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Factors Associated with Unprotected Receptive Anal Intercourse with Internal Ejaculation Among Men Who Have Sex with Men in a Large Internet Sample from Asia

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Abstract

We examined socio-demographic and behavioral characteristics of men who have sex with men (MSM) residing in Asia and correlates of unprotected receptive intercourse with Internet ejaculation (URAIE). Asia Internet MSM Sex Survey, a behavioral survey of MSM in Asia was conducted from 1 January to 28 February 2010. Data analysis was limited to participants aged 18 or above, biological male, and had one regular or casual sex partner in the past 6 months (n = 10,413). Pearson’s Chi-square test, t test and logistic regression were used to examine the correlates of URAIE in the past 6 months, the highest risk sexual behavior sampled. Of 7311 participants who had receptive anal intercourse, 47.5 % had URAIE, which was associated with the following attributes: less than high-school education and pre-college education compared to university (AOR = 1.53, 95 % CI: 1.28, 1.83; AOR = 1.22, CI: 1.08, 1.37), being in the heterosexual marriage (AOR = 1.35, CI: 1.18, 1.56), having regular partners or both regular and casual partners compared to having casual partners (AOR = 2.85, CI: 2.48, 3.27; AOR = 2.32, CI: 2.06, 2.62), HIV-positive compared to HIV-negative status (AOR = 1.39, 95 % CI: 1.08, 1.81), higher perception of HIV risk (AOR = 1.62, CI: 1.34, 1.95), use of recreational drug before sex (AOR = 1.30, CI: 1.14, 1.49), and use of the Internet as the main way to seek sex partners (AOR = 1.21, CI: 1.08, 1.36). MSM from certain Asian countries reported alarming rates of URAIE. The internet can be used as a platform for HIV surveillance and intervention.

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Acknowledgments

We would like to thank A/Prof. Nai-ying Ko (Taiwan), Jane Koerner (Japan), FHI (Vietnam, Indonesia), Kosol (Rainbow Sky, Thailand), Dr. Frits van Griensven, Jan van Vijngaarden, Phillipe Girault, Brad Otto, Mandy Govender, Roy Ngerng, and all community coalition partners involved in the implementation of 2010 AIMSS. The research began when the first author was a post-doctorate associate at the University of Pittsburgh. He is now affiliated with University of Malaya.

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Authors and Affiliations

  1. Centre of Excellence for Research in AIDS (CERiA), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

    Sin How Lim

  2. Center for Health Policy Studies, Mahidol University, Bangkok, Thailand

    Thomas E. Guadamuz

  3. Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA

    Thomas E. Guadamuz & Chongyi Wei

  4. National Skin Center, Singapore, Singapore

    Roy Chan

  5. Asia Pacific Coalition on Male Sexual Health (APCOM), Bangkok, Thailand

    Stuart Koe

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  1. Sin How Lim
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  2. Thomas E. Guadamuz
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  4. Roy Chan
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Correspondence to Sin How Lim.

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Lim, S.H., Guadamuz, T.E., Wei, C. et al. Factors Associated with Unprotected Receptive Anal Intercourse with Internal Ejaculation Among Men Who Have Sex with Men in a Large Internet Sample from Asia. AIDS Behav 16, 1979–1987 (2012). https://doi.org/10.1007/s10461-012-0233-y

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