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BMC Public Health
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Correlates of unprotected anal sex among men who have sex with men in Tijuana, Mexico

Authors: Sergio Barrón-Limón, Shirley J Semple, Steffanie A Strathdee, Remedios Lozada, Adriana Vargas-Ojeda, Thomas L Patterson

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

Although men who have sex with men (MSM) are disproportionately affected by HIV/AIDS in Mexico, data on current risk behaviors in this population are lacking. This study investigated the prevalence and correlates of unprotected anal intercourse (UAI) in a sample of 260 MSM in Tijuana, Mexico.

Methods

In June 2010, men attending a gay pride celebration were invited to complete a sexual risk survey. Men who reported UAI with a male partner in the past year were compared with men who reported only protected anal sex during the same period.

Results

Mean age of participants was 29.7; 54% had a high school diploma or less; and 43% were unemployed. In the past year, 55% had been tested for HIV, 21% reported using illicit drugs before or during sex, and 94% had sex only with men. Overall, 50% reported having UAI with another male in the past year. Factors independently associated with UAI in the past year were unemployment (AOR = 1.87), attending adult movie theaters (AOR = 2.21), using illicit drugs before or during sex (AOR = 2.43), and not having a recent HIV test (AOR = 1.85).

Conclusions

Interventions to promote HIV testing and condom use among men who have sex with men may want to consider venue-specific approaches, as well as focus on drug-use issues in the context of unsafe sex.
Literature
1.
2.
3.
4.
Chen SY, Gibson S, Weide D, McFarland W: Unprotected anal intercourse between potentially HIV-serodiscordant men who have sex with men, San Francisco. J Acquir Immune Defic Syndr. 2003, 33 (2): 166-170. 10.1097/00126334-200306010-00008.CrossRefPubMed
5.
Gorbach PM, Weiss RE, Jeffries R, Javanbakht M, Drumright LN, Daar ES, Little SJ: Behaviors of recently HIV-infected men who have sex with men in the year postdiagnosis: effects of drug use and partner types. J Acquir Immune Defic Syndr. 2011, 56 (2): 176-182. 10.1097/QAI.0b013e3181ff9750.CrossRefPubMedPubMedCentral
6.
Rusch M, Lampinen TM, Schilder A, Hogg RS: Unprotected anal intercourse associated with recreational drug use among young men who have sex with men depends on partner type and intercourse role. Sex Transm Dis. 2004, 31 (8): 492-498. 10.1097/01.olq.0000135991.21755.18.CrossRefPubMed
7.
8.
Akin M, Fernandez MI, Bowen GS, Warren JC: HIV risk behaviors of Latin American and Caribbean men who have sex with men in Miami, Florida, USA. Rev Panam Salud Publica. 2008, 23 (5): 341-348. 10.1590/S1020-49892008000500006.CrossRefPubMed
9.
Carey JW, Mejia R, Bingham T, Ciesielski C, Gelaude D, Herbst JH, Sinunu M, Sey E, Prachand N, Jenkins RA, et al: Drug use, high-risk sex behaviors, and increased risk for recent HIV infection among men who have sex with men in Chicago and Los Angeles. AIDS Behav. 2009, 13 (6): 1084-1096. 10.1007/s10461-008-9403-3.CrossRefPubMed
10.
Drumright LN, Little SJ, Strathdee SA, Slymen DJ, Araneta MR, Malcarne VL, Daar ES, Gorbach PM: Unprotected anal intercourse and substance use among men who have sex with men with recent HIV infection. J Acquir Immune Defic Syndr. 2006, 43 (3): 344-350. 10.1097/01.qai.0000230530.02212.86.CrossRefPubMed
11.
12.
Blas MM, Alva IE, Cabello R, Carcamo E, Kurth AE: Risk behaviors and reasons for not getting tested for HIV among men who have sex with men: an online survey in Peru. PLoS One. 2011, 6 (11): 1-6.CrossRef
