Non-volitional Sex and HIV-related Sexual Risk Behaviors among Men Who Have Sex with Men in the United States
Published Date:Aug 24 2015
Pubmed Central ID:PMC4572479
Funding:CC999999/Intramural CDC HHS/United States
We estimated the prevalence of lifetime non-volitional sex (NVS) among men who have sex with men (MSM) by demographic characteristics, and characterized its association with HIV-related sexual risk behaviors among MSM in the United States.
National Survey of Family Growth (NSFG) is a nationally representative cross-sectional survey of the United States.
NSFG data from recent cycles 2002, and 2006–2010 were weighted and analyzed for males aged 18–44 years who reported ever having anal or oral intercourse with another male. Associations of lifetime NVS (forced sex by males or females) and age of first NVS experience (<18 vs. ≥18), with HIV-related sexual risk behavior outcomes in the past 12 months (i.e., sex with ≥2 male sex partners; exchanged sex for money or drugs; sex with injection drug user (IDU); sex with HIV-positive person; sex with ≥2 female sex partners) were assessed using adjusted prevalence ratios.
An estimated 3,226,872 or 5.8% of men aged 18–44 years were identified as MSM with 24.6% of them reporting ever experiencing NVS. MSM reporting NVS at ≥18 years were more likely to have had sex with an IDU (aPR=4.40; 95%CI: 1.78–10.88), and exchanged sex for money or drugs (aPR=2.52; 95%CI: 1.17–5.43) in the past 12 months compared to those not reporting NVS. NVS for MSM <18 years was associated with exchanging sex for money or drugs.
Effective interventions to raise awareness of NVS among MSM, and to offer support for MSM who have experienced NVS are needed.
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