OBJECTIVE: Men who have sex with men (MSM) have higher rates of HIV and other sexually transmitted infections than women and heterosexual men. This elevated risk persists across age groups and reflects biological and behavioral factors; yet, there have been few direct comparisons of sexual behavior patterns between these populations. METHODS: We compared sexual behavior patterns of MSM and male and female heterosexuals aged 18-39 using 4 population-based random digit dialing surveys. A 1996-1998 survey in 4 US cities and 2 Seattle surveys (2003 and 2006) provided estimates for MSM; a 2003-2004 Seattle survey provided data about heterosexual men and women. RESULTS: Sexual debut occurred earlier among MSM than heterosexuals. MSM reported longer cumulative lifetime periods of new partner acquisition than heterosexuals and a more gradual decline in new partnership formation with age. Among MSM, 86% of 18- to 24-year-olds and 72% of 35- to 39-year-olds formed a new partnership during the previous year, compared with 56% of heterosexual men and 34% of women at 18-24 years, and 21% and 10%, respectively, at 35-39 years. MSM were also more likely to choose partners >5 years older and were 2-3 times as likely as heterosexuals to report recent concurrent partnerships. MSM reported more consistent condom use during anal sex than heterosexuals reported during vaginal sex. CONCLUSIONS: MSM have longer periods of partnership acquisition, a higher prevalence of partnership concurrency, and more age disassortative mixing than heterosexuals. These factors likely help to explain higher HIV/sexually transmitted infections rates among MSM, despite higher levels of condom use.
OBJECTIVE:Men who have sex with men (MSM) have higher rates of HIV and other sexually transmitted infections than women and heterosexual men. This elevated risk persists across age groups and reflects biological and behavioral factors; yet, there have been few direct comparisons of sexual behavior patterns between these populations. METHODS: We compared sexual behavior patterns of MSM and male and female heterosexuals aged 18-39 using 4 population-based random digit dialing surveys. A 1996-1998 survey in 4 US cities and 2 Seattle surveys (2003 and 2006) provided estimates for MSM; a 2003-2004 Seattle survey provided data about heterosexual men and women. RESULTS: Sexual debut occurred earlier among MSM than heterosexuals. MSM reported longer cumulative lifetime periods of new partner acquisition than heterosexuals and a more gradual decline in new partnership formation with age. Among MSM, 86% of 18- to 24-year-olds and 72% of 35- to 39-year-olds formed a new partnership during the previous year, compared with 56% of heterosexual men and 34% of women at 18-24 years, and 21% and 10%, respectively, at 35-39 years. MSM were also more likely to choose partners >5 years older and were 2-3 times as likely as heterosexuals to report recent concurrent partnerships. MSM reported more consistent condom use during anal sex than heterosexuals reported during vaginal sex. CONCLUSIONS: MSM have longer periods of partnership acquisition, a higher prevalence of partnership concurrency, and more age disassortative mixing than heterosexuals. These factors likely help to explain higher HIV/sexually transmitted infections rates among MSM, despite higher levels of condom use.
Authors: Adaora A Adimora; Victor J Schoenbach; Eboni M Taylor; Maria R Khan; Robert J Schwartz Journal: Am J Public Health Date: 2010-08-19 Impact factor: 9.308
Authors: Christopher B Hurt; Derrick D Matthews; Molly S Calabria; Kelly A Green; Adaora A Adimora; Carol E Golin; Lisa B Hightow-Weidman Journal: J Acquir Immune Defic Syndr Date: 2010-06 Impact factor: 3.731
Authors: Sara J Nelson; James P Hughes; Betsy Foxman; Sevgi O Aral; King K Holmes; Peter J White; Matthew R Golden Journal: Ann Epidemiol Date: 2010-01-13 Impact factor: 3.797
Authors: Donna J Helms; Hillard S Weinstock; Kristen C Mahle; Kyle T Bernstein; Bruce W Furness; Charlotte K Kent; Cornelis A Rietmeijer; Akbar M Shahkolahi; James P Hughes; Matthew R Golden Journal: J Acquir Immune Defic Syndr Date: 2009-03-01 Impact factor: 3.731
Authors: Laura M Mann; Eloisa Llata; Elaine W Flagg; Jaeyoung Hong; Lenore Asbel; Juli Carlos-Henderson; Roxanne P Kerani; Robert Kohn; Preeti Pathela; Christina Schumacher; Elizabeth A Torrone Journal: J Infect Dis Date: 2019-04-16 Impact factor: 5.226
Authors: Michael Silverberg; Derek D Satre; J Carlo Hojilla; Julia Marcus; Jonathan E Volk; Wendy Leyden; C Bradley Hare; Rulin C Hechter; E Jennifer Edelman Journal: Sex Transm Infect Date: 2019-08-23 Impact factor: 3.519
Authors: Heather L Armstrong; Eric Abella Roth; Ashleigh Rich; Nathan J Lachowsky; Zishan Cui; Paul Sereda; Kiffer G Card; Jody Jollimore; Terry Howard; David M Moore; Robert S Hogg Journal: AIDS Care Date: 2018-03-20
Authors: Kiffer G Card; Nathan J Lachowsky; Zishan Cui; Paul Sereda; Ashleigh Rich; Jody Jollimore; Terry Howard; Robert Birch; Allison Carter; Julio Montaner; David Moore; Robert S Hogg; Eric Abella Roth Journal: AIDS Behav Date: 2017-05