Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
AIDS and Behavior
Erschienen in: AIDS and Behavior 10/2017

22.06.2017 | Original Paper

Socio-demographic Characteristics, Sexual and Test-Seeking Behaviours Amongst Men Who have Sex with Both Men and Women: Results from a Bio-behavioural Survey in 13 European Cities

verfasst von: Massimo Mirandola, Lorenzo Gios, Nigel Sherriff, John Pachankis, Igor Toskin, Laia Ferrer, Sónia Dias, Inga Velicko, Danica Staneková, Saulius Caplinskas, Emilia Naseva, Marta Niedźwiedzka-Stadnik, the Sialon II Network

Erschienen in: AIDS and Behavior | Ausgabe 10/2017

Einloggen, um Zugang zu erhalten

Abstract

Within the MSM population, men who have sex with both men and women (MSMW) are identified as a high-risk group both worldwide and in Europe. In a multi-centred bio-behavioural cross-sectional study, we aimed to assess the relationship(s) between socio-demographic factors, stigma, sexual behavioural patterns, test seeking behaviour and sero-status amongst MSMW. A multi-level analysis was conducted to identify factors associated with being MSMW versus Men who have Sex with Men Only (MSMO). A total of 4901 MSM were enrolled across the 13 study sites. Participants were categorised as MSMW in the 12.64% of the cases. Factors such as educational status, perceived homonegativity, testing facilities knowledge and HIV testing lifetime seem to be relevant factors when characterising the MSMW group. The results highlight the vulnerability of MSMW and the wide spectrum of risky behavioural and psycho-social patterns, particularly in terms of HIV testing, ‘outness’, and perceived stigma.
Literatur
1.
UNAIDS. Joint United Nations Programme on HIV/AIDS. Global AIDS response progress reporting 2014: construction of core indicators for monitoring the 2011 UN political declaration on HIV/AIDS. Geneva: Joint United Nations Programme on HIV/AIDS (UNAIDS), WHO Library Cataloguing-in-Publication Data, 2014. ISBN 978 92 4 150.
2.
Beyrer C, Baral SD, Collins C, Richardson ET, Sullivan PS, Sanchez J, Trapence G, Katabira E, Kazatchkine M, Ryan O, Wirtz AL, Mayer KH. The global response to HIV in men who have sex with men. Lancet. 2016;388(10040):198–206.CrossRefPubMed
3.
Mirandola M, Folch C, Krampac I, Nita I, Stanekova D, Stehlikova D, Toskin I, Gios L, Foschia JP, Breveglieri M, Furegato M, Castellani E, Bonavina MG. SIALON network. HIV bio-behavioural survey among men who have sex with men in Barcelona, Bratislava, Bucharest, Ljubljana, Prague and Verona, 2008–2009. Eur Surveill. 2009;14(48):1424–7.CrossRef
4.
Mirandola M, Gios L, Sherriff N, Toskin I, Marcus U, Schink S, Suligoi B, Folch C, Rosińska M, editors. The Sialon II Project. Report on a Bio-behavioural Survey among MSM in 13 European cities. Cierre Grafica, 2016. ISBN 978-88-98768-55-4.
5.
ECDC, European Centre for Disease Prevention and Control. Thematic Report. Men who have sex with men. Monitoring implementation of the Dublin Declaration on Partnership to Fight HIV/AIDS in Europe and Central Asia: 2014 progress report. Stockholm: ECDC; 2014. p. 2015.
6.
The EMIS Network. EMIS 2010. The European men-who-have-sex-with-men internet survey. Findings from 38 countries. Stockholm: European Centre for Disease Prevention and Control, 2013.
7.
Jeffries WL. Beyond the bisexual bridge: sexual health among U.S. men who have sex with men and women. Am J Prev Med. 2014;47(3):320–9.CrossRefPubMed
8.
9.
Dyer TP, Regan R, Pacek LR, Acheampong A, Khan MR. Psychosocial vulnerability and HIV-related sexual risk among men who have sex with men and women in the United States. Arch Sex Behav. 2015;44(2):429–41.CrossRefPubMed
10.
ECDC, European Centre for Disease Prevention and Control. A comprehensive approach to HIV/STI prevention in the context of sexual health in the EU/EEA. Stockholm: ECDC, 2013.
11.
Yun K, Xu JJ, Reilly KH, Zhang J, Jiang YJ, Wang N, Shang H. Prevalence of bisexual behaviour among bridge population of men who have sex with men in China: a meta-analysis of observational studies. Sex Transm Infect. 2011;87(7):563–70.CrossRefPubMed
12.
Gorbach PM, Murphy R, Weiss RE, Hucks-Ortiz C, Shoptaw S. Bridging sexual boundaries: men who have sex with men and women in a street-based sample in Los Angeles. J Urban Health. 2009;86(Suppl 1):63–76.CrossRefPubMedPubMedCentral
13.
