Intentional risk reduction practices of men in Switzerland who have anal intercourse with casual male partners.

TitleIntentional risk reduction practices of men in Switzerland who have anal intercourse with casual male partners.
Publication TypeJournal Article
Year of Publication2010
AuthorsBalthasar, H, Jeannin, A, Lociciro, S, Dubois-Arber, F
JournalJ Acquir Immune Defic Syndr
Volume54
Issue5
Pagination542-7
Date Published2010 Aug
DOI10.1097/QAI.0b013e3181e19a6b
ISSN1944-7884
KeywordsCross-Sectional Studies, Disease Transmission, Infectious, HIV Infections, Homosexuality, Male, Humans, Male, Questionnaires, Risk Reduction Behavior, Sexual Behavior, Switzerland
Abstract

OBJECTIVE: To identify prevalence of and factors associated with intentional use of HIV risk reduction practices by men who have sex with men during anal intercourse with casual partners.

METHODS: Cross-sectional survey pertaining to the Swiss HIV behavioral surveillance system, using an anonymous self-administered questionnaire in a self-selected sample of men who have sex with men (n = 2953). Multinomial regression was used to estimate factors associated with reporting either "no or inconsistent condom use" or "one or more risk reduction practices" over "consistent condom use."

RESULTS: 57.2% reported anal intercourse with casual partner(s) over the last 12 months. Of these, 24.0% declared having used a risk reduction practice (73.8% of those who did not use condoms consistently). HIV-positive people were more likely to have done so. Most predictors were similarly associated to both regression categories. Four significant predictors were common to both regression categories: Internet partner seeking, age, age squared, and the interaction between HIV status positive and number of partners. The only association that differed markedly between the 2 regression categories was having a number of partners above median, significantly associated with the risk reduction category.

CONCLUSIONS: Although condom use is the most frequent protection strategy in anal intercourse with casual partners, risk reduction practices are highly prevalent. However, there are no clear differences regarding predictors between risk reduction practices and inconsistent or no condom use. This suggests that risk reduction is an opportunistic response rather than a strategy per se.

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/20531210?dopt=Abstract

Alternate JournalJ. Acquir. Immune Defic. Syndr.
Citation Key / SERVAL ID2903
PubMed ID20531210

                         

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