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

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State: Public
Version: author
Serval ID
serval:BIB_CE67CCC89107
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Intentional risk reduction practices of men in Switzerland who have anal intercourse with casual male partners.
Journal
Journal of Acquired Immune Deficiency Syndromes (1999)
Author(s)
Balthasar Hugues, Jeannin André, Lociciro Stéphanie, Dubois-Arber Françoise
ISSN
1944-7884[electronic], 1525-4135[linking]
Publication state
Published
Issued date
2010
Peer-reviewed
Oui
Volume
54
Number
5
Pages
542-547
Language
english
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.
Keywords
Cross-Sectional Studies, Disease Transmission, Infectious/prevention & control, HIV Infections/prevention & control, Homosexuality, Male, Humans, Male, Questionnaires, Risk Reduction Behavior, Sexual Behavior, Type="Geographic">Switzerland
Pubmed
Web of science
Create date
02/03/2011 12:25
Last modification date
20/08/2019 16:48
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