Godbole S, Sane S, Kamble P, Raj Y, Dulhani N. Predictors of bisexual behaviour among MSM attending Intervention sites may help in prevention interventions for the bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance. PLoS ONE. 2014;9(9):e107439.CrossRefPubMedPubMedCentral
14.
15.
Sanders EJ, Graham SM, Okuku HS, van der Elst EM, Muhaari A, Davies A, Peshu N, Price M, McClelland RS, Smith AD. HIV-1 infection in high risk men who have sex with men in Mombasa, Kenya. AIDS. 2007;21(18):2513–20.CrossRefPubMed
16.
Cáceres CF, Konda K, Segura ER, Lyerla R. Epidemiology of male same-sex behaviour and associated sexual health indicators in low- and middle-income countries: 2003–2007 estimates. Sex Transm Infect. 2008;84(Suppl 1):i49–56.CrossRefPubMedPubMedCentral
17.
Friedman MR, Wei C, Klem ML, Silvestre AJ, Markovic N, Stall R. HIV infection and sexual risk among men who have sex with men and women (MSMW): a systematic review and meta-analysis. PLoS ONE. 2014;9(1):e87139.CrossRefPubMedPubMedCentral
18.
Maulsby C, Sifakis F, German D, Flynn CP, Holtgrave D. HIV risk among men who have sex with men only (MSMO) and men who have sex with men and women (MSMW) in Baltimore. J Homosex. 2013;60(1):51–68.CrossRefPubMed
19.
Mirandola M, Gios L, Davis RJ, Furegato M, Breveglieri M, Folch C, Stanekova D, Nita I, Stehlíková D. Socio-demographic factors predicting HIV test seeking behaviour among MSM in 6 EU cities. Eur J Pub Health. 2016. doi:10.​1093/​eurpub/​ckw144.
20.
Phillips AN, et al. Potential impact on HIV incidence of higher HIV testing rates and earlier antiretroviral therapy initiation in MSM. AIDS. 2015;29:1855–62.CrossRefPubMedPubMedCentral
21.
WHO, World Health Organisation, Department of Reproductive Health and Research. Emergence of multi-drug resistant Neisseria gonorrhoeae—threat of global rise in untreatable sexually transmitted infections. World Health Organisation, 2011.
22.
Schrimshaw EW, Downing MJ, Cohn DJ. Reasons for non-disclosure of sexual orientation among behaviorally bisexual men: non-disclosure as stigma management. Arch Sex Behav. 2016. doi:10.​1007/​s10508-016-0762-y.
23.
Pachankis JE, Hatzenbuehler ML, Hickson F, Weatherburn P, Berg RC, Marcus U, Schmidt AJ. hidden from health: structural stigma, sexual orientation concealment, and hiv across 38 countries in the european msm internet survey. AIDS. 2015;29(10):1239–46.CrossRefPubMedPubMedCentral
24.
Pachankis JE, Hatzenbuehler ML, Mirandola M, Weatherburn P, Berg RC, Marcus U, Schmidt AJ. The geography of sexual orientation: structural stigma and sexual attraction, behavior, and identity among men who have sex with men across 38 European countries. Arch Sex Behav. 2016. doi:10.​1007/​s10508-016-0819-y.PubMed
25.
Dodge B, Schnarrs PW, Reece M, Martinez O, Goncalves G, Malebranche D, Fortenberry JD. Sexual behaviors and experiences among behaviorally bisexual men in the midwestern United States. Arch Sex Behav. 2013;42(2):247–56.CrossRefPubMed
26.
Gios L, Mirandola M, Toskin I, Marcus U, et al. Bio-behavioural HIV and STI surveillance among men who have sex with men in Europe: the Sialon II protocols. BMC Public Health. 2016;16(1):212.CrossRefPubMedPubMedCentral
27.
Grov C, Rendina HJ, Moody RL, Ventuneac A, Parsons JT. HIV serosorting, status disclosure, and strategic positioning among highly sexually active gay and bisexual men. AIDS Patient Care STDS. 2015;29(10):559–68.CrossRefPubMedPubMedCentral
28.
Martos AJ, Nezhad S, Meyer IH. Variations in sexual identity milestones among lesbians, gay men, and bisexuals. Sex Res Soc Policy. 2014;12(1):24–33.CrossRef
29.
Bowring AL, Veronese V, Doyle JS, Stoove M, Hellard M. HIV and sexual risk among men who have sex with men and women in Asia: a systematic review and meta-analysis. AIDS Behav. 2016;20:2243–5.CrossRefPubMed
30.
Guo Y, Li X, Song Y, Liu Y. Bisexual behavior among Chinese young migrant men who have sex with men: implications for HIV prevention and intervention. AIDS Care. 2012;24:451–8.CrossRefPubMed
31.
Guadamuz TE, Cheung DH, Wei C, Koe S, Lim SH. Young, online and in the dark: scaling up HIV testing among MSM in ASEAN. PLoS ONE. 2015;10(5):e0126658.CrossRefPubMedPubMedCentral
32.
MacKellar D, Gallagher K, Sanchez T, Lansky A, Sullivan P. Surveillance of HIV risk and prevention behaviors of men who have sex with men—a national application of venue-based, time-space sampling. Public Health Rep. 2007;122(Suppl 1):39–47.CrossRefPubMedPubMedCentral
33.
