Financial Hardship,Condomless Anal Intercourse and HIV Risk Among Men Who Have Sex with Men |
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| Authors: | Dustin T. Duncan Su Hyun Park John A. Schneider Yazan A. Al-Ajlouni William C. Goedel Brian Elbel Jace G. Morganstein Yusuf Ransome Kenneth H. Mayer |
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| Affiliation: | 1.Department of Population Health,New York University School of Medicine,New York,USA;2.Department of Medicine,University of Chicago School of Medicine,Chicago,USA;3.Department of Public Health Sciences,University of Chicago School of Medicine,Chicago,USA;4.New York University Wagner School of Public Service,New York,USA;5.Department of Social and Behavioral Sciences,Harvard T.H. Chan School of Public Health,Boston,USA;6.Fenway Health, The Fenway Institute,Boston,USA;7.Department of Medicine, Beth Israel Deaconess Medical Center,Harvard Medical School,Boston,USA;8.Spatial Epidemiology Lab, Department of Population Health,New York University School of Medicine,New York,USA |
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| Abstract: | The objective of this study was to examine the association between financial hardship, condomless anal intercourse and HIV risk among a sample of men who have sex with men (MSM). Users of a popular geosocial networking application in Paris were shown an advertisement with text encouraging them to complete a anonymous web-based survey (n = 580). In adjusted multivariate models, high financial hardship (compared to low financial hardship) was associated with engagement in condomless anal intercourse (aRR 1.28; 95% CI 1.08–1.52), engagement in condomless receptive anal intercourse (aRR 1.34; 95% CI 1.07–1.67), engagement in condomless insertive anal intercourse (aRR 1.30; 95% CI 1.01–1.67), engagement in transactional sex (aRR 2.36; 95% CI 1.47–3.79) and infection with non-HIV STIs (aRR 1.50; 95% CI 1.07–2.10). This study suggests that interventions to reduce financial hardships (e.g., income-based strategies to ensure meeting of basic necessities) could decrease sexual risk behaviors in MSM. |
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