13.
Carballo-Dieguez A, Balan I, Marone R, Pando MA, Dolezal C, Barreda V, Leu C, Aviala Mercedes M: Use of respondent driven samplig (RDS) generates a very diverse sample of men who have sex with men (MSM) in Buenos Aires, Argentina. PLoS One. 2011, 6 (11): 1-8.CrossRef
14.
Clark JL, Konda KA, Seugra ER, Salvatierra HJ, Leon SR, Hall ER, Caceres CF, Klausner JD, Coates TJ: Risk factors for the spread of HIV and other sexually transmitted infections among HIV-infected men who have sex with men in Lima, Peru. Sex Transm Infect. 2008, 84 (6): 449-454. 10.1136/sti.2008.031310.CrossRefPubMedPubMedCentral
15.
Gondim Costa R, Kerr Sansigolo Franco LR, Werneck GL, Macena Maia RH, Pontes Kerr M, Kendall C: Risky sexual practices among men who have sex with men in Northeast Brazil: results from four sequential surveys. Cad Saude Publica Rio de Janeiro. 2009, 25 (6): 1390-1398.CrossRef
16.
Lyons A, Smith AM, Grierson JW, von Doussa H: Australian men’s sexual practices in saunas, sex clubs and other male sex on premises venues. Sex Health. 2010, 7 (2): 186-192. 10.1071/SH09101.CrossRefPubMed
17.
Reisen CA, Iracheta MA, Zea MC, Bianchi FT, Poppen PJ: Sex in public and private settings among Latino MSM. AIDS Care. 2010, 22 (6): 697-704. 10.1080/09540120903325433.CrossRefPubMedPubMedCentral
18.
Reidy WJ, Spielberg F, Wood R, Binson D, Woods WJ, Goldbaum GM: HIV risk associated with gay bathhouses and sex clubs: findings from 2 seattle surveys of factors related to HIV and sexually transmitted infections. Am J Public Health. 2009, 99 (Suppl 1): S165-S172.CrossRefPubMedPubMedCentral
19.
Binson D, Blea L, Cotten PD, Kant J, Woods WJ: Building an HIV/STI prevention program in a gay bathhouse: a case study. AIDS Educ Prev. 2005, 17 (4): 386-399. 10.1521/aeap.2005.17.4.386.CrossRefPubMed
20.
Woods WJ, Binson DK, Mayne TJ, Gore LR, Rebchook GM: HIV/sexually transmitted disease education and prevention in US bathhouse and sex club environments. AIDS. 2000, 14 (5): 625-626. 10.1097/00002030-200003310-00024.CrossRefPubMed
21.
Mackesy-Amiti ME, Fendrich M, Johnson TP: Symptoms of substance dependence and risky sexual behavior in a probability sample of HIV-negative men who have sex with men in Chicago. Drug Alcohol Depend. 2010, 110 (1–2): 38-43.CrossRefPubMedPubMedCentral
22.
Woody GE, Donnell D, Seage GR, Metzger D, Marmor M, Koblin BA, Buchbinder S, Gross M, Stone B, Judson FN: Non-injection substance use correlates with risky sex among men having sex with men: data from HIVNET. Drug Alcohol Depend. 1999, 53 (3): 197-205. 10.1016/S0376-8716(98)00134-3.CrossRefPubMed
23.
Purcell DW, Parsons JT, Halkitis PN, Mizuno Y, Woods WJ: Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. J Subst Abuse. 2001, 13 (1–2): 185-200.CrossRefPubMed
24.
Semple SJ, Zians J, Strathdee SA, Patterson TL: Sexual marathons and methamphetamine use among HIV-positive men who have sex with men. Arch Sex Behav. 2009, 38 (4): 583-590. 10.1007/s10508-007-9292-y.CrossRefPubMed
25.
Hirshfield S, Remien RH, Humberstone M, Walavalkar I, Chiasson MA: Substance use and high-risk sex among men who have sex with men: a national online study in the USA. AIDS Care. 2004, 16 (8): 1036-1047. 10.1080/09540120412331292525.CrossRefPubMed
26.
Semple SJ, Strathdee SA, Zians J, Patterson TL: Sexual risk behavior associated with co-administration of methamphetamine and other drugs in a sample of HIV-positive men who have sex with men. Am J Addict. 2009, 18 (1): 65-72. 10.1080/10550490802544466.CrossRefPubMedPubMedCentral
