statements)

References 36 publications

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“…Our finding about MSMW having fewer oral male sex partners than MSMO is contrary to previous studies where MSMW reported commonly occurring oral sex with both men and women, but those reports had small sample sizes and no comparative group of MSMO [20,21]. Additionally, results showing that similar percentages of MSMW and MSMOengaged in condomless anal sex in the past 12 months is also inconsistent with the literature [12].…”

Section: Discussioncontrasting

confidence: 99%

Comparison of Selected Sociodemographic Characteristics and Sexual Risk Behaviors of Black/African American Men Who Have Sex with Men Only and Men Who Have Sex with Men and Women, Southeastern United States, 2013–2016

Gaines

McCree

Gaul

et al. 2019

J. Racial and Ethnic Health Disparities

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Purpose-Compare selected sociodemographic and sexual risk characteristics of black/African American (black) men who have sex with men only (MSMO) and men who have sex with men and women (MSMW) in the southeastern United States (the South). Methods-We conducted bivariate and multivariable analyses to explore the sociodemographic characteristics and sexual risk behaviors of 584 MSMW and MSMO in the South. Results-MSMW had lesser odds of having a college or graduate degree (aOR = 0.32; 95% CI = 0.19, 0.54) and having ≥ 2 male oral sex partners (aOR = 0.20; 95% CI = 0.08, 0.48) compared to MSMO. MSMW had greater odds of being homeless (aOR = 3.11; 95% CI = 1.80, 5.38) and selecting "top" sexual position (aOR = 1.70; 95% CI = 1.07, 2.72) compared to MSMO. Conclusion-MSMW in the South experience social and structural factors that may affect their risk for HIVinfection. Strategies to address these factors should be considered in prevention and care efforts for this population.

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Section: Discussioncontrasting

confidence: 99%

Comparison of Selected Sociodemographic Characteristics and Sexual Risk Behaviors of Black/African American Men Who Have Sex with Men Only and Men Who Have Sex with Men and Women, Southeastern United States, 2013–2016

Gaines

McCree

Gaul

et al. 2019

J. Racial and Ethnic Health Disparities

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“…Therefore, a spillover between FSW and PWID likely occurred (2/5 FSW were placed in PWID cluster) (Figure 3). A spillover between FSW and PWID increased the risk of HIV transmission in the general population (de Oliveira et al, 2017;Dyer et al, 2017;Li et al, 2018;Paraskevis et al, 2018). A similar finding was observed in this study with a cluster of the general population; PWID, sex worker, and clients of the sex worker may result from this spillover and occur through the sexual transmission of HIV.…”

Section: Discussionsupporting

confidence: 87%

HIV-1 drug resistance and genotypes circulating among HIV-positive key populations in Bangladesh: 2016 update

Rahman

Reza

et al. 2021

International Journal of Infectious Diseases

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HIV-1 subtyping data of Bangladeshi strains are available in global HIV Sequence Database up to 2007, and there is no sequence of drug resistance profile based on the pol gene segment. This study aimed to update HIV genotyping data and describe the drug resistance mutations for the first time from Bangladesh using specimens from the latest HIV sero-surveillance conducted in 2016. Study design and methods: During HIV sero-surveillance, a total of 1268 people who inject drugs (PWID) and 3765 female sex workers (FSW) were screened and among them, 230 (18.1%) PWID and 7 (0.2%) FSW were HIV positive. Among HIV positives, randomly selected 74 specimens (60 male-PWID, 7 female-PWID, and 7 FSW) were subjected to gag, pol, and env gene sequencing using gene-specific primers. Genotyping was decided based on the partial gag and env genes while transmission dynamics was based on the gag sequence (n = 237). Drug resistance profiles were obtained by using the algorithm of the established available drug resistance database. Results: HIV subtype C and C-related recombinants have remained the major circulating genotypes in Bangladesh. Although the recurring transmission of subtype C occurred among PWID, we identified possible transmission to other key populations (KPs), which suggests spillover from PWID through the sexual route. The prevalence of drug-resistant mutation was low, and all strains were susceptible to NRTIs and NNRTIs drugs. Unique recombination forms (URF) with genotype C for gag-pol and A1 for env was also identified. Conclusions:The study findings warrant continuous monitoring of HIV-positive individuals and future investigation to identify social networks within and between KPs to halt the transmission and prevent new infections.

