Understanding Recent Increases in the Incidence of Sexually Transmitted Infections in Men Having Sex With Men: Changes in Risk Behavior From Risk Avoidance to Risk Reduction

Marcus, Ulrich; Bremer, Viviane; Hamouda, Osamah; Kramer, Michael H.; Freiwald, Matthias; Jessen, Heiko; Rausch, Michael; Reinhardt, Bernd; Rothaar, Alex; Schmidt, Wolfgang; Zimmer, Yves

doi:10.1097/01.olq.0000187224.10428.31

Cited by 71 publications

(47 citation statements)

References 26 publications

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“…Consistent with earlier literature, it was not surprising to find that HIV-positive participants were more likely to report intentionally having URAI and accepting semen internally (Bouhnik et al 2006, Marcus et al 2006, especially with men of the same serostatus (Xia et al 2006).…”

Section: Discussionsupporting

confidence: 73%

‘It's like the treasure’: beliefs associated with semen among young HIV‐positive and HIV‐negative gay men

Schilder

Orchard

Buchner

et al. 2008

Culture, Health & Sexuality

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This paper examines cultural and social meanings associated with semen, along with related issues of unprotected receptive anal intercourse, HIV seroconversion, treatment optimism and viraemia. The findings are derived from qualitative interviews conducted with 12 HIV-positive young gay men and 12 HIV-negative counterparts who participated in a prospective cohort study in Vancouver, Canada. Focussing on the narratives of young gay men, the analysis reveals a diverse range of knowledge, values and functions of semen, especially in relation to its exchange. Beliefs about semen appeared to differ by HIV serostatus and were linked with intimacy, identity and pleasure, particularly among the HIV-positive men. Against dominant representations of semen in relation to issues of loss, anxiety and infertility, this unique study sheds much needed light on its role within the cultural construction of sexuality among gay men. As such, these narratives are of direct importance to primary and secondary HIV prevention, including condom promotion and the development of rectal microbicides.

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Section: Discussionsupporting

confidence: 73%

‘It's like the treasure’: beliefs associated with semen among young HIV‐positive and HIV‐negative gay men

Schilder

Orchard

Buchner

et al. 2008

Culture, Health & Sexuality

View full text Add to dashboard Cite

show abstract

“…All the information about demographic characteristics and behavioral factors was obtained by self-reporting. Therefore, responses may be subjected to reporting bias because of social desirability (28)(29)(30). Such a bias may underestimate the prevalence of unprotected sex.…”

Section: Discussionmentioning

confidence: 99%

Sexual Practices and the Prevalence of HIV and Syphilis among Men Who Have Sex with Men in Lanzhou, China

Gao

et al. 2015

Jpn J Infect Dis

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SUMMARY:We aimed to assess the risk of infections caused by sexual practices and determine the factors affecting the prevalence of human immunodeficiency virus (HIV) and syphilis among men who have sex with men (MSM) in Lanzhou, China. A survey including 600 MSM was conducted from March 2008 to December 2009. Demographic and sexual behavior data were collected using the snowball sampling technology, and blood samples were obtained. Multivariate logistic regression models were used to determine the predictors of HIV and syphilis infection. The seroprevalence of HIV, syphilis, HCV, and co-infection of HIV with syphilis was 6.0z, 18.0z, 1.3z, and 2.5z, respectively. Use of condoms was more inconsistent in vaginal sex than that in anal sex, buying sex or selling sex. Multivariate analysis showed that MSM with syphilis infection, MSM from other provinces, and MSM of Han ethnicity were more likely to have HIV infection. Further, MSM with HIV infection, inconsistent condom use, and less knowledge about AIDS prevention were more likely to have syphilis infection. Their social background, habit of condom use, and infection status may affect the prevalence of HIV or syphilis. These findings may have important implications for further behavioral interventions among this population.

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“…In the early 2000s, epidemics of syphilis and then of LGV occurred in all Western European countries, mainly among HIV-infected MSM [26][27][28][29][30][31]. The number of new HIV diagnoses among MSM and bisexual men increased by 86% between 2000 and 2006 in 23 European countries [32].…”

Section: Discussionmentioning

confidence: 99%

Recently acquired HIV infection in men who have sex with men (MSM) in France, 2003-2008

et al. 2009

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An increase in the number of new HIV diagnoses among men who have sex with men (MSM) was observed in several countries in the early 2000s. In this article, we explore the trends among MSM in France between 2003 and 2008. To estimate the number of MSM newly diagnosed with HIV, we take into account the reporting delay, underreporting and missing data for HIV case notification. To identify recent infections (RI) (acquired an average of six months before diagnosis), we used an enzyme immunoassay for recent HIV-1 infections (EIA-RI) which has been performed routinely for new HIV diagnoses since 2003. Multivariate analysis was used to identify factors associated with RI. We estimate that between 1,900 and 2,400 MSM have been newly diagnosed with HIV every year: the proportion of MSM among all newly diagnosed with HIV cases has increased from 25.2% (95% confidence interval ( . The risk of RI decreased with age. The HIV situation among MSM living in France is a cause of concern, despite the prevention campaigns dedicated to this highly educated sub-population.

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Understanding Recent Increases in the Incidence of Sexually Transmitted Infections in Men Having Sex With Men: Changes in Risk Behavior From Risk Avoidance to Risk Reduction

Abstract: High partner numbers, an important role of genital-oral sexual practices for the transmission of STIs, and relatively high frequencies of mostly receptive UAI in HIV-positive men are all contributing to increasing STI incidences among MSM.

Cited by 71 publications

References 26 publications

‘It's like the treasure’: beliefs associated with semen among young HIV‐positive and HIV‐negative gay men

‘It's like the treasure’: beliefs associated with semen among young HIV‐positive and HIV‐negative gay men

Sexual Practices and the Prevalence of HIV and Syphilis among Men Who Have Sex with Men in Lanzhou, China

Recently acquired HIV infection in men who have sex with men (MSM) in France, 2003-2008

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