Financial Hardship, Condomless Anal Intercourse and HIV Risk Among Men Who Have Sex with Men

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Duncan, Dustin T. ; Park, Su Hyun ; Schneider, John A. ; Al-Ajlouni, Yazan A. ; Goedel, William C. ; Elbel, Brian ; Morganstein, Jace G. ; Ransome, Yusuf ; Mayer, Kenneth H.
• Description:
  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.
• Subjects:
  Adolescent Adult Condoms HIV Infections Homosexuality, Male Humans Male Middle Aged Paris Risk-Taking Sexual Behavior Socioeconomic Factors Surveys And Questionnaires Unemployment Unsafe Sex Young Adult

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• Keywords:
  Condomless Anal Intercourse Financial Hardship Gay Men’s Health Health Disparities Men Who Have Sex With Men (MSM) Paris France Sexual Health Sexually Transmitted Infections Social Epidemiology
• Source:
  AIDS Behav. 21(12):3478-3485
• Pubmed ID:
  29101606
• Pubmed Central ID:
  PMC5988347
• Document Type:
  Journal Article
• Funding:
  R25 MH083620/MH/NIMH NIH HHSUnited States/ ; U01PS005122/ACL/ACL HHSUnited States/ ; 1R01MH112406-01/MH/NIMH NIH HHSUnited States/ ; 1U01PS005122-01/National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention/ ; R01 MH112406/MH/NIMH NIH HHSUnited States/ ; R03 DA039748/DA/NIDA NIH HHSUnited States/ ; R21 MH110190/MH/NIMH NIH HHSUnited States/ ; U01 PS005122/PS/NCHHSTP CDC HHSUnited States/ ; U01PS005122/ACL/ACL HHSUnited States/ ; 1R21MH110190-01/MH/NIMH NIH HHSUnited States/ ; 1R03DA039748-01A1/DA/NIDA NIH HHSUnited States/
• Volume:
  21
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:57ea786f0fe8692495bebc2a875f426c6e191a908caddff26324273fde53e9ca
• Download URL:
  https://stacks.cdc.gov/view/cdc/158011/cdc_158011_DS1.pdf
• File Type:
  [PDF - 79.12 KB ]