Johnston LG, Whitehead S, Simic-Lawson M, Kendall C. Formative research to optimize respondent-driven sampling surveys among hard-to-reach populations in HIV behavioral and biological surveillance: lessons learned from four case studies. AIDS Care. 2010;22(6):784–92.CrossRefPubMed
34.
Rabe-Hesketh S, Skrondal A. Multilevel and longitudinal modeling using Stata. College Station: Stata Press; 2008.
35.
Benoit E, Koken JA. Perspectives on substance use and disclosure among behaviorally bisexual Black men with female primary partners. J Ethn Subst Abuse. 2012;11(4):294–317.CrossRefPubMedPubMedCentral
36.
Friedman MR, Stall R, Silvestre AJ, et al. Stuck in the middle: longitudinal HIV-related health disparities among men who have sex with men and women (MSMW). J Acquir Immune Defic Syndr. 2014;66(2):213–20.PubMedPubMedCentral
37.
Maulsby C, Sifakis F, German D, Flynn CP, Holtgrave D. Differences and similarities in HIV testing among men who have sex with men and women (MSMW) and men who have sex with men only (MSMO). Open AIDS J. 2012;6:53–9.CrossRefPubMedPubMedCentral
38.
CDC, Centers for Disease Control and Prevention. HIV testing and risk behaviors among gay, bisexual, and other men who have sex with men—United States. MMWR. 2013;62(47):958–62.
39.
Zule WA, Bobashev GV, Wechsberg WM, Costenbader EC, Coomes CM. Behaviorally bisexual men and their risk behaviors with men and women. J Urban Health. 2009;86(Suppl 1):48–62.CrossRefPubMedPubMedCentral
40.
Toskin I, Cooper B, Troussier T, Klugman B, Kulier R, Chandra-Mouli V, Temmerman M. WHO guideline for brief sexuality-related communication: implications for STI/HIV policy and practice. Reprod Health Matters. 2015;23(46):177–84.CrossRefPubMed
41.
Cooper B, Toskin I, Kulier R, Allen T, Hawkes S. Brief sexuality communication–a behavioural intervention to advance sexually transmitted infection/HIV prevention: a systematic review. BJOG. 2014;121(Suppl 5):92–103.CrossRefPubMed
42.
World Health Organization. Brief sexuality-related communication: recommendations for a public health approach. World Health Organization, 2015. ISBN 978 92 4 154900 4.
43.
Kurth AE, Celum C, Baeten JM, Vermund SH, Wasserheit JN. Combination HIV prevention: significance, challenges, and opportunities. Curr HIV/AIDS Rep. 2011;8(1):62–72.CrossRefPubMedPubMedCentral
44.
Muñoz-Laboy M, Severson N, Bannan S. Occupations, social vulnerability and HIV/STI risk: the case of bisexual Latino men in the New York City metropolitan area. Global Public Health. 2014;9(10):1167–83.CrossRefPubMedPubMedCentral
45.
46.
Callis AS. Playing with butler and foucault: bisexuality and queer theory. J Bisexuality. 2009;9(3–4):213–33.CrossRef
47.
Ramakrishnan L, Ramanathan S, Chakrapani V, Goswami P, Deshpande S, Yadav D, Sen S, George B, Paranjape R. Comparison of sexual risk, HIV/STI prevalence and intervention exposure among men who have sex with men and women (MSMW) and men who have sex with men only (MSMO) in India: implications for HIV prevention. AIDS Behav. 2015;19(12):2255–69.CrossRefPubMedPubMedCentral
Metadaten
Titel
Socio-demographic Characteristics, Sexual and Test-Seeking Behaviours Amongst Men Who have Sex with Both Men and Women: Results from a Bio-behavioural Survey in 13 European Cities
verfasst von
Massimo Mirandola
Lorenzo Gios
Nigel Sherriff
John Pachankis
Igor Toskin
Laia Ferrer
Sónia Dias
Inga Velicko
Danica Staneková
Saulius Caplinskas
Emilia Naseva
Marta Niedźwiedzka-Stadnik
the Sialon II Network
Publikationsdatum
22.06.2017
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 10/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-1831-5

Weitere Artikel der Ausgabe 10/2017

AIDS and Behavior 10/2017 Zur Ausgabe

Original Paper

Subsequent Sexual Risks Among Men Who Have Sex with Men May Differ by Sex of First Partner and Age at Sexual Debut: A Cross-Sectional Study in Beijing, China

Original Paper

Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men: Biomedical Context Matters

Original Paper

Place-Based Predictors of HIV Viral Suppression and Durable Suppression Among Men Who Have Sex With Men in New York City

Original Paper

HIV Prevention in Gay Family and House Networks: Fostering Self-Determination and Sexual Safety

Substantive Review

Trends in Sexual Behavior Among Men Who have Sex with Men (MSM) in High-Income Countries, 1990–2013: A Systematic Review

Original Paper

Quantifying the Harms and Benefits from Serosorting Among HIV-Negative Gay and Bisexual Men: A Systematic Review and Meta-analysis

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise