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Cross-sectional survey comparing HIV risk behaviours of adolescent and young
adult men who have sex with men only and men who have sex with men and women in
the U S and Puerto Rico
#MMPMID25587181
Ellen JM
; Greenberg L
; Willard N
; Stines S
; Korelitz J
; Boyer CB
Sex Transm Infect
2015[Sep]; 91
(6
): 458-61
PMID25587181
show ga
OBJECTIVE: To examine the HIV risk behaviours of men who have sex with men only
(MSMO) and men who have sex with men and women (MSMW), aged 12-24?years, in five
US cities and in San Juan, Puerto Rico. METHODS: Data were collected through four
annual cross-sectional anonymous surveys at community venues and included
questions about sexual partnerships, sexual practices including condom use and
substance use. Demographic and risk profiles were summarised for both groups.
RESULTS: A total of 1198 men were included in this analysis, including 565 MSMO
and 633 MSMW. There were statistically significant differences between the two
groups for many risk factors examined in multivariable models. MSMW were more
likely to identify as bisexual, be in a long-term relationship, have a history of
homelessness, have ever used marijuana, have ever been tested for HIV and to have
been tested for HIV within the past 6?months. MSMW may be more likely to ever
exchange sex for money and ever have a sexually transmitted infection than MSMO.
CONCLUSIONS: MSMW were more likely to report several markers of socioeconomic
vulnerability or behaviours associated with increased risk for HIV than MSMO.
MSMW contribute to HIV prevalence in the USA, and better understanding of the
risk profile of this group is essential to understand heterosexual HIV
transmission. MSMW, particularly those who identify as bisexual or questioning,
may feel uncomfortable participating in programmes that are designed for
gay-identified men. Therefore, prevention strategies need to target distinct
subgroups that compose the population of MSM.
|*Sexual Partners/psychology
[MESH]
|Adolescent
[MESH]
|Bisexuality/psychology/*statistics & numerical data
[MESH]
free
free
free
