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.

TitleCross-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.
Publication TypePublication
Year of Publication2015
AuthorsEllen JM, Greenberg L, Willard N, Stines S, Korelitz J, Boyer CB
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalSex Transm Infect
Volume91
Issue6
Pagination458-61
Date Published2015 Sep
ISSN1472-3263
KeywordsAdolescent, Bisexuality, Cross-Sectional Studies, HIV Infections, Homosexuality, Male, Humans, Male, Prevalence, Puerto Rico, Risk Factors, Risk-Taking, Sexual Behavior, Sexual Partners, Substance-Related Disorders, United States, Unsafe Sex, Young Adult
Abstract

<p><b>OBJECTIVE: </b>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.</p><p><b>METHODS: </b>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.</p><p><b>RESULTS: </b>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.</p><p><b>CONCLUSIONS: </b>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.</p>

DOI10.1136/sextrans-2014-051712
Alternate JournalSex Transm Infect
PubMed ID25587181
PubMed Central IDPMC4500752
Grant ListU01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD 040474 / HD / NICHD NIH HHS / United States
U01 HD 040533 / HD / NICHD NIH HHS / United States