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Condom use, disclosure, and risk for unprotected sex in HIV-negative midlife and older men who have sex with men.
Am J Mens Health. 2013 May; 7(3):186-97.AJ

Abstract

Sexual risk behaviors account for most HIV infections in men who have sex with men (MSM), and the risk of exposure from each sexual encounter increases with age. The focus of this study was to investigate which behaviors in midlife and older MSM influence their sexual risk/protection. Cross-sectional data were collected from a community-based sample of 802 MSM aged 40 years and older from community venues (e.g., bars) who completed an anonymous questionnaire. Data from a subset of 420 MSM who were HIV-negative (aged 40-81 years) were used to investigate which behaviors were associated with greater risk for unprotected anal sex. Regression analyses indicated that erection difficulties (odds ratio [OR] = 4.7; 95% confidence interval [CI] = 1.8-12.2), practicing safe sex with outside partners but not with one's primary partner (OR = 0.54; 95% CI = 0.3-0.94), and recreational drug use (OR = 2.6; 95% CI = 1.3-5.1) were associated with higher risk for unprotected receptive anal intercourse. Younger age (OR = 0.96; 95% CI = 0.9- 0.9), not telling partners about HIV status (OR = 3.2; 95% CI = 1.5-6.5), finding partners in backrooms/sex clubs (OR = 2.8; 95% CI = 1.1- 6.8), and erection difficulties (OR = 10.3; 95% CI = 2.8-37.8) were associated with higher risk for unprotected insertive anal intercourse. These data indicate there may be certain factors specific to older MSM that influence their sexual risk taking behaviors. Programs may be more effective if they are tailored for older cohorts of MSM and address interpersonal communication, erection problems, and substance use to reduce health risks and promote healthier lifestyles.

Authors+Show Affiliations

Department of Psychiatry and Behavioral Medicine, College of Osteopathic Medicine, Nova Southeastern University, 4th Floor Terry Building, 3200 S. University Drive, Fort Lauderdale, FL33314, USA. rjacobs@nova.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23093078

Citation

Jacobs, Robin J., et al. "Condom Use, Disclosure, and Risk for Unprotected Sex in HIV-negative Midlife and Older Men Who Have Sex With Men." American Journal of Men's Health, vol. 7, no. 3, 2013, pp. 186-97.
Jacobs RJ, Kane MN, Ownby RL. Condom use, disclosure, and risk for unprotected sex in HIV-negative midlife and older men who have sex with men. Am J Mens Health. 2013;7(3):186-97.
Jacobs, R. J., Kane, M. N., & Ownby, R. L. (2013). Condom use, disclosure, and risk for unprotected sex in HIV-negative midlife and older men who have sex with men. American Journal of Men's Health, 7(3), 186-97. https://doi.org/10.1177/1557988312463417
Jacobs RJ, Kane MN, Ownby RL. Condom Use, Disclosure, and Risk for Unprotected Sex in HIV-negative Midlife and Older Men Who Have Sex With Men. Am J Mens Health. 2013;7(3):186-97. PubMed PMID: 23093078.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Condom use, disclosure, and risk for unprotected sex in HIV-negative midlife and older men who have sex with men. AU - Jacobs,Robin J, AU - Kane,Michael N, AU - Ownby,Raymond L, Y1 - 2012/10/22/ PY - 2012/10/25/entrez PY - 2012/10/25/pubmed PY - 2013/10/31/medline SP - 186 EP - 97 JF - American journal of men's health JO - Am J Mens Health VL - 7 IS - 3 N2 - Sexual risk behaviors account for most HIV infections in men who have sex with men (MSM), and the risk of exposure from each sexual encounter increases with age. The focus of this study was to investigate which behaviors in midlife and older MSM influence their sexual risk/protection. Cross-sectional data were collected from a community-based sample of 802 MSM aged 40 years and older from community venues (e.g., bars) who completed an anonymous questionnaire. Data from a subset of 420 MSM who were HIV-negative (aged 40-81 years) were used to investigate which behaviors were associated with greater risk for unprotected anal sex. Regression analyses indicated that erection difficulties (odds ratio [OR] = 4.7; 95% confidence interval [CI] = 1.8-12.2), practicing safe sex with outside partners but not with one's primary partner (OR = 0.54; 95% CI = 0.3-0.94), and recreational drug use (OR = 2.6; 95% CI = 1.3-5.1) were associated with higher risk for unprotected receptive anal intercourse. Younger age (OR = 0.96; 95% CI = 0.9- 0.9), not telling partners about HIV status (OR = 3.2; 95% CI = 1.5-6.5), finding partners in backrooms/sex clubs (OR = 2.8; 95% CI = 1.1- 6.8), and erection difficulties (OR = 10.3; 95% CI = 2.8-37.8) were associated with higher risk for unprotected insertive anal intercourse. These data indicate there may be certain factors specific to older MSM that influence their sexual risk taking behaviors. Programs may be more effective if they are tailored for older cohorts of MSM and address interpersonal communication, erection problems, and substance use to reduce health risks and promote healthier lifestyles. SN - 1557-9891 UR - https://www.unboundmedicine.com/medline/citation/23093078/Condom_use_disclosure_and_risk_for_unprotected_sex_in_HIV_negative_midlife_and_older_men_who_have_sex_with_men_ L2 - https://journals.sagepub.com/doi/10.1177/1557988312463417?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -