HIV Education and Sexual Risk Behaviors Among Young Men Who Have Sex with Men

Raifman, Julia; Beyrer, Chris; Arrington‐Sanders, Renata

doi:10.1089/lgbt.2017.0076

Cited by 35 publications

(24 citation statements)

References 30 publications

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“…Adolescent and young adults (15–24 years old) account for approximately half of all new STIs, with AMSM experiencing disproportionately high rates of chlamydia, gonorrhea, and syphilis [2,3]. Despite increased risk, AMSM are less likely than their heterosexual peers to receive relevant sexual education in school [4,5] or from their parents [6]. AMSM who lack necessary sexual education may be more likely to engage in sexual risk behaviors [5].…”

Section: Introductionmentioning

confidence: 99%

“…Despite increased risk, AMSM are less likely than their heterosexual peers to receive relevant sexual education in school [4,5] or from their parents [6]. AMSM who lack necessary sexual education may be more likely to engage in sexual risk behaviors [5]. In lieu of relevant sexual education from traditional sources (e.g., schools, parents), AMSM likely turn to the Internet, including online pornography, to learn about male–male sexual relationships [7–9].…”

Section: Introductionmentioning

confidence: 99%

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Sexual Health Education for Adolescent Males Who Are Interested in Sex With Males: An Investigation of Experiences, Preferences, and Needs

Nelson

Pantalone

Carey

2019

Journal of Adolescent Health

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Purpose: There is a dearth of research to inform sexual education programs to address sexual health disparities experienced by adolescent males who are interested in sex with males (AMSM). The current study sought to determine where AMSM receive sexual health information, clarify their preferences, and explore relations with sexual behavior. Methods: AMSM (N = 207; ages 14–17) in the United States completed an online sexual health survey. Bivariate associations between sexual education exposure/preferences by sexual behavior were assessed using Fisher’s exact tests and one-way analyses of variance. Results: Eighty-nine (43%) participants reported no sexual contact with male partners, 77 (37%) reported sexual contact without condomless anal sex, and 41 (20%) reported condomless anal sex. Participants received sexual health information from their parents/guardians (n = 122, 59%), formal sources (n = 160, 78%), and the Internet (n = 135, 65%). The most commonly covered topics by parents/guardians and formal sources were how to say no to sex, how to prevent HIV and other sexually transmitted infections, and methods of birth control. The most common online-researched topics were how to safely have anal sex, the types of sex you can have with a male partner, how to use a condom, and how to use lubrication. Participants noted preferring a sexually-explicit online sexual health program that addresses male–male sex. Conclusions: Online sexual education programs that explicitly address male–male sex are needed. Tailored programs can help AMSM develop healthy sexual behaviors and decrease their HIV/STI risk.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sexual Health Education for Adolescent Males Who Are Interested in Sex With Males: An Investigation of Experiences, Preferences, and Needs

Nelson

Pantalone

Carey

2019

Journal of Adolescent Health

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“…These reveal higher rates of substance use, suicidality, risky sexual behaviours, and victimization amongst sexual-minority youth. [11][12][13][14][15][16][17] Research in other countries is limited.…”

Section: Introductionmentioning

confidence: 99%

Early roots of sexual-orientation health disparities: associations between sexual attraction, health and well-being in a national sample of Australian adolescents

Perales

Campbell

2019

J Epidemiol Community Health

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BackgroundResearch documents substantial adolescent health disparities by sexual orientation, but studies are confined to a small number of countries—chiefly the USA. We provide first-time evidence of associations between sexual orientation and adolescent health/well-being in a new country—Australia. We also add to knowledge by examining health/well-being outcomes not previously analysed in national samples, considering adolescents reporting no sexual attractions, and rank-ordering sexual-orientation health disparities by magnitude.MethodsData from an Australian national probability sample of 14/15 years old (Longitudinal Study of Australian Children, n=3318) and regression models adjusted for confounding and for multiple comparisons were used to examine the associations between sexual attraction and 30 outcomes spanning multiple domains of health/well-being—including socio-emotional functioning, health-related quality of life, depressive symptoms, health-related behaviours, social support, self-harm, suicidality, victimisation, self-concept, school belonging and global health/well-being assessments.ResultsLesbian, gay, bisexual and questioning adolescents displayed significantly worse health/well-being than their heterosexual peers in all outcomes (p<0.05). The magnitude of the disparities ranged between 0.13 and 0.75 SD, and was largest in the domains of self-harm, suicidality, peer problems and emotional problems. There were fewer differences between the heterosexual and no-attraction groups. Worse outcomes were observed among both-sex-attracted adolescents compared with same-sex-attracted adolescents, and sexual-minority girls compared with sexual-minority boys.ConclusionsConsistent with the minority stress model and recent international scholarship, sexual-minority status is an important risk factor for poor adolescent health/well-being across domains in Australia. Interventions aimed at addressing sexual-orientation health disparities within Australian adolescent populations are urgently required.

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“…However, lack of HIV knowledge and fear of positive results may discourage young people from testing [14]. HIV education was associated with signi cant additional reductions in sexual risk behaviors among Young MSM [15]. It is important to adopt various online forms to strengthen the knowledge related to AIDS and improve the de ciencies in youth promotion [16].…”

Section: Discussionmentioning

confidence: 99%

Correlates of HIV Testing Frequency in MSM Based on a Survey from 2011-2018: A Hint for Risk Reduction Strategy

Liu

Chen

Yao

et al. 2020

Preprint

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Background:In recent years, HIV testing has become one of the effective strategies to reduce the risk of the disease. Frequent HIV testing can be cost effective. Therefore, an in-depth study of factors related to the testing behavior of men who have sex with men (MSM) were analyzed to optimize intervention strategies.Methods:From March 2011 to October 2018, the project was carried out in a Tianjin bathhouse, and 5165 MSM were surveyed using snowball sampling. Factors related to HIV testing behavior were analyzed by multi-level multiple logistic regression analysis after grouping according to testing frequency, and comprehensive analysis was performed.Results:The multivariate logistic analysis showed that 6 variables including young MSM(OR=0.67, 95% CI: 0.49-0.92, P=0.01), low-education MSM (OR=0.60, 95% CI: 0.47-0.76, P <0.0001), low AIDS knowledge (95% CI: 0.22-0.29, P <0.0001), marital status(OR = 1.30, 95% CI: 1.07-1.58, p = 0.007), acceptance of condom promotion and distribution(OR = 10.98, 95% CI: 8.33-14.47, p <0.0001), and frequency of condom use(p <0.05) could link to HIV testing behaviors.Conclusions:In order to achieve the 90-90-90 goal, targeted publicity and education and promote self-testing kit should be carried out to encourage frequent HIV testing, mainly including Young MSM (especially students), low-education people, married MSM and those who cannot keep using condoms during anal sex.

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HIV Education and Sexual Risk Behaviors Among Young Men Who Have Sex with Men

Abstract: There is a need for HIV education programs to reach YMSM, who are at increased risk of HIV.

Cited by 35 publications

References 30 publications

Sexual Health Education for Adolescent Males Who Are Interested in Sex With Males: An Investigation of Experiences, Preferences, and Needs

Sexual Health Education for Adolescent Males Who Are Interested in Sex With Males: An Investigation of Experiences, Preferences, and Needs

Early roots of sexual-orientation health disparities: associations between sexual attraction, health and well-being in a national sample of Australian adolescents

Correlates of HIV Testing Frequency in MSM Based on a Survey from 2011-2018: A Hint for Risk Reduction Strategy

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