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Findings from within-subjects comparisons of drug use and sexual risk behaviour in men who have sex with men in England

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Melendez-Torres, G. J., Hickson, F., Reid, D., Weatherburn, P. and Bonell, C. (2017) Findings from within-subjects comparisons of drug use and sexual risk behaviour in men who have sex with men in England. International Journal of STD & AIDS, 28 (3). pp. 250-258. doi:10.1177/0956462416642125 ISSN 0956-4624.

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Official URL: http://dx.doi.org/10.1177/0956462416642125

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Abstract

Epidemiological evidence for the encounter-level association between sexualised drug use and unprotected anal intercourse in men who have sex with men is unclear and has not examined men who have sex with men in England. To estimate this association, we compared dyadic sexual encounters within respondents. We used encounter-level data from a longitudinal online survey of men who have sex with men living in England and multilevel models to test univariate and multivariate associations between any respondent or partner drug use, specific respondent drug use, additional situational characteristics and unprotected anal intercourse. Based on 6742 encounters from 2142 men who have sex with men, respondent drug use and respondent use of certain specific drugs were associated with increased unprotected anal intercourse odds. In univariate models, partner drug use was associated with increased unprotected anal intercourse odds, but in multivariate models, only non-specific knowledge of partner drug use was associated with the same. Encounters with non-regular-and-steady partners or that were not HIV-seroconcordant were associated with decreased unprotected anal intercourse odds. This is the first within-subjects comparison of drug use and unprotected anal intercourse conducted on a sample from England, and the largest of its kind. Findings are consistent with other studies, though associations between drug use and unprotected anal intercourse are shaped by social contexts that may change over time.

Item Type: Journal Article
Subjects: H Social Sciences > HQ The family. Marriage. Woman
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Anal sex, Unsafe sex, Male homosexuality, Drug abuse -- Gay men -- Great Britain
Journal or Publication Title: International Journal of STD & AIDS
Publisher: Royal Society of Medicine Press Ltd
ISSN: 0956-4624
Official Date: 1 March 2017
Dates:
DateEvent
1 March 2017Published
24 March 2016Available
7 March 2016Accepted
Volume: 28
Number: 3
Page Range: pp. 250-258
DOI: 10.1177/0956462416642125
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 5 October 2016
Date of first compliant Open Access: 5 October 2016
Funder: Great Britain. Department of Health for England

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