Consistency of Condom Use During Receptive Anal Intercourse Among Women and Men Who Have Sex With Men: Findings From the Safe in the City Behavioral Study.
Consistency of Condom Use During Receptive Anal Intercourse Among Women and Men Who Have Sex With Men: Findings From the Safe in the City Behavioral Study.
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DOI：
10.1097/olq.0000000000000306
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发表时间：
2015-07
影响因子：
3.1
通讯作者：
Safe in the City Study Group
中科院分区：
文献类型：
--
作者：
DʼAnna LH;Warner L;Margolis AD;Korosteleva OA;OʼDonnell L;Rietmeijer CA;Klausner JD;Malotte CK;Safe in the City Study Group
Unprotected receptive anal intercourse poses HIV risk for men who have sex with men (MSM) and heterosexual women. Little is known about differences in consistent condom use during anal intercourse among these populations. Data were analyzed from a nested study conducted from 2004-2005 within a behavioral intervention trial of approximately 40,000 urban U.S. STD clinic patients. Analyses were restricted to women and MSM who reported receptive anal intercourse with ≥1 partner in the prior 3 months at baseline or 3-month follow-up surveys. Condom use was categorized as consistent (100% of receptive acts) or inconsistent/nonuse (0-99% of receptive acts). Multivariable regression with general estimating equations was used to identify factors associated with consistent condom use within each population. Approximately 31% of women and 70% of MSM reported receptive anal intercourse at least once in the past 3 months. MSM were significantly more likely to report consistent condom use compared to women. For women, intention to use condoms, partner support for condom use, the belief they could stop having sex when condoms were unavailable, and believing their partner had not given them a sexually transmitted infection (STI) were associated with using condoms consistently. For MSM, intention to use condoms, condom use self-efficacy, perceived partner support for condom use, having a non-main partner, believing their partner had not given them an STI, and fewer sex acts were associated with consistent condom use. Findings confirm the importance of considering anal intercourse when assessing STI/HIV risk in MSM and heterosexual women. A study of urban U.S. STD clinic clients found that condom use during receptive anal intercourse was relatively uncommon and should be considered when assessing STI/HIV risk factors among both MSM and women.
