| Literature DB >> 29101606 |
Dustin T Duncan1,2, Su Hyun Park3, John A Schneider4,5, Yazan A Al-Ajlouni3, William C Goedel3, Brian Elbel3,6, Jace G Morganstein3, Yusuf Ransome7, Kenneth H Mayer8,9.
Abstract
The objective of this study was to examine the association between financial hardship, condomless anal intercourse and HIV risk among a sample of men who have sex with men (MSM). Users of a popular geosocial networking application in Paris were shown an advertisement with text encouraging them to complete a anonymous web-based survey (n = 580). In adjusted multivariate models, high financial hardship (compared to low financial hardship) was associated with engagement in condomless anal intercourse (aRR 1.28; 95% CI 1.08-1.52), engagement in condomless receptive anal intercourse (aRR 1.34; 95% CI 1.07-1.67), engagement in condomless insertive anal intercourse (aRR 1.30; 95% CI 1.01-1.67), engagement in transactional sex (aRR 2.36; 95% CI 1.47-3.79) and infection with non-HIV STIs (aRR 1.50; 95% CI 1.07-2.10). This study suggests that interventions to reduce financial hardships (e.g., income-based strategies to ensure meeting of basic necessities) could decrease sexual risk behaviors in MSM.Entities:
Keywords: Condomless anal intercourse; Financial hardship; Gay men’s health; Health disparities; Men who have sex with men (MSM); Paris France; Sexual health; Sexually transmitted infections; Social epidemiology
Mesh:
Year: 2017 PMID: 29101606 PMCID: PMC5988347 DOI: 10.1007/s10461-017-1930-3
Source DB: PubMed Journal: AIDS Behav ISSN: 1090-7165