Financial Hardship, Condomless Anal Intercourse and HIV Risk Among Men Who Have Sex with Men

Dustin Duncan, Su Hyun Park, John A. Schneider, Yazan A. Al-Ajlouni, William C. Goedel, Brian D. Elbel, Jace G. Morganstein, Yusuf Ransome, Kenneth H. Mayer

Research output: Contribution to journalArticle

Abstract

The objective of this study was to examine the association between financial hardship, condomless anal intercourse and HIV risk among a sample of men who have sex with men (MSM). Users of a popular geosocial networking application in Paris were shown an advertisement with text encouraging them to complete a anonymous web-based survey (n = 580). In adjusted multivariate models, high financial hardship (compared to low financial hardship) was associated with engagement in condomless anal intercourse (aRR 1.28; 95% CI 1.08–1.52), engagement in condomless receptive anal intercourse (aRR 1.34; 95% CI 1.07–1.67), engagement in condomless insertive anal intercourse (aRR 1.30; 95% CI 1.01–1.67), engagement in transactional sex (aRR 2.36; 95% CI 1.47–3.79) and infection with non-HIV STIs (aRR 1.50; 95% CI 1.07–2.10). This study suggests that interventions to reduce financial hardships (e.g., income-based strategies to ensure meeting of basic necessities) could decrease sexual risk behaviors in MSM.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Nov 3 2017

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HIV
Paris
Sexually Transmitted Diseases
Risk-Taking
Sexual Behavior
Infection
Surveys and Questionnaires

Keywords

  • Condomless anal intercourse
  • Financial hardship
  • Gay men’s health
  • Health disparities
  • Men who have sex with men (MSM)
  • Paris France
  • Sexual health
  • Sexually transmitted infections
  • Social epidemiology

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Financial Hardship, Condomless Anal Intercourse and HIV Risk Among Men Who Have Sex with Men. / Duncan, Dustin; Park, Su Hyun; Schneider, John A.; Al-Ajlouni, Yazan A.; Goedel, William C.; Elbel, Brian D.; Morganstein, Jace G.; Ransome, Yusuf; Mayer, Kenneth H.

In: AIDS and Behavior, 03.11.2017, p. 1-8.

Research output: Contribution to journalArticle

Duncan, D, Park, SH, Schneider, JA, Al-Ajlouni, YA, Goedel, WC, Elbel, BD, Morganstein, JG, Ransome, Y & Mayer, KH 2017, 'Financial Hardship, Condomless Anal Intercourse and HIV Risk Among Men Who Have Sex with Men', AIDS and Behavior, pp. 1-8. https://doi.org/10.1007/s10461-017-1930-3
Duncan, Dustin ; Park, Su Hyun ; Schneider, John A. ; Al-Ajlouni, Yazan A. ; Goedel, William C. ; Elbel, Brian D. ; Morganstein, Jace G. ; Ransome, Yusuf ; Mayer, Kenneth H. / Financial Hardship, Condomless Anal Intercourse and HIV Risk Among Men Who Have Sex with Men. In: AIDS and Behavior. 2017 ; pp. 1-8.
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