Journal
JOURNAL OF PUBLIC HEALTH
Volume 42, Issue 2, Pages E174-E186Publisher
OXFORD UNIV PRESS
DOI: 10.1093/pubmed/fdz052
Keywords
HIV; MSM; relationships; respondent-driven sampling; time-location sampling
Categories
Funding
- Second Programme of Community Action in the field of Health (2008-2013) (Work Plan 2010)
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Background Relationship status is an important factor associated with condomless anal intercourse (CAI) amongst men who have sex with men (MSM). Methods A multi-centre bio-behavioural survey with MSM was conducted in 13 European cities (n = 4901) exploring factors associated with CAI via bivariate and multivariate multilevel logistic regression analyses. Results Likelihood of CAI with casual partners was associated with being out to a majority (AOR = 1.19;95% 0 1,1.42); knowing their HIV status (AOR = 1.86; 95% CI 1.25,2.76); using substances (1-2 AOR = 1.39; 95% CI 1.16,1.63, 2+ AOR = 1.81; 95% CI 135,2.42); being older (AOR = 0.98; 95% 0 0.97,0.99); successful sero-communication (AOR = 0.79; 95% 0 0.67,0.94); and, not having a recent HIV test (AOR = 0.78; 95% CI 0.66,0.92). CAI with steady partners was associated with successful sero-communication (AOR = 2.72; 95% 0 2.72,3.66); riot having a recent HIV test (AOR = 1.26; 95% 0 1.09,1.46), and; being older (AOR = 0.99; 95% CI 0.98,0.99). Conclusions Understandings of partner type and/or relationship status in relation to CAI amongst MSM can potentially play an important role in the development of culturally appropriate HIV/STI prevention and risk-reduction efforts targeting at-risk MSM. Our results speak to the need to consider segmented and tailored public health and health promotion initiatives for MSM with differing CAI behaviours and relationship profiles.
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