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Christine Khosropour Patrick S. Sullivan 《Public health reports (Washington, D.C. : 1974)》2013,128(5):385-392
Objectives
Despite large public investments in condom distribution programs for HIV prevention among men who have sex with men (MSM), few evaluations have documented the reach of condom distribution programs or whether free condoms distributed to MSM are actually used. Among MSM recruited from social networking and dating websites, we examined the proportion who reported acquiring and using free condoms, and associations between select characteristics and reported acquisition and use of free condoms.Methods
We used baseline data from a prospective, online cohort of U.S. MSM. Participants reported acquiring free condoms in the 12 months before interview and, for those who acquired condoms and had anal intercourse, use of the free condoms they acquired. We used multivariable log binomial regression models to describe factors associated with self-reported acquisition and use of condoms.Results
Of the 2,893 men in the analytic sample, 1,701 (59%) reported acquiring free condoms in the past year. Acquisition of free condoms was higher for men who were younger, more educated, recently tested for HIV, and had higher numbers of sex partners. Seventy-three percent of men who acquired free condoms reported using them; use was higher for men who were black, had been recently tested for HIV, and reported greater numbers of sex partners.Conclusions
Most MSM in our online sample reported receiving free condoms, and most who acquired free condoms reported using them. These data suggest that condom distribution programs have reasonable reach and utility as part of a comprehensive package of HIV prevention interventions for U.S. MSM.Men who have sex with men (MSM) are the group at highest risk for HIV infection in the U.S. In 2010, 61% of all new human immunodeficiency virus (HIV) diagnoses in the U.S. were among MSM,1 who only account for an estimated 2% of the U.S. population.2 Further, MSM have been the only risk group in which HIV incidence has been increasing since the early 1990s.3Condoms have been identified as a method to prevent sexual transmission of HIV since the early phases of the HIV epidemic in the U.S. In 1986, the Centers for Disease Control and Prevention issued a recommendation for the use of condoms to prevent sexual transmission of HIV, even prior to definitive findings of the effectiveness of condoms to prevent HIV transmission had been released.4 Since that time, condoms have been recognized as the most effective method to prevent the sexual transmission of HIV, aside from abstinence,5–8 and condom promotion remains a mainstay of HIV prevention strategies, including the National HIV/Acquired Immunodeficiency Syndrome (AIDS) Strategy for the United States.9Although the effectiveness of condoms to prevent HIV transmission is well recognized, studies have noted that barriers to obtaining condoms, such as cost10 and embarrassment associated with purchasing condoms,11 may prevent condom use. Given the demonstrated benefits of condoms coupled with the fact that barriers to purchasing condoms may prevent condom acquisition, many health departments, clinics, community-based organizations, and AIDS service organizations have implemented free condom distribution programs to ensure those individuals most at risk for HIV infection, such as MSM, have access to condoms.12–14 Regardless of the size of the program, distributing free condoms requires the dedication of significant resources. For example, Louisiana''s statewide condom availability program, which distributed more than 33 million condoms from 1994 to 1996, cost an estimated $3 million during the three-year period.15 The Free Condom Initiative by the New York City Department of Health and Mental Hygiene (NYC DOHMH) distributed 17.3 million condoms in 2006 at a cost of $1.59 million.13Because of the considerable financial and organizational commitment involved in distributing free condoms, understanding the impact of free condom distribution is essential. Although it is important to define key indicators, such as the number of condoms distributed,16 to measure a program''s success, it is critical to determine the type of individuals receiving free condoms to ensure that those most at risk for HIV infection both have access to and make use of free condoms. To date, few studies have examined factors associated with acquisition and use of free condoms among MSM; those studies that have been conducted have been limited in geographic region to either one state17 or to urban areas.18 To address these research gaps, we examined characteristics associated with acquisition and use of free condoms using data from a national online HIV prevention survey. 相似文献3.
Joshua G. Rosenberger Brian Dodge Barbara Van Der Pol Michael Reece Debby Herbenick J. Dennis Fortenberry 《Archives of sexual behavior》2011,40(2):281-288
Little is known about men’s potential motivations and barriers associated with specific sexually transmitted infections (STI)
testing methods. In this study, we examined experiences of self-sampling for ano-rectal STI among men who have sex with men
(MSM) in a midwestern community in the U.S. A total of 75 MSM were recruited from community venues throughout Indianapolis,
Indiana. Participants completed semi-structured interviews, were asked to obtain ano-rectal self-sample in a private restroom,
and were asked open-ended questions about their experiences with ano-rectal self-sampling for STI. Participants included 35
White, 27 Black, and 13 Latino MSM who ranged in age from 18 to 57 years. Regardless of sexual practices, most participants
who obtained an ano-rectal self-sample (68/75) reported that the sampling procedure was relatively painless and physically
easy. However, regardless of previous receptive anal sex, participants also expressed concerns about the nature of the test
(i.e., inserting something into their rectum), which required increased levels of privacy and cleanliness compared to collection
of urine samples. Self-sampling proved to be a feasible and acceptable method of collecting ano-rectal STI specimens among
MSM. Increased testing for ano-rectal STI among MSM may require addressing the location of sampling and testing sites, existing
negative perceptions of ano-rectal self-sampling, and the measures in place to promote privacy and cleanliness. 相似文献
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Hamish Mohammed Holly Mitchell Bersabeh Sile Stephen Duffell Anthony Nardone Gwenda Hughes 《Emerging infectious diseases》2016,22(1):88-91
Surveillance data from sexual health clinics indicate recent increases in sexually transmitted infections, particularly among men who have sex with men. The largest annual increase in syphilis diagnoses in a decade was reported in 2014. Less condom use may be the primary reason for these increases. 相似文献
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Efforts have been made to better understand sexual compulsivity by examining salient psychosocial syndemic correlates, though examination of such factors has yielded inconclusive results. Given that research on sexual compulsivity has predominately involved men who have sex with men (MSM), the aims of the current study were to establish the mean effect sizes of seven psychosocial syndemic indicators with sexual compulsivity, to determine if the effect varied as a function of the type of psychosocial syndemic, and investigate the potential moderating effects using MSM samples. A total of 95 studies were included for analyses among the psychosocial syndemic indicators of interest (i.e., depression, anxiety, alcohol use, drug use, intimate partner violence, childhood sexual abuse, and sexual risk behavior). Results revealed a medium mean effect size of sexual compulsivity, the strength of which was significantly moderated by type of psychosocial syndemic indicator. Significant mean effect sizes for all syndemic indicators on sexual compulsivity were found, with depression and anxiety having the strongest relationships; significant moderating effects were found and are discussed. Findings highlight clinical considerations regarding sexual compulsivity and its role within the HIV syndemic framework among MSM. 相似文献
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Dyer TP Shoptaw S Guadamuz TE Plankey M Kao U Ostrow D Chmiel JS Herrick A Stall R 《Journal of urban health》2012,89(4):697-708
This study analyzed data from a large prospective epidemiologic cohort study among men who have sex with men (MSM), the Multicenter AIDS Cohort Study, to assess syndemic relationships among Black MSM in the cohort (N = 301). We hypothesized that multiple interconnections among psychosocial health conditions would be found among these men, defining syndemic conditions. Constituents of syndemic conditions measured included reported depression symptoms, sexual compulsiveness, substance use, intimate partner violence (IPV), and stress. We found significant evidence of syndemics among these Black men: depression symptoms were independently associated with sexual compulsiveness (odds ratios [OR]: 1.88, 95% CI = 1.1, 3.3) and stress (OR: 2.67, 95% CI = 1.5, 4.7); sexual compulsiveness was independently associated with stress (OR: 2.04, 95% CI = 1.2, 3.5); substance misuse was independently associated with IPV (OR: 2.57, 95% CI = 1.4, 4.8); stress independently was associated with depression symptoms (OR: 2.67, 95% CI = 1.5, 4.7), sexual compulsiveness (OR: 2.04, 95% CI = 1.2, 3.5) and IPV (OR: 2.84, 95% CI = 1.6, 4.9). Moreover, men who reported higher numbers of syndemic constituents (three or more conditions) reportedly engaged in more unprotected anal intercourse compared to men who had two or fewer health conditions (OR: 3.46, 95% CI = 1.4–8.3). Findings support the concept of syndemics in Black MSM and suggest that syndemic theory may help explain complexities that sustain HIV-related sexual transmission behaviors in this group. 相似文献
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Aung Ei T. Fairley Christopher K. Chow Eric P. F. Lee David Maddaford Kate Wigan Rebecca Read Daniel Taj Umar Vlaev Ivo Ong Jason J. 《Archives of sexual behavior》2022,51(5):2641-2650
Archives of Sexual Behavior - Behavioral economics and its applied branch “nudging” can improve individual choices in various health care settings. However, there is a paucity of... 相似文献
