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2014 ; 18
(12
): 2423-31
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Earlier anal sexarche and co-occurring sexual risk are associated with current
HIV-related risk behaviors among an online sample of men who have sex with men in
Asia
#MMPMID24920344
Cheung DH
; Suharlim C
; Guadamuz TE
; Lim SH
; Koe S
; Wei C
AIDS Behav
2014[Dec]; 18
(12
): 2423-31
PMID24920344
show ga
Studies of heterosexual populations across the globe and men who have sex with
men (MSM) in a few developed countries showed that earlier sexual debut
(sexarche) was associated with higher levels of co-occurring and subsequent HIV
risk behaviors. We examined the relationships between earlier anal sexarche,
unprotected earlier anal sexarche and current HIV risks among MSM from Asia. A
cross-sectional online survey was conducted among MSM (N = 10,826) in Asia in
2010. Bivariate and multivariable logistic regressions were used to identify
co-occurring (i.e., sexual experiences during sexarche) and current HIV-related
risk factors (i.e., past 6 months) associated with earlier anal sexarche (before
the age of 18) and unprotected earlier anal sexarche, respectively. Earlier anal
sexarche was significantly associated with lack of condom use, being anal
receptive or both receptive and insertive, and having a partner who were older
during sexarche. It was also associated with current HIV-related risk behaviors
including having multiple male sexual partners, having been paid for sex, and
increased frequencies of recreational drug use. Unprotected earlier anal sexarche
was significantly associated with inconsistent condom use in the past the 6
months. Improved and culturally sensitive sex education at schools should be
included in national and regional HIV/AIDS prevention programming and policies in
Asia. Such sex education programs should incorporate curriculum that address
sexuality, sexual orientation, and sexual behaviors beyond those related to
reproductive health.
|*Homosexuality, Male
[MESH]
|*Risk-Taking
[MESH]
|*Sexual Partners
[MESH]
|*Unsafe Sex/statistics & numerical data
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Age Factors
[MESH]
|Asia/epidemiology
[MESH]
|Cross-Sectional Studies
[MESH]
|Drug Users/statistics & numerical data
[MESH]
|HIV Infections/*epidemiology
[MESH]
|Health Surveys
[MESH]
|Humans
[MESH]
|Internet
[MESH]
|Logistic Models
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Retrospective Studies
[MESH]
|Risk Factors
[MESH]
|Sex Work/statistics & numerical data
[MESH]
|Sexual Behavior/statistics & numerical data
[MESH]