27.
Bastos FI, Caceres C, Galvao J, Veras MA, Castilho EA: AIDS in Latin America: assessing the current status of the epidemic and the ongoing response. Int J Epidemiol. 2008, 37 (4): 729-737.CrossRefPubMed
28.
PandodelosAngeles M, Maulen S, Weissenbacher M, Marone R, Duranti R, Peralta Martinez L, Salomon H, Russell K, Negrete M, Estani Sosa S, et al: High human immunodeficiency virus type 1 seroprevalence in men who have sex with men in Bueno Aires, Argentina: risk factors for infection. Int J Epidemiol. 2003, 32: 735-740. 10.1093/ije/dyg104.CrossRef
29.
Mendoza-Perez JC, Ortiz-Hernandez L: Factors associated with infrequent condom use amongst men having sex with other men in Ciudad Juarez. Rev Salud Publica. 2009, 11 (5): 700-712. 10.1590/S0124-00642009000500003.CrossRefPubMed
30.
Reisen CA, Zea MC, Bianchi FT, Poppen PJ, Shedlin MG, Penha MM: Latino gay and bisexual men’s relationships with non-gay-identified men who have sex with men. J Homosex. 2010, 57 (8): 1004-1021. 10.1080/00918369.2010.503510.CrossRefPubMedPubMedCentral
31.
Houston S, Archibald CP, Strike C, Sutherland D: Factors associated with HIV testing among Canadians: results of a population-based survey. Int J STD AIDS. 1998, 9 (6): 341-346. 10.1258/0956462981922377.CrossRefPubMed
32.
Jin FY, Prestage G, Law MG, Kippax S, Van de Ven P, Rawsthorne P, Kaldor JM, Grulich AE: Predictors of recent HIV testing in homosexual men in Australia. HIV Med. 2002, 3 (4): 271-276. 10.1046/j.1468-1293.2002.00121.x.CrossRefPubMed
33.
Stupiansky NW, Rosenberger JG, Schick V, Herbenick D, Novak DS, Reece M: Factors associated with sexually transmitted infection testing among men who utilize an internet-based men who have sex with men community. AIDS Patient Care STDS. 2010, 24 (11): 713-717. 10.1089/apc.2010.0178.CrossRefPubMed
34.
Fernandez MI, Perrino T, Royal S, Ghany D, Bowen GS: To test or not to test: are Hispanic men at highest risk for HIV getting tested?. AIDS Care. 2002, 14 (3): 375-384. 10.1080/09540120220123757.CrossRefPubMed
35.
Van de Ven P, Prestage G, Knox S, Kippax S: Gay men in Australia who do not have HIV test results. Int J STD AIDS. 2000, 11 (7): 456-460. 10.1258/0956462001916245.CrossRefPubMed
36.
Adam BD, Husbands W, Murray J, Maxwell J: AIDS optimism, condom fatigue, or self-esteem? Explaining unsafe sex among gay and bisexual men. J Sex Res. 2005, 42 (3): 238-248. 10.1080/00224490509552278.CrossRefPubMed
37.
Neville S, Adams J: Condom use in men who have sex with men: A literature review. Contemp Nurse. 2009, 33 (2): 130-139. 10.5172/conu.2009.33.2.130.CrossRefPubMed
38.
Vanable PA, Carey MP, Brown JL, Littlewood RA, Bostwick R, Blair D: What HIV-positive MSM want from sexual risk reduction interventions: findings from a qualitative study. AIDS Behav. 2012, 16 (3): 554-563. 10.1007/s10461-011-0047-3.CrossRefPubMedPubMedCentral
39.
40.
Henkel D: Unemployment and substance use: a review of the literature (1990-2010). Curr Drug Abuse Rev. 2011, 4 (1): 4-27.CrossRefPubMed
41.
42.
Kendall T, Herrera C, Caballero M, Campero L: HIV prevention and men who have sex with women and men in Mexico: findings from a qualitative study with HIV-positive men. Cult Health Sex. 2007, 9 (5): 459-472. 10.1080/13691050601183629.CrossRefPubMed
Metadata
Title
Correlates of unprotected anal sex among men who have sex with men in Tijuana, Mexico
Authors
Sergio Barrón-Limón
Shirley J Semple
Steffanie A Strathdee
Remedios Lozada
Adriana Vargas-Ojeda
Thomas L Patterson
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-433

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