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Leblanc Natalie M. Crean Hugh F. Dyer Typhanye P. Zhang Chen Turpin Rodman Zhang Nanhua Smith Martez D. R. McMahon James Nelson LaRon 《Archives of sexual behavior》2021,50(5):2031-2047
Archives of Sexual Behavior - Threats to sexual health among U.S. Black men who have sex with men (MSM) may manifest in a context of social adverse experiences. Situational sex is one such context,... 相似文献
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Katie B. Biello Morgan T. Drucker Marvin Belzer Matthew J. Mimiaga Julia Coffey-Esquivel Jennifer Brothers Kenneth H. Mayer 《Archives of sexual behavior》2018,47(7):2101-2107
Young men who have sex with men account for approximately 20% of incident HIV infections in the U.S. Antiretroviral pre-exposure prophylaxis (PrEP) administered as a daily pill has been shown to decrease HIV acquisition in at-risk individuals. New modalities for PrEP are being developed and tested, including injectable PrEP; however, acceptability of these emerging modalities has not yet been examined in youth. We conducted six focus groups with 36 young men and transgender men and women who have sex with men in Boston, Chicago, and Los Angeles in 2016 to assess interest in and preference for different PrEP modalities. Youth were purposively recruited based on diversity of age, race/ethnicity, and prior PrEP experience. Data were coded using content coding based on key domains of the interview guide, in particular around the central themes of interest in and barriers and facilitators to injectable PrEP use. Participants were knowledgeable about oral PrEP but suggested barriers to broader uptake, including stigma, marginalization, and access to information. While participants were split on preference for injectable versus oral PrEP, they agreed quarterly injections may be more manageable and better for those who have adherence difficulties and for those who engage in sex more frequently. Concerns specific to injectable PrEP included: severity/duration of side effects, pain, level of protection prior to next injection, distrust of medical system and injections, and cost. Understanding barriers to and preferences for diverse prevention modalities will allow for more HIV prevention options, improved products, and better interventions, thus allowing individuals to make informed HIV prevention choices. 相似文献
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Kimberly M. Nelson Jane M. Simoni Diane M. Morrison William H. George Emily Leickly Liliana J. Lengua Stephen E. Hawes 《Archives of sexual behavior》2014,43(4):833-843
This study aimed to describe sexually explicit online media (SEOM) consumption among men who have sex with men (MSM) in the United States and examine associations between exposure to unprotected anal intercourse (UAI) in SEOM and engagement in both UAI and serodiscordant UAI. MSM in the U.S. who accessed a men-seeking-men website in the past year (N = 1,170) were recruited online for a cross-sectional, Internet-based survey of sexual risk and SEOM consumption. In the 3 months prior to interview, more than half (57 %) of the men reported viewing SEOM one or more times per day and almost half (45 %) reported that at least half of the SEOM they viewed portrayed UAI. Compared to participants who reported that 0–24 % of the SEOM they viewed showed UAI, participants who reported that 25–49, 50–74, or 75–100 % of the SEOM they viewed portrayed UAI had progressively increasing odds of engaging in UAI and serodiscordant UAI in the past 3 months. As SEOM has become more ubiquitous and accessible, research should examine causal relations between SEOM consumption and sexual risk-taking among MSM as well as ways to use SEOM for HIV prevention. 相似文献
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Derek T. DangerfieldII Nina T. Harawa Laramie R. Smith William L. JeffriesIV Lourdes Baezconde-Garbanati Ricky Bluthenthal 《Archives of sexual behavior》2018,47(7):2071-2080
Black men who have sex with men and women (BMSMW) are at high risk for HIV and other sexually transmitted infections (STIs). Despite knowing that HIV/STI risk varies by sexual positioning practices, limited data have characterized the risk profiles of BSMW. This study utilized latent class analysis (LCA) to explore BMSMW’s sexual risk profiles regarding condomless sexual positioning practices. Participants were BMSMW in intervention studies in Los Angeles, Chicago, and Philadelphia. LCA was used to characterize their sexual risk profiles. Age, study location, HIV status, social support, and internalized homophobia were used as covariates in a multinomial regression model predicting the likelihood of class membership. Among the 546 participants, three latent classes of risk were identified: Seropositive Serosorters, Seronegative/unknown Serosorters, and Main Partners Only. All groups had the greatest probabilities of condomless sex with main partners. Seropositive Serosorters had the highest probabilities of condomless sex with HIV-positive partners. Seronegative/unknown Serosorters had the highest probabilities of condomless sex with HIV-negative or unknown status partners. HIV-positive BMSMW had 87% lower odds of being classified as Seronegative/unknown Serosorters than Seropositive Serosorters than HIV-negative/unknown status BMSMW (AOR = 0.13, 95% CI 0.06, 0.28). HIV-positive BMSMW had 71% lower odds of being classified as Main Partners Only than Seropositive Serosorters than HIV-negative/unknown status BMSMW (AOR = 0.29, 95% CI 0.16, 0.51). Findings highlight opportunities for clinicians to promote condom use and risk reduction among BMSMW with differing sexual risk profiles. Increased understanding of sexual positioning practices among BMSMW might help address HIV/STIs among this group. 相似文献
13.
Leblanc Natalie M. Crean Hugh F. Dyer Typhanye P. Zhang Chen Turpin Rodman Zhang Nanhua Smith Martez D. R. McMahon James Nelson LaRon 《Archives of sexual behavior》2021,50(6):2773-2773
Archives of Sexual Behavior - A correction to this paper has been published: https://doi.org/10.1007/s10508-021-02033-5 相似文献
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Heather A. Joseph Yi Pan Maria Mendoza Nina T. Harawa Jennifer Lauby Sybil G. Hosek Ricky N. Bluthenthal Mary Milnamow Maria Isabel Fernandez William L. JeffriesIV Lisa Belcher Gregorio A. Millett 《Archives of sexual behavior》2018,47(1):183-194
Black men who have sex with men and women (BMSMW) are at increased HIV risk, but few efficacious interventions meet their unique needs. Three HIV prevention interventions were evaluated with a common protocol. Baseline data were pooled to describe sexual behavior involving transmission risk with male, female, and male-to-female transgender partners and identify factors associated with transmission risk. BMSMW from Los Angeles, Philadelphia, and Chicago who reported sexual risk and bisexual behavior in the past year were recruited via modified chain referral sampling and community recruitment. Baseline assessments were conducted via audio computer-assisted interview and sexual behaviors assessed over the past 3 months. From December 2010 to November 2012, 584 BMSMW were enrolled across the three cities. More than half (55%) were recruited by other participants. Overall, the mean age was 43 years. Seventy-five percent reported an annual income <$10,000 and selling sex was prevalent (31%). Three-quarters identified as bisexual. Thirty-nine percent were HIV-positive. Among HIV-positive participants, 46% reported sex without condoms with HIV-negative or unknown male partners and 45% with HIV-negative or unknown female partners. Overall, factors associated with sex without condoms included network size, education, income, sexual orientation identification, HIV status, exchange sex, homonegativity, and social support. Findings support the need for enhanced HIV prevention efforts for this population. Future studies should examine contextual factors in addition to individual risk behaviors to inform the development and implementation of promising strategies to prevent HIV and promote the overall health and wellness of BMSMW and their sexual partners. 相似文献
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The Association Between Penis Size and Sexual Health Among Men Who Have Sex with Men 总被引:1,自引:0,他引:1
Larger penis size has been equated with a symbol of power, stamina, masculinity, and social status. Yet, there has been little
research among men who have sex with men assessing the association between penis size and social-sexual health. Survey data
from a diverse sample of 1,065 men who have sex with men were used to explore the association between perceived penis size
and a variety of psychosocial outcomes. Seven percent of men felt their penis was “below average,” 53.9% “average,” and 35.5%
“above average.” Penis size was positively related to satisfaction with size and inversely related to lying about penis size
(all ps < .01). Size was unrelated to condom use, frequency of sex partners, HIV status, or recent diagnoses of HBV, HCV, gonorrhea/Chlamydia/urinary
tract infections, and syphilis. Men with above average penises were more likely to report HPV and HSV-2 (Fisher’s exact p ≤ .05). Men with below average penises were significantly more likely to identify as “bottoms” (anal receptive) and men with
above average penises were significantly more likely to identify as “tops” (anal insertive). Finally, men with below average
penises fared significantly worse than other men on three measures of psychosocial adjustment. Though most men felt their
penis size was average, many fell outside this “norm.” The disproportionate number of viral skin-to-skin STIs (HSV-2 and HPV)
suggest size may play a role in condom slippage/breakage. Further, size played a significant role in sexual positioning and
psychosocial adjustment. These data highlight the need to better understand the real individual-level consequences of living
in a penis-centered society. 相似文献
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Jin Zhao Lin Chen Wen-De Cai Jing-Guang Tan Wei Tan Chen-Li Zheng Jin-Quan Cheng Zheng-Rong Yang Ming-Liang He Xiao-Rong Wang 《Archives of sexual behavior》2014,43(4):801-809