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“… 25 In the USA, MSMW had a 57% increased odds of having an STI compared with heterosexuals, but no differences were found between MSMO and heterosexuals or MSMO and MSMW. 24 Similarly, an Indian study has shown that there were no differences in any STI positivity (ie, either syphilis, gonorrhoea or chlamydia) between MSMO and MSMW. 23 Furthermore, MSMW are also less likely to ever have an HIV/STI test compared with MSMO, 23 26 27 which is consistent with an Australian qualitative study suggesting MSMW have a poor sexual health knowledge compared with MSMO.…”

Section: Discussionmentioning

confidence: 96%

Trends and differences in sexual practices and sexually transmitted infections in men who have sex with men only (MSMO) and men who have sex with men and women (MSMW): a repeated cross-sectional study in Melbourne, Australia

et al. 2020

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ObjectivesIn the 2010s, there has been an increase in sexually transmitted infections (STI) in men who have sex with men (MSM) in Australia, and since 2015 also in urban heterosexuals. Men who have sex with both men and women (MSMW) have characteristics that may differ from both men who have sex with men only (MSMO) and heterosexual men. We aimed to compare the sexual practices and the trends in HIV/STI positivity between MSMO and MSMW.DesignRepeated cross-sectional study.SettingA sexual health centre in Melbourne, Australia.ParticipantsMSM aged 18 years and above who attended the Melbourne Sexual Health Centre for the first time between 2011 and 2018. This includes 12 795 MSMO and 1979 MSMW.Primary outcome measuresDemographic characterics, sexual practices and HIV/STI positivity.ResultsCompared with MSMW, MSMO were more likely to practice anal sex and to have condomless receptive anal sex with casual male partners, and less likely to have a current regular relationship. Over the 8-year period, there was an increase in condomless receptive anal sex with casual male partners for both groups (MSMO: from 46.2% to 63.3%, ptrend <0.001; MSMW: from 41.3% to 57.9%, ptrend=0.011). Syphilis positivity increased in MSMO (from 5.5% to 7.9%, ptrend=0.012) and MSMW (from 0.9% to 6.4%, ptrend=0.004) and HIV remained stable. Gonorrhoea increased among MSMO from 2011 to 2014 (from 6.7% to 9.6%, ptrend=0.002), and remained stable from 2015 to 2018. MSMO had higher odds of testing positive for gonorrhoea (adjusted OR (aOR) 1.36, 95% CI 1.13 to 1.64), chlamydia (aOR 1.39, 95% CI 1.16 to 1.67), syphilis (aOR 1.74, 95% CI 1.37 to 2.22) and HIV (aOR 4.60, 95% CI 2.43 to 8.70) than MSMW.ConclusionsMSMW have overall lower condomless sex and lower HIV/STI positivity. In the last years, changes in sexual practices in MSM have affected both MSMW and MSMO leading to an increased STI risk.

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Drug Use and Sexual HIV Transmission Risk Among Men Who have Sex with Men and Women (MSMW), Men Who have Sex with Men only (MSMO), and Men Who have Sex with Women Only (MSWO) and the Female Partners of MSMW and MSWO: A Network Perspective

Cited by 10 publications

References 36 publications

Comparison of Selected Sociodemographic Characteristics and Sexual Risk Behaviors of Black/African American Men Who Have Sex with Men Only and Men Who Have Sex with Men and Women, Southeastern United States, 2013–2016

Comparison of Selected Sociodemographic Characteristics and Sexual Risk Behaviors of Black/African American Men Who Have Sex with Men Only and Men Who Have Sex with Men and Women, Southeastern United States, 2013–2016

HIV-1 drug resistance and genotypes circulating among HIV-positive key populations in Bangladesh: 2016 update

Trends and differences in sexual practices and sexually transmitted infections in men who have sex with men only (MSMO) and men who have sex with men and women (MSMW): a repeated cross-sectional study in Melbourne, Australia

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