The prevalence of HIV infection among men who have sex with men (MSM) has increased rapidly in China. Previous studies suggested that some venue-specific characteristics could significantly affect MSM’s sexual behaviors that were related to HIV transmission. Thus, to compare the HIV infection rates and related risky sexual behaviors among MSM at different venues, we conducted a cross-sectional study with time-location sampling in Shenzhen, China. Among the 801 MSM recruited in the study, 7.0 % (n = 56) were found to be HIV positive, with 0.9 % of MSM at bars (BMSM), 3.5 % of MSM at suburban recreational centers (RMSM), 8.1 % of MSM at saunas (SMSM), 9.3 % of MSM at parks (PMSM), and 10.1 % of MSM at dorm-based venues (DMSM). HIV infection was significantly more prevalent in MSM in dorm-based venues, parks, and saunas than in other venues. Compared to MSM in other venues, BMSM were more likely to be single, drug and alcohol users, but less likely to be HIV and syphilis positive. More PMSM reported having unprotected anal intercourse with other men while more SMSM reported having multiple male sex partners and more RMSM had a low level of HIV-related knowledge. The results indicated that MSM frequenting different venues were inconsistent with regards to demographic characteristics, HIV and syphilis infection rates, and risky sexual behaviors. Greater efforts are needed to develop intervention strategies that target specific venues and risky behaviors. 相似文献
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Adverse Childhood Experiences and Health and Wellness Outcomes among Black Men Who Have Sex with Men
K. A. Ports R. D. Lee J. Raiford P. Spikes C. Manago D. P. Wheeler 《Journal of urban health》2017,94(3):375-383
Black men who have sex with men (BMSM) are a population at the intersection of two minority statuses—racial minority and sexual minority. Membership in either group, compared to white or heterosexual group membership, may increase one’s risk of negative childhood and adult experiences. Baseline data from an HIV intervention efficacy trial (the Black Men Evolving Study) were used to explore the prevalence of adverse childhood experiences (ACEs) among 536 BMSM and associations between ACEs and adult mental and physical health outcomes. Overall, the prevalence of ACEs was high among this sample of BMSM with almost 90% experiencing at least one ACE. Findings revealed that ACE score was significantly associated with adult mental health (AOR = 1.21, 95% CI [1.12, 1.30]), but not with adult physical health. All ACEs were significantly associated with mental health, but only physical neglect and household substance abuse were significantly associated with physical health (AOR = 1.69, 95% CI [1.02, 2.74] and AOR = 1.57, 95% CI [1.03, 2.40], respectively). The findings support the need for interventions targeting improved adult health outcomes, particularly for minority groups, to consider the impact of early adversity on health and wellness. 相似文献
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Sexual minority youth are more likely to experience homelessness, and homeless sexual minority youth report greater risk for mental health and substance abuse symptoms than homeless heterosexual youth, yet few studies have assessed determinants that help explain the disparities. Minority stress theory proposes that physical and mental health disparities among sexual minority populations may be explained by the stress produced by living in heterosexist social environments characterized by stigma and discrimination directed toward sexual minority persons. We used data from a sample of 200 young men who have sex with men (YMSM) (38 % African American, 26.5 % Latino/Hispanic, 23.5 % White, 12 % multiracial/other) to develop an exploratory path model measuring the effects of experience and internalization of sexual orientation stigma on depression and substance use via being kicked out of home due to sexual orientation and current homelessness. Direct significant paths were found from experience of sexual orientation-related stigma to internalization of sexual orientation-related stigma, having been kicked out of one’s home, experiencing homelessness during the past year, and major depressive symptoms during the past week. Having been kicked out of one’s home had a direct significant effect on experiencing homelessness during the past 12 months and on daily marijuana use. Internalization of sexual orientation-related stigma and experiencing homelessness during the past 12 months partially mediated the direct effect of experience of sexual orientation-related stigma on major depressive symptoms. Our empirical testing of the effects of minority stress on health of YMSM advances minority stress theory as a framework for investigating health disparities among this population